Senior Technical Specialist

Technology, Data & Digital · Data, AI & Analytics · Data Science · Machine Learning · Artificial Intelligence

In short

Seeking a Senior Technical Specialist in Hyderabad with expertise in Data Science, Machine Learning, LLMs, and AI solutions for the Claims Automation project. The role involves designing, building, and operationalizing an automated Best Claim Handler decisioning capability to optimize claim allocation and processing.

Responsibilities

Design, build, and operationalize an automated Best Claim Handler (BCH) decisioning capability.
Consume claim assessment outputs, including fraud propensity scores, IAPV outcomes, and claim authentication outputs.
Apply business rules and AI-driven decisioning logic to determine routing recommendations.
Generate routing decisions in near real-time to support FNOL and downstream claims handling processes.
Support assignment to claim handlers, specialist teams, and straight-through processing pathways.
Ensure routing decisions are consistent, explainable, auditable, and reusable.
Detect, monitor, and report on routing quality, service performance, and decisioning exceptions.
Minimize manual intervention through automated orchestration, monitoring, and recovery processes.
Establish automated consumption of BCH input data and validate data quality.
Evaluate claim complexity and derive necessary routing attributes.
Integrate BCH outputs into the Claims Automation workflow and return decisions to Pega and downstream platforms.
Implement fully automated orchestration of BCH decisioning services.
Monitor routing effectiveness, decision quality, and service health.

Requirements

Experience with Google ADK is an important requirement.
Applied machine learning expertise.
Experience with large language models (LLMs).
Experience with agentic AI.
Prompt engineering skills.
Proficiency in experimentation.
Model evaluation skills.
Practical delivery of AI solutions into production environments.
Ability to consume fraud propensity scores, IAPV outcomes, claim authentication outputs, and claim attributes.
Ability to apply business rules and AI-driven decisioning logic.
Ability to generate routing decisions in near real time.
Ability to support assignment to claim handlers, specialist teams, and straight-through processing pathways.
Ability to apply consistent and explainable routing decisions.
Ability to detect, monitor, and report routing quality, service performance, and decisioning exceptions.
Ability to minimize manual intervention through automated orchestration, monitoring, and recovery processes.
Ability to ensure routing decisions are auditable and reusable.

Desired Qualifications

Work experience in Financial Services, Manufacturing, Life Sciences and Healthcare, Technology and Services, Telecom and Media, Retail and CPG, or Public Services is a plus.

Benefits

Supercharge your potential.
Find your career.
Find your spark.
A place that knows that helping its customers stay on top starts by putting its people first.

Skills

Google ADKmachine learninglarge language modelsLLMsagentic AIprompt engineeringexperimentationmodel evaluationAI solutionsPega

#Data Science#Machine Learning#AI#LLMs#Claims Automation#Decisioning#Routing

About HCLTech

Supercharging progress through technology and innovation

HCLTech is a global technology company, home to 219,000+ people across 54 countries, delivering industry-leading capabilities centered around digital, engineering and cloud, powered by a broad portfolio of technology services and products. We work with clients across all major verticals, providing industry solutions for Financial Services, Manufacturing, Life Sciences and Healthcare, Technology and Services, Telecom and Media, Retail and CPG, and Public Services. Consolidated revenues as of 12 months ending September 2022 totaled $12.1 billion. To learn how we can supercharge progress for…

See all open jobs at HCLTech Read more about HCLTech Website