Senior Multiline Claims Examiner – AI-Driven Claim Strategy

Obsidian; Toronto; On-site; CAD 70,000 - 110,000; Full time

Job summary

Mercor, in collaboration with a leading AI lab, is seeking a Senior Multiline Claims Examiner in Toronto to design realistic claims scenarios and evaluate AI outputs against established claims standards. You will craft coverage analyses, investigation requests, and settlement recommendations while ensuring quality communications with insureds.

The role involves grading AI-generated responses and providing actionable feedback to improve model behavior, with onboarding and calibration sessions

Qualifications

• 2+ years of professional P&C claims handling, adjusting, or examining experience.
• Independent handling of claims in areas such as property, auto physical damage, bodily injury, general liability, commercial casualty, catastrophe, or specialty claims.
• Understanding of the claim lifecycle from intake to closure.
• Ability to read and apply policy language to facts and know when escalation is required.
• Excellent written analysis, balanced judgment, and high attention to detail.
• Distinguish ordinary adjudication from complex coverage, litigation, regulatory, or actuarial work.

Responsibilities

• Design realistic claims scenarios covering loss intake, coverage verification, investigation, documentation, reserving, damage evaluation, negotiation, settlement, subrogation, salvage, and closure.
• Create work products like claim action plans, coverage analyses, investigation requests, evaluation summaries, settlement recommendations, and insured communications.
• Write gold-standard 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.
• Provide written feedback to improve model behavior for the research team.
• Participate in onboarding office hours and calibration sessions.

Job description

Mercor, in collaboration with a leading AI lab, is seeking a Senior Multiline Claims Examiner in Toronto to design realistic claims scenarios and evaluate AI outputs against established claims standards. You will craft coverage analyses, investigation requests, and settlement recommendations while ensuring quality communications with insureds.

The role involves grading AI-generated responses and providing actionable feedback to improve model behavior, with onboarding and calibration sessions