Insurance Claims Specialist - 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: Senior Multiline Claims Examiner
Type: Contract
Compensation: $800/hour
Location: Remote
Commitment: 20–40 hours/week

Role Responsibilities

• Design realistic claims scenarios involving first notice of loss, coverage verification, investigation, documentation, reserving, damage evaluation, negotiation, settlement, subrogation, salvage, and closure.
• Create work products such as claim action plans, coverage analyses, investigation requests, evaluation summaries, settlement recommendations, and insured communications.
• Write "golden" reference responses at experienced claims-professional quality.
• Grade AI-generated responses against structured rubrics for factual accuracy, policy application, claim-handling judgment, and procedural completeness.
• Identify premature conclusions, missing investigative steps, unsupported valuations, improper communications, and failures to distinguish covered damage from excluded or unrelated loss.
• Provide written feedback the research team uses to improve model behavior.

Qualifications

Must-Have

• 2+ years of professional P&C claims handling, adjusting, or examining experience.
• Experience handling claims in at least one area such as property, auto physical damage, bodily injury, general liability, commercial casualty, catastrophe, or specialty claims.
• Understanding of the claim lifecycle from intake and investigation through evaluation, resolution, recovery, and closure.
• Ability to read and apply policy language to claim facts while recognizing when escalation is required.
• Excellent written analysis, balanced judgment, and high attention to detail.
• Ability to distinguish ordinary claim adjudication from complex coverage, litigation, regulatory, and actuarial work.

Preferred

• AIC , CPCU , SCLA , or comparable insurance designation.
• Multiline or multistate claims experience.
• Catastrophe, represented bodily injury, litigation, subrogation, SIU, or large-loss exposure.
• Experience supervising independent adjusters, experts, vendors, or defense counsel.
• Active or previously held adjuster license.

Start Date

• Immediate ; 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.