Insurance Claims Specialist - Fully 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: 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: 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.