Insurance Claims Specialist - Fully Remote
Full-time
Mercor
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 jobs.jobcopilot.com
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.
Vacancy posted 7 hours ago
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