Benefits Navigation Specialist — Remote Contract

Mercor; Sydney; Remote; AUD 83,000 - 112,000; Full time

Job summary

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

Qualifications

• 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.

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 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.

Skills

Benefits administration

Benefits navigation

Healthcare coverage

Medicare/Medicaid understanding

Quality assurance

Customer service

Job description

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