Claims Handling Expert - Fully Remote | Up to $80/hr

mercor; San Francisco (CA); Ibrido; AUD 130.000 - 186.000; Tempo pieno

Descrizione del lavoro

Mercor is seeking a Senior Multiline Claims Examiner for remote contract work. You will apply your claims experience across property, auto, general liability, and other lines, from intake to resolution, under rolling review.

Start date is immediate; work 20–40 hours per week, paid hourly. You will craft documentation, assess coverage, and provide feedback to improve model performance.

Competenze

• 2+ years of professional P&C claims handling, adjusting, or examining experience.
• Independently handled claims in at least one area (property, auto physical damage, BI, GL, etc).
• Understand the claim lifecycle from intake through closure.
• Read and apply policy language to facts, escalating when needed.

Mansioni

• Design realistic claims scenarios covering loss, verification, investigation, and settlement.
• Create work products such as claim action plans, coverage analyses, investigation requests, and settlement recommendations.
• Write high-quality, professional responses for insured communications.
• Grade AI-generated responses against rubrics for factual accuracy and policy application.
• Identify premature conclusions, missing steps, and improper communications.
• Provide written feedback to improve model behavior.

Conoscenze

P&C claims handling

Independent claims handling

Policy language analysis

Written analysis

Formazione

CPCU designation

Descrizione del lavoro

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.