Senior Claims Examiner - Multiline

Mercor; Auckland; À distance; NZD 147 000 - 245 000; Temps partiel

Résumé du poste

Mercor is seeking a Senior Multiline Claims Examiner for a remote, hourly contractor role. You will design realistic claims scenarios, prepare analytic work products, and write high-quality responses. The role emphasizes independence, lifecycle understanding, and precise policy application, with active feedback to improve model behavior. Immediate start with rolling reviews and onboarding pay.

Qualifications

• 2+ years of professional P&C claims handling, adjusting, or examining experience.
• 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.
• Able to read and apply policy language to claim facts while recognizing escalation needs.
• Demonstrate excellent written analysis, balanced judgment, and high attention to detail.
• Distinguish ordinary claim adjudication from complex coverage, litigation, regulatory, and actuarial work.

Responsabilités

• 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.

Connaissances

P&C claims handling

Policy interpretation

Written analysis

Attention to detail

Independent oversight

Formation

AIC

CPCU

SCLA

Description du poste

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: $80/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.
• 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.

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

• Immediately; applications reviewed on a rolling basis.

Compensation & Legal

• Hourly contractor
• Paid $800 upon successful completion of onboarding.

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.