Insurance Operations Expert - Fully Remote | Upto $800/task Task based

Job Description

Job Description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .

Position: Insurance Data & Operations Specialist
Type: Contract
Compensation: $800 per task
Location: Remote
Commitment: 20–40 hours/week

Role Responsibilities

• Design realistic scenarios involving policy, premium, exposure, claim, provider, member, producer, and operational data.
• Create work products such as metric definitions, data-quality assessments, workflow analyses, dashboard requirements, operational reports, root-cause analyses, and process-improvement recommendations.
• Write "golden" reference responses at experienced insurance data and operations quality.
• Grade AI-generated responses against structured rubrics for data interpretation, metric consistency, process understanding, feasibility, and communication.
• Identify incorrect denominators, misleading aggregations, inconsistent definitions, data-lineage gaps, workflow bottlenecks, and conclusions not supported by the available evidence.
• Provide written feedback the research team uses to improve model behavior.

Qualifications

Must-Have

• 2+ years of professional experience in insurance data, business analysis, reporting, operations analysis, quality assurance, or process improvement.
• Understand at least one insurance operating domain, such as underwriting, policy administration, claims, distribution, health-plan operations, reinsurance, or compliance.
• Translated business questions into metrics, reporting requirements, data definitions, workflow changes, or operational controls.
• Analyze a process without substituting for the underwriter, adjuster, clinician, actuary, or compliance specialist responsible for the substantive decision.
• Excellent analytical writing, structured problem-solving, and high attention to detail.
• Proficient with spreadsheets and at least one reporting, database, analytics, or workflow tool.

Preferred

• Experience with SQL , Python , R , Tableau , Power BI , Looker , or insurance data platforms.
• Lean , Six Sigma , project-management, business-analysis, or data-governance credential.
• Experience with policy, billing, claims, CRM, provider, or member-administration systems.
• Data governance, model governance, audit, or operational quality experience.
• Experience developing KPIs, service-level metrics, or executive reporting.

Start Date

• Immediately ; applications reviewed on a rolling basis.

Application Process (Takes 20–30 mins to complete)

• Upload resume
• AI interview based on your resume
• Submit form

Resources & Support

• For details about the interview process and platform information, please check:
• For any help or support, reach out to: View email address on ziprecruiter.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.