Social Insurance Specialist

Pay: $60 - $85/hour

Required Skills
Fraud Detection
System Operations
Adjudicate Claims
GS-0105
About micro1
micro1 is a data lab that helps AI labs & Enterprises train foundational models and agents. We provide frontier evaluations and reinforcement learning environments to improve LLM capabilities, as well as contextual evaluations to monitor and improve AI agents in enterprise settings.

Our AI recruiting agent sources and vets domain experts for our data platform that enables rapid production of high-quality training data. Our research spans high-value, specialized domains (legal, medical, finance, coding, etc.), where expert-level data is the hardest to produce and most valuable for advanced model performance. Our pipeline performance system ensures both quality and velocity.

Role Title: Social Insurance Specialist

Role Type: Contractor

Location: United States, Remote

micro1 is engaging Social Insurance Specialists to participate in an impactful project supporting our customer's needs. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters.

Scope of Work

Review and analyze AI-generated social insurance benefit claims, ensuring comprehensive evaluation of evidence and adherence to established statutory and regulatory guidelines.
Assess AI-generated eligibility and entitlement determinations for retirement, survivors, disability, and supplemental income programs, weighing complex evidence accurately.
Complete detailed benefit determinations and computations, and document rationales with clarity and precision for AI training.
Conduct quality assurance reviews of AI-generated claims decisions, pinpointing inconsistencies or errors according to agency policy and program standards (e.g., POMS).
Utilize specialized claims and records systems to access, update, and manage claim files and supporting documentation.
Simulate higher-level review decisions, providing expertise on reconsiderations, appeals, and overpayment or underpayment processes for AI training.
Deliver constructive written and verbal feedback to enhance AI model training accuracy and effectiveness.

Preferred Qualifications

Proven expertise as a Social Insurance Specialist or equivalent, with strong experience in eligibility determination, benefit entitlement, and evidence gathering.
Familiarity with GS-0105: Social Insurance Administration functions, or related series such as GS-0996: Veterans Claims Examining and GS-0512: Internal Revenue Agent.
Demonstrated skill evaluating benefit claims and applying program rules in a regulated environment.
Experience using claims processing and case management systems, such as SSA’s MCS and MSSICS, or similar platforms.
Background in quality assurance for claims or similar processes within federal, state, or related agencies.
Ability to synthesize complex information and present informed decisions for higher-level review processes.
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