Claims Specialist

Claims Specialist | $100/hr Remote | Mercor

This range is provided by Crossing Hurdles. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$60.00/hr - $100.00/hr

At Crossing Hurdles, we work as a referral partner. We refer candidates to Mercor that collaborates with the world’s leading AI research labs to build and train cutting-edge AI models.

Organization: Mercor

Position: Claims Adjusters, Examiners, and Investigators

Referral Partner: Crossing Hurdles

Type: Hourly contract

Compensation: $60–$100 per hour

Location: Remote

Commitment: 10-40 hours/week, flexible and asynchronous

Duration: ~6 weeks

Seniority level: Associate

Role Responsibilities

• Full-Cycle Claims Tasks: Execute FNOL intake, coverage verification, reserve setting, and liability determination.
• Workflow Simulation: Simulate real-world claims workflows using tools such as Guidewire ClaimCenter and Xactimate.
• Documentation Review: Review third-party documentation including police reports, medical records, and vendor estimates.
• Claims Drafting: Draft coverage memos, repair estimates, and liability assessments.
• Fraud Detection: Identify inconsistencies or red flags in claims documentation and flag fraud indicators.
• Compliance & Evaluation: Ensure claims compliance, document regulatory deadlines, and assess communication quality.
• Documentation: Maintain clear and detailed records for auditability and quality review.

Ideal Qualifications

• Strong experience in handling property, auto, bodily injury, or general liability claims.
• Familiarity with systems like Guidewire, Duck Creek, Xactimate, Hyland OnBase, or FileNet.
• Strong knowledge of coverage interpretation, state compliance standards, and claims documentation.
• Experience reviewing third-party documentation (e.g., police reports, medical summaries, contractor estimates).
• Strong written communication and analytical skills.

Application Process (Takes 20 min)

• Upload resume.
• AI interview based on your resume (15 min).