Senior Complex Claims Strategist

Obsidian; New York (NY); On-site; USD 120,000 - 180,000; Part time

Job summary

Mercor, partnering with a leading AI lab, seeks Complex Claims and Coverage Directors to design high-severity claim scenarios, evaluate model outputs against senior claims standards, and help shape how AI reasons about disputed coverage, allocation, and major-loss resolution.

You will draft complex claim strategies, coverage-position analyses, and litigation-management plans; grade AI responses against rubrics; and provide actionable feedback to the research team.

Qualifications

• Senior-level experience in handling complex, litigated, high-severity, or coverage-sensitive claims.
• Experience evaluating coverage issues and developing strategies involving multiple parties, policies, or jurisdictions.
• Understanding of insurer duties, reservation-of-rights practices, litigation management, and escalation to counsel.

Responsibilities

• Design realistic scenarios involving disputed coverage, reservations of rights, excess exposure, multiple insureds, multiple carriers, allocation, litigation, mediation, bad-faith risk, and high-severity settlement strategy
• Create work products such as complex claim strategies, coverage-position analyses, authority requests, litigation-management plans, reserve rationales, and escalation recommendations
• Write
• golden
• reference responses
• at senior technical claims quality
• Grade AI-generated responses against structured rubrics for policy analysis, strategic judgment, factual support, stakeholder awareness, and escalation discipline
• Identify claim-handling positions that are internally inconsistent, unsupported by the record, operationally unrealistic, or outside the authority of a non-lawyer claims professional
• Provide written feedback the research team uses to improve model behavior
• Participate in onboarding office hours and calibration sessions

Skills

Complex claims handling

Litigation management

Coverage analysis

Stakeholder communication

Policy interpretation

Education

CPCU / AIC / SCLA / ARM or comparable designation

Job description

Mercor, partnering with a leading AI lab, seeks Complex Claims and Coverage Directors to design high-severity claim scenarios, evaluate model outputs against senior claims standards, and help shape how AI reasons about disputed coverage, allocation, and major-loss resolution.

You will draft complex claim strategies, coverage-position analyses, and litigation-management plans; grade AI responses against rubrics; and provide actionable feedback to the research team.