Claims & Underwriting Specialist - Remote

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

• For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
• For any help or support, reach out to: [email protected]

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