AI Claims Strategist: Complex Coverage & Litigation

Mercor; Chicago (IL); On-site; USD 120,000 - 180,000; Full time

Job summary

Mercor partners with a leading AI lab to train frontier models on insurance reasoning data. We seek Complex Claims and Coverage Directors to shape high-severity scenarios and evaluate model outputs against senior claims standards.

The role welcomes senior carrier claims professionals and coverage specialists. It is an insurance-practitioner position that does not require a law degree. Role starts immediately, with rolling reviews.

Qualifications

• Have at least 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims.
• Understand insurer duties, reservation-of-rights practices, litigation management, settlement authority, and escalation to counsel.
• Ability to distinguish operational coverage positions from formal legal advice.

Responsibilities

• Design complex claim scenarios involving disputed coverage and high-severity strategies.
• Create analyses, authority requests, litigation-management plans, and reserve rationales.
• Write senior-quality reference responses and grade AI-generated outputs against rubrics.
• Provide written feedback to improve model behavior and participate in calibration sessions.
• Identify internally inconsistent positions and escalate appropriately.

Skills

Complex claims handling

Litigation management

Coverage analysis

Written communication

Stakeholder coordination

Job description

Mercor partners with a leading AI lab to train frontier models on insurance reasoning data. We seek Complex Claims and Coverage Directors to shape high-severity scenarios and evaluate model outputs against senior claims standards.

The role welcomes senior carrier claims professionals and coverage specialists. It is an insurance-practitioner position that does not require a law degree. Role starts immediately, with rolling reviews.