Claims Specialist | $100/hr Remote | Mercor

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). #J-18808-Ljbffr