Senior Complex Claims & Coverage Strategist

Mercor; United States; Remote; USD 120,000 - 190,000; Full time

Job summary

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

Senior carrier claims professionals and coverage specialists are welcome. This insurance-practitioner role does not require a law degree or license. Role starts immediately with rolling reviews.

Qualifications

• 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims.
• Ability to evaluate coverage issues and develop claim strategies involving multiple parties or jurisdictions.
• Understand insurer duties, reservation-of-rights practices, and escalation to counsel.

Responsibilities

• Design realistic scenarios involving disputed coverage, rights reservations, excess exposure, multiple insureds and carriers.
• Create work products such as claim strategies, coverage analyses, and litigation-management plans.
• Write senior-quality reference responses and provide rubric-based feedback for model training.
• Grade AI outputs for policy analysis, strategic judgment, and escalation discipline.
• Identify inconsistent or unsupported claim positions and advise improvements.

Skills

Complex claims experience

Litigation management

High-severity claims

Job description

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

Senior carrier claims professionals and coverage specialists are welcome. This insurance-practitioner role does not require a law degree or license. Role starts immediately with rolling reviews.