Complex Claims Director - Insurance
Mercor
Toronto, ON
- Remote job
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: Complex Claims & Coverage Director
Type: Contract
Compensation: $800/hour
Location: Remote
Commitment: 20–40 hours/week
Role Responsibilities
- Design realistic scenarios involving disputed coverage, reservations of rights, excess exposure, multiple insureds, multiple carriers, allocation, litigation, mediation, bad-faith risk, and high-severity settlement strategy.
- Create work products such as complex claim strategies, coverage-position analyses, authority requests, litigation-management plans, reserve rationales, and escalation recommendations.
- Write "golden" reference responses at senior technical claims quality.
- Grade AI-generated responses against structured rubrics for policy analysis, strategic judgment, factual support, stakeholder awareness, and escalation discipline.
- Identify claim-handling positions that are internally inconsistent, unsupported by the record, operationally unrealistic, or outside the authority of a non-lawyer claims professional.
- Provide written feedback the research team uses to improve model behavior.
Qualifications
Must-Have
- 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims.
- Experience evaluating coverage issues and developing claim strategies involving multiple parties, layers, policies, or jurisdictions.
- Understanding of insurer duties, reservation-of-rights practices, litigation management, settlement authority, and escalation to internal or external counsel.
- Ability to distinguish an operational coverage position from formal legal advice and recognize when specialized legal review is required.
- Exceptional written reasoning, defensible judgment, and high attention to detail.
- Comfort with reviewing incomplete records and clearly separating facts, assumptions, open issues, and recommended next steps.
Preferred
- CPCU , AIC , SCLA , ARM , or comparable insurance designation.
- Experience with excess casualty, professional liability, directors and officers, cyber, environmental, construction-defect, or other complex lines.
- Experience managing mediations, trials, coverage disputes, or extra-contractual exposure.
- Home-office technical claims or claim-governance experience.
- Experience overseeing TPAs, independent adjusters, experts, or panel counsel.
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: Show email
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.
Vacancy posted more than 2 months ago
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