Company Description Company Description Sembuh AI is a trusted partner for the global health insurance ecosystem, powering modern insurers, TPAs, reinsurers, and brokers with smarter claims intelligence. Our technology uses Artificial Intelligence that integrates with existing systems to automate claims processing, enhance fraud detection, and improve portfolio visibility. We empower insurance providers with smarter, faster, and fairer claims handling, driving real impact across the insurance industry.

Responsibilities

• Review and validate AI-generated medical assessments, diagnoses, and clinical recommendations escalated for human review
• Assess the clinical accuracy and appropriateness of AI outputs against medical records, ICD codes, and clinical best practices
• Identify medically implausible claims, inconsistencies in treatment records, and patter...