Benefits Navigation Expert - Compliance

Mercor; Sydney; Remoto; AUD 83.000 - 112.000; Tempo pieno

Descrizione del lavoro

Mercor seeks a Benefit Navigation Expert on a contract basis. This remote, hourly role offers $70/hour.

You will review evaluation rubrics, assess AI-generated benefits-navigation scenarios, and ensure accuracy and adherence to industry practices, drawing on healthcare and benefits administration expertise. Candidates should have substantial experience in benefits administration, Medicare/Medicaid considerations, and strong writing and communication skills, with a track record in quality

Competenze

• Substantial professional experience in benefits administration, benefits navigation, healthcare coverage, or related field.
• Strong understanding of Medicare and/or Medicaid considerations.
• Familiarity with customer questions, workflows, escalation practices, and communication standards.
• Ability to distinguish general educational guidance from licensed, legal, clinical, or plan-specific resources.

Mansioni

• Review and validate evaluation rubrics for accuracy, completeness, and real-world relevance.
• Assess AI-generated benefits-navigation scenarios to inform a synthetic dataset.
• Determine which scenarios require expert validation and recommend validation standards.
• Identify inaccurate, unrealistic, ambiguous, or potentially harmful guidance.
• Evaluate whether customer communications reflect industry best practices.
• Recommend improvements based on real-world benefits administration and customer-service experience.

Conoscenze

Benefits administration

Benefits navigation

Healthcare coverage

Medicare/Medicaid understanding

Quality assurance

Customer service

Descrizione del lavoro

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: Benefit Navigation Expert
Type: Contract
Compensation: $70/hour
Location: Remote

Role Responsibilities

• Review and validate evaluation rubrics for accuracy, completeness, and real-world relevance.
• Assess AI-generated benefits-navigation scenarios to inform a synthetic dataset.
• Determine which scenarios require expert validation and recommend appropriate validation standards.
• Identify inaccurate, unrealistic, ambiguous, or potentially harmful guidance.
• Evaluate whether customer communications reflect industry best practices.
• Recommend improvements based on real-world benefits administration and customer-service experience.

Qualifications

Must-Have

• Substantial professional experience in benefits administration, benefits navigation, healthcare coverage, or a closely related field.
• Strong understanding of Medicare and/or Medicaid considerations.
• Familiarity with common customer questions, service workflows, escalation practices, and communication standards.
• Ability to distinguish between general educational guidance and situations requiring referral to a licensed, legal, clinical, or plan-specific resource.
• Clear and precise writing with strong attention to detail.

Preferred

• Experience in employer-sponsored group benefits, or health and welfare benefits administration.
• Background in benefits or retirement plan administration.
• Experience in benefits navigation or advocacy.
• Experience with benefits-related call centers or customer service.
• Ability to communicate complex benefits information clearly and empathetically.
• Experience in quality assurance, rubric development, or content validation.
• Experience reviewing synthetic data, structured datasets, scripts, call-center content, or AI-generated customer-service scenarios.

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: [e-mail]

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