Remote Complex Claims Director & AI Training Specialist

mercor; United States; Remote; USD 83,000 - 140,000; Full time

Job summary

Mercor is seeking a Complex Claims & Coverage Director for a remote, contract role paying $80/hour with a commitment of 20+ hours per week. The role focuses on designing realistic coverage scenarios, developing claim strategies, and guiding AI model-driven analyses.

Responsibilities include producing high-quality reference responses, managing litigation considerations, and providing actionable feedback to the research team to improve model behavior and coverage judgments.

Qualifications

• 2+ years handling complex or high-severity insurance claims.
• Experience evaluating coverage issues across multiple parties or policies.
• Understand duties, reservation-of-rights, litigation management, and escalation to counsel.
• Able to distinguish operational vs formal legal advice and identify need for legal review.
• Exceptional written reasoning and attention to detail.
• Ability to review incomplete records and separate facts from assumptions.

Responsibilities

• Design complex claim strategies and coverage-position analyses.
• Create litigation-management and reserve rationales.
• Write senior-quality AI reference responses.
• Grade AI-generated responses against structured rubrics.
• Provide feedback to improve model behavior.
• Identify misaligned claim-handling positions.

Skills

Complex claims handling

Litigation management

Coverage analysis

Reservation of rights

Written reasoning

Detail oriented

Education

CPCU

AIC

SCLA

ARM

Insurance designations

Job description

Mercor is seeking a Complex Claims & Coverage Director for a remote, contract role paying $80/hour with a commitment of 20+ hours per week. The role focuses on designing realistic coverage scenarios, developing claim strategies, and guiding AI model-driven analyses.

Responsibilities include producing high-quality reference responses, managing litigation considerations, and providing actionable feedback to the research team to improve model behavior and coverage judgments.