Insurance Domain Expert (Subject Matter Expert)

Insurance Domain Expert (Subject Matter Expert)

DataForce by TransPerfect is seeking experienced Insurance Subject Matter Experts to support the development, evaluation, and enhancement of AI models across insurance processes. In this role, you will leverage your expertise in claim underwriting, processing, risk assessment, and pricing to bridge domain knowledge with data-driven insights, ensuring AI systems are accurate, compliant, and aligned with industry standards and business objectives. 

Main Responsibilities:    

• Collaborate with AI, data science, and product teams to evaluate AI models used in underwriting, claims processing, risk assessment, and pricing.  

• Identify gaps, biases, and limitations in existing models and contribute domain insights for improvement.  

• Validate AI outputs against real-world insurance practices, regulatory requirements, and customer experience standards.  

• Define key metrics and success criteria to measure model performance and business relevance.  

• Support data labeling and annotation by providing insurance-specific context and expertise.  

• Assist in designing explainable AI frameworks to enhance model transparency and trustworthiness.  

• Stay current with insurance regulations, compliance standards, and emerging AI applications in the sector.  

Job requirements

• Bachelor’s or Master’s degree in Insurance, Risk Management, Actuarial Science, Business, or a related field.  

• 7+ years of experience in the insurance industry (underwriting, claims, risk modeling, or product management).  
• Have worked within well-established U.S. Insurance companies, including companies like:

UnitedHealth Group

CVS Health (Owner of Aetna)

Elevance Health

Centene

The Cigna Group

Progressive

Allstate

Travelers

MetLife

Prudential Financial

• Strong understanding of insurance operations, policy structures, and regulatory frameworks.  

• Experience collaborating with cross functional teams .