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Coverage Specialist - Fully Remote | Upto $800/task Task based

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:

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Vacancy posted a month ago
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