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Claims & Underwriting Specialist - 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: Disability Claims & Underwriting Specialist

Type: Contract

Compensation: $800/hour

Location: Remote

Commitment: 20–40 hours/week

Role Responsibilities

  • Design realistic scenarios involving short- and long-term disability claims, elimination periods, and claim duration management.
  • Create work products such as claim determinations, benefit calculations, and return-to-work plans.
  • Write "golden" reference responses at experienced disability-professional quality.
  • Grade AI-generated responses against structured rubrics for accuracy and fairness.
  • Identify misapplied definitions, unsupported conclusions, and incorrect benefit math.
  • Provide written feedback to improve model behavior.

Qualifications

Must-Have

  • 2+ years of professional experience in disability claims adjudication or related fields.
  • Experience with group or individual disability programs.
  • Understanding of contract definitions, elimination periods, and benefit periods.
  • Ability to weigh evidence and articulate defensible determinations.
  • Excellent written analysis and attention to detail.
  • Ability to distinguish claim adjudication from clinical decisions and legal advice.

Preferred

  • CRC , CDMS , CCM , CPDM , RN , or comparable credentials.
  • Experience with ERISA records, appeals, or litigation support.
  • Experience with Social Security or workers compensation offset coordination.
  • Familiarity with FMLA, state leave programs, or ADA accommodation interaction.

Start Date

  • Immediate start; 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

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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