Generating actionable financial advice from business records demands that models integrate numerical reasoning, domain knowledge, and sound judgment, while avoiding recommendations that could harm the business. Direct supervision is difficult: historical decisions are not necessarily optimal, and high-quality free-form labels are expensive to obtain. We formulate financial advice generation as a reinforcement learning problem and fine-tune an open-weight language model using Group Relative Policy Optimization (GRPO). Our reward is an LLM-as-a-judge rubric that scores each recommendation across multiple binary dimensions of advice quality, augmented with a safety gate for harm prevention. Since LLM-based evaluation alone cannot confirm whether improvements reflect genuine business value rather than adaptation to the judge, we complement it with a judge-independent audit based on a standard doubly-robust Conditional Average Treatment Effect (CATE) estimator. Under this observational off-policy audit, our trained LLM achieves approximately twice the estimated gross-profit lift of the strongest evaluated commercial baseline ($0.0228$ vs.\ $0.0104$), together with the lowest downside rate and the least negative tail risk of any policy evaluated. Notably, the two evaluations do not rank the baselines identically: the untrained base model places last on the judge rubric but second on the causal audit, indicating that the audit captures a signal the judge does not. Our results demonstrate that GRPO with a finance-grounded reward signal can produce substantially more useful business recommendations than commercial LLMs, and that a judge-independent causal audit is a valuable complement to, rather than a confirmation of, LLM-as-a-judge assessment in financial NLP.
Ofir Ben Shoham, Shrutendra Harsola, Vignesh T. Subrahmaniam et al.· 0 citations
Uncommon and off-guideline cases are difficult for clinical decision support, because physicians must make a series of management decisions under diagnostic uncertainty and rarely see the full case at once. Most large language model (LLM) benchmarks for medicine score only the final diagnosis, yet much of clinical care turns on the next appropriate action: the next test to order, the imaging study to obtain, the specialist to involve, or the differential to pursue. We introduce MedUPSQA, a dataset of 21,874 mid-stream clinical decision points built from 5,535 real case reports, and MedUPS, an alignment framework that supervises models on these intermediate decisions as they unfold along a patient's trajectory. We segment free-text case presentations into chronologically ordered, accumulating clinical chunks and align models to predict the next step with reinforcement learning (GRPO), using an external LLM-as-a-Judge reward. This objective mirrors how clinicians actually meet patients, reasoning forward from accumulating evidence toward the next decision, rather than committing to a final label. Across three backbones, mid-stream alignment raises next-step accuracy from 55.2 to 66.7 for Qwen3.6-27B, from 47.2 to 57.8 for Qwen3.5-9B, and from 37.8 to 44.4 for HuatuoGPT-3-8B, with 95% CI. In several model scales we test the objective improves accuracy more than scale, with smaller models surpassing larger, frontier models we evaluate. We further train supervised fine-tuning (SFT) baselines on the mid-stream task, SFT improves all backbones above base, indicating the target framwork carries signal independently of the optimizer. We release the dataset, code, and aligned checkpoints.
Ofir Ben Shoham, O. Perets, Nir Grinberg et al.· 0 citations