Prompt Engineer (Claims Analyst)

Wisedocs is a fast-growing, venture-backed AI platform that transforms how insurance companies analyze claims. With ~$20M USD raised, 100+ team members globally, and 90+ customers across North America and Australia, we’re doubling revenue year over year.

Founded by experts who’ve experienced the claims process firsthand, Wisedocs combines deep domain knowledge with next-gen AI trained on 100M+ documents. Our platform turns complex medical records into clear, structured insights—backed by expert human oversight.

Join a mission-driven team building intelligent products that cut through complexity, accelerate decision-making, and make a real impact when it matters most.

Role Summary

We’re looking for a claims adjuster who wants to be more technical and creative in their work while supporting strong patient outcomes. You will play a crucial role in evaluating and testing the outputs of AI models, particularly those related to extracted and summarized data. As well as work closely with our engineering and product teams to ensure that the outputs of our machine learning models meet both technical and claims guideline standards. Your insights and feedback will drive improvements in our systems and ensure that our products deliver exceptional value to healthcare providers and their patients. This role is focused on those with claims adjustment experience to improve the efficiency in the claim lifecycle.

What you'll be doing

• Prompt and Model Testing: Test AI-generated outputs, focusing on medical prompts and machine learning models used in healthcare applications.

• Feedback Loop: Analyze AI output for accuracy, relevance, and clinical validity. Provide detailed feedback to the engineering team to enhance prompt performance and model behaviour.

• Standard Operating Procedures (SOPs): Write, maintain, and update detailed SOPs for medical prompt engineering and testing, ensuring consistency and quality in prompt creation and validation.

• Collaboration with Engineering: Work closely with the engineering team to troubleshoot, refine, and optimize machine learning models based on feedback from prompt testing and evaluation.

• Quality Assurance: Ensure that the AI-generated responses align with clinical guidelines, best practices, and healthcare regulations.

• Data Analysis: Assist in analyzing medical data sets and model outputs to evaluate the performance of AI models in clinical contexts.

• Documentation: Document all testing procedures, outcomes, and improvements. Create user-friendly guides and best practice documents for prompt testing and optimization.

• Continuous Improvement: Actively participate in the iterative process of improving prompt accuracy, functionality, and overall system performance in collaboration with cross-functional teams.
• Other projects and duties as assigned

You're a great candidate

• Claims Adjustment Background: 2+ years as a claims adjuster in P&C, Health and Life, Auto, Workers Compensation, BI, etc.
• Experience with AI/ML: Familiarity with AI, machine learning models, and prompting, especially in healthcare, clinical and claims setting.
• Testing and Quality Assurance: Experience with testing and evaluating technology solutions, particularly in the healthcare or technology space.
• Desire to learn and grow your skillset!
• SOP Writing: Experience writing clear, concise, and detailed Standard Operating Procedures (SOPs) and documentation.
• Communication Skills: Excellent written and verbal communication skills, with the ability to deliver technical feedback in a clear and constructive manner.
• Attention to Detail: Strong attention to detail, particularly when reviewing AI outputs for clinical accuracy and relevance.
• Problem-Solving: Ability to identify issues, propose solutions, and collaborate with engineering teams to resolve challenges.

Preferred Qualifications:

• Familiarity with Healthcare Regulations: Knowledge of HIPAA, medical privacy laws, and healthcare compliance standards.

• Technical Skills: Experience with data analysis tools, basic coding (Python, R, etc.) and SQL

• Experience in Medical AI: Previous work with AI models in a medical context, such as AI-powered medical documentation systems, diagnostic tools, or virtual health assistants.

What We Offer

• Flexible hybrid environment with the option to collaborate in-person at our Toronto HQ.
• Modern employee benefits, including health and dental coverage
• Competitive compensation, with valuable stock options, as we’re still a young company growing very quickly.
• An opportunity to develop very rapidly in your career. We can offer you a super-immersive learning environment, and when you thrive there, you will have the opportunity to rapidly develop this opportunity into senior practitioner or management opportunities as you choose.
• Access to a learning and professional development fund to help you level up your career while you’re working with us.We hope to be an incredible step up in your career if you decide to come and work with us.
• Company events
• Generous Paid Time Off
• Paid Sick Days
• Casual Dress code
• Employee Referral Bonus
• Tuition Assistance
• Plus, many other Recognition Programs!

Compensation

Our target base salary range for this role is $65,000 – $80,000 CAD. This range reflects th full growth journey within the role — from building and developing skills early on, to becoming highly proficient and ultimately achieving excellence. Where an offer lands within the range is based on your experience, skills, and impact, which we assess throughout the hiring process.

We’re committed to fair and transparent pay and ongoing career development. If your expectations fall outside this range but you’re excited about the role, we still encourage you to apply.

Note: We use AI-powered tools alongside human review to support a fair, inclusive, and efficient hiring process, helping us work smarter and create better experiences for our customers and team.

This posting is for current and future opportunities at Wisedocs. Even if there isn’t an immediate opening, we’re always excited to meet great people. If your experience lines up, we encourage you to apply — we’ll reach out when a role opens that’s a good fit.

*Wisedocs AI is an equal opportunity employer and are committed to providing employment accommodation in accordance with AODA. If you require an accommodation, please notify us and we will work with you to meet your needs.