All roles

Open role

[Remote] AI/ML Data Scientist with in Claims/Insurance/NLP

Remote · Australia Full-time

Note: The job is a remote job and is open to candidates in USA. KPG99 INC is seeking a Senior Data Scientist specializing in AI, Machine Learning, and Natural Language Processing to support enterprise Risk Management and Claims Analytics. The role involves developing advanced predictive models and optimization solutions to mitigate risks and improve business outcomes.

Responsibilities

  • Design, develop, deploy, and optimize machine learning models
  • Build incident prioritization and claim severity prediction models
  • Develop risk-scoring frameworks for proactive risk identification
  • Perform feature engineering across structured and unstructured datasets
  • Monitor model performance, drift, retraining requirements, and scoring quality
  • Develop NLP solutions for claims and incident narrative analysis
  • Build text classification and language-processing pipelines
  • Leverage Large Language Models (LLMs) to extract business insights
  • Generate explainable AI outputs and risk-driver analysis
  • Apply AI techniques to improve operational decision-making
  • Develop predictive analytics and statistical modeling solutions
  • Build record-linkage and entity-resolution models where unique identifiers do not exist
  • Support large-scale data analysis across enterprise datasets
  • Work with structured, semi-structured, and unstructured data sources
  • Partner with Risk Management, Legal, Data Engineering, Data Governance, BI, and MLOps teams
  • Translate business requirements into technical solutions
  • Present findings and recommendations to technical and executive stakeholders
  • Mentor junior Data Scientists and contribute to team best practices
  • Create documentation covering methodology, assumptions, validation approaches, and limitations
  • Support model governance and explainability requirements
  • Ensure compliance with data governance, privacy, and security standards

Skills

  • Claims Analytics
  • Insurance Risk Modeling
  • Incident Prediction
  • Fraud Analytics
  • Severity Modeling
  • Explainable AI (SHAP, LIME, etc.)
  • Hospitality Industry Analytics
  • Travel Industry Analytics
  • Data Governance
  • PII Handling
  • Data Architecture
  • Databricks
  • Snowflake
  • Natural Language Processing
  • Text Classification
  • NLP Pipelines
  • LLM Applications
  • Claims / Incident Narrative Analysis
  • Operations Research & Optimization
  • Develop optimization solutions utilizing: Linear Programming (LP), Integer Programming (IP), Mixed Integer Programming (MIP), CPLEX, Gurobi
  • Apply mathematical optimization techniques to business and operational challenges
  • Support resource allocation and decision optimization initiatives
  • Develop predictive analytics and statistical modeling solutions
  • Build record-linkage and entity-resolution models where unique identifiers do not exist
  • Support large-scale data analysis across enterprise datasets
  • Work with structured, semi-structured, and unstructured data sources
  • 5+ years of Data Science, Machine Learning, Operations Research, or related experience
  • 2+ years may be acceptable with a relevant PhD
  • Proven experience building production-grade machine learning solutions
  • Strong experience with predictive analytics and risk modeling
  • Experience deploying models into enterprise environments
  • Experience working with large datasets and scalable architectures
  • Agile delivery experience
  • Python
  • SQL
  • Spark
  • Master's Degree in: Computer Science, Statistics, Industrial Engineering, Operations Research, Related Technical Field
  • PhD in a relevant discipline

Company Overview

  • Our business consulting services are led by significant domain depth built on a robust technology-driven services platform. It was founded in 2013, and is headquartered in Hampton, New Jersey, USA, with a workforce of 51-200 employees. Its website is https://www.kpg99.com/.
  • More open positions

    [Remote] Business Development Representative - Intel:

    Work from home Full-time role

    [Remote] Sr Software Engineer - Basis Platform / DSP

    Work from home Full-time role

    [Remote] Product Manager

    Work from home Full-time role

    [Remote] Data Governance & Metadata Scientist

    Work from home Full-time role

    [Remote] Instructional Designer

    Work from home Full-time role

    Epic Certified Willow Pharmacy Applications Manager 6355647

    Work from home Full-time role

    Senior Clinical Research Associate

    Work from home Full-time role

    Sales Development Representative (SDR) Healthcare VBC

    Work from home Full-time role

    (Online Remote jobs) Southwest Airlines Remote Jobs $24 (No Experience)

    Work from home Full-time role

    Experienced Live Chat Support Agent – Remote Customer Engagement and Support

    Work from home Full-time role

    [Remote] Software Engineer IV

    Work from home Full-time role

    Technical Content Writer

    Work from home Full-time role

    Hiring: Remote Certified Pharmacy Technician (Data Entry/No Degree RQD) AnewHealth

    Work from home Full-time role

    Remote Cloud Network Engineer - Data Center & Security

    Work from home Full-time role

    Associate Product Marketer

    Work from home Full-time role

    Paralegal

    Work from home Full-time role

    Kentucky Educational Speech-Language Pathologist (Virtual)

    Work from home Full-time role

    Customer Service Representative – Energy Solutions & Relationship Building Specialist for Sustainable Power Provider

    Work from home Full-time role

    Experienced Customer Service Representative - Specialty Benefits Verification Specialist – Remote Opportunity

    Work from home Full-time role

    Experienced Customer Service Representative – Remote Part-Time Opportunity with careerzynith

    Work from home Full-time role

    Administrative Coordinator - Global Customer Capabilities & Innovation

    Work from home Full-time role