Health Insurance Expert - Compliance
$1,150 - $1,450 per monthMercor
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: Health Insurance Expert
Type: Contract
Compensation: $1,150–$1,450 per completed task
Location: Remote
Role Responsibilities
- Review and evaluate AI-generated outputs related to plan benefit design, coverage determination, claims adjudication, and medical necessity criteria.
- Create realistic scenarios based on health insurance workflows, including prior authorization decisions and regulatory audits.
- Annotate, label, and validate data across health insurance use cases, such as ICD coding accuracy and payer policy interpretation.
- Provide structured feedback on AI accuracy in federal and state insurance regulations, payer contracting, and industry-specific terminology.
- Collaborate asynchronously with research teams to refine evaluation frameworks for health insurance AI.
Qualifications
Must-Have
- 3+ years of professional experience at a health plan, benefits administrator, TPA, PBM, or managed care organization.
- Background in claims processing, medical underwriting, utilization management, benefits administration, or regulatory compliance.
- Strong analytical thinking and ability to translate health plan workflows into structured evaluation tasks.
- Clear written communication and attention to detail.
Preferred
- Professional designations such as CEBS , AHIP , HIAA , or Fellow/ASA actuarial credentials .
Compensation & Legal
- Task Completion Pay: Competitive and based on task quality.
- Performance Bonus: Weekly bonus incentive for top performers.
- Hourly Opportunity: Transition to an hourly compensation model for sustained quality and throughput.
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.
Vacancy posted 10 days ago
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