Insurance Operations & Risk Specialist

This is a fully remote position, open to applicants in New York.

📋 Description

• Create intricate insurance scenarios encompassing underwriting, claims, actuarial analysis, risk management, reinsurance, and regulatory compliance.

• Produce reference outputs and evaluation criteria that reflect seasoned insurance judgment.

• Develop tasks for underwriting and risk assessment that include risk selection, coverage evaluation, pricing, and underwriting decisions.

• Design claims scenarios that involve intake, investigation, adjudication, settlement, and escalation processes.

• Formulate tasks related to actuarial pricing, loss forecasting, and reserve analysis.

• Create scenarios for reinsurance, enterprise risk, regulatory compliance, and insurance operations.

• Develop scenarios using Guidewire, Duck Creek, SAS, R, and similar insurance platforms.

• Evaluate AI-generated outputs for technical accuracy, risk awareness, operational realism, and completeness.

• Detect subtle reasoning mistakes, unsupported assumptions, control deficiencies, compliance issues, and documentation problems.

• Offer a clear written rationale to support evaluation findings.

⛳️ Requirements

• A minimum of 5 years of professional experience in insurance underwriting, claims, actuarial work, risk management, reinsurance, or a closely related field.

• Experience working within a major insurance carrier, reinsurer, enterprise risk organization, or a similar insurance environment.

• Direct responsibility for underwriting portfolios, claims operations, actuarial pricing models, reserving processes, or insurance risk programs.

• Comprehensive understanding of underwriting, claims management, pricing, reserving, reinsurance, and enterprise risk principles.

• Familiarity with Guidewire, Duck Creek, SAS, R, or equivalent insurance systems.

• Practical knowledge of regulatory compliance, reinsurance arrangements, and reserving practices.

• Capability to articulate complex insurance and risk reasoning clearly and accurately in writing.

• Work must be conducted without utilizing confidential or proprietary information from any employer, client, institution, or other third party.

• H1-B and STEM OPT support is not available for this position.

🏝️ Benefits

• Flexible scheduling that aligns with project requirements.

• Opportunity for fully remote work.

• Part-time independent contractor engagement.

• Project durations may be extended, shortened, or concluded based on evolving project needs and performance.