Insurance Claims Specialist - Fully Remote

Mercor; Toronto; Remote; CAD 65,000 - 95,000; Part time

Job summary

Mercor is partnering with a leading AI lab to train frontier models by designing realistic multiline claims scenarios and evaluating model outputs against established standards. You will help shape how AI reasons about coverage, investigation, settlement, and closure.

The role seeks candidates with 2+ years of professional P&C claims handling who can independently handle claims in areas such as property, auto, or liability.

Qualifications

• 2+ years of professional P&C claims handling, adjusting, or examining experience.
• Ability to read and apply policy language to claim facts.
• Strong written analysis and attention to detail.

Responsibilities

• Design realistic claims scenarios involving NI, coverage verification, investigation, reserving, and settlement.
• Create work products like action plans, coverage analyses, investigation requests, and settlement recommendations.
• Write high-quality reference responses for experienced claims professionals.
• Grade AI-generated responses for accuracy, policy application, and completeness.
• Provide feedback to improve model behavior and participate in onboarding sessions.

Skills

P&C claims handling

Policy interpretation

Written communication

Education

AIC/CPCU/SCLA designation

Job description

About the Role

Mercor is partnering with a leading AI lab to train frontier models on high-quality insurance reasoning data. We're hiring Senior Multiline Claims Examiners to design realistic claim-handling scenarios, evaluate model outputs against established claims standards, and help shape how the next generation of AI reasons about coverage, investigation, evaluation, settlement, and claim resolution.

We welcome carrier examiners, desk adjusters, field adjusters, TPA professionals, and independent adjusters with experience handling property, auto, casualty, or specialty P&C claims.

What You'll Do

• 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
• Participate in onboarding office hours and calibration sessions

You’re a Good Fit If You

• Have 2+ years of professional P&C claims handling, adjusting, or examining experience
• Have independently handled claims in at least one area, such as property, auto physical damage, bodily injury, general liability, commercial casualty, catastrophe, or specialty claims
• Understand the claim lifecycle from intake and investigation through evaluation, resolution, recovery, and closure
• Can read and apply policy language to claim facts while recognizing when escalation is required
• Demonstrate excellent written analysis, balanced judgment, and high attention to detail
• Can distinguish ordinary claim adjudication from complex coverage, litigation, regulatory, and actuarial work

Bonus Qualifications

• 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

Role Highlights

• Minimum 20 hours per week (ideally 40+)
• Role starts immediately, applications reviewed on a rolling basis