Senior Coverage Director - Complex Claims & AI Quality

Mercor; New York (NY); Remote; USD 120,000 - 180,000; Full time

Job summary

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

This insurance-practitioner role does not require a law degree. Ideal candidates have experience handling complex, litigated, or coverage-sensitive claims, with expertise in coverage issues across multiple parties or jurisdictions.

Qualifications

• Must have solid experience handling complex, litigated, high-severity, or coverage-sensitive claims.
• Ability to evaluate coverage issues involving multiple parties, layers, policies or jurisdictions.
• Strong written reasoning, defensible judgment, and attention to detail.
• Understand reservation-of-rights practices, litigation management, settlement authority.
• Distinguish operational coverage positions from formal legal advice.
• Ability to provide structured feedback to improve model behavior.

Responsibilities

• Design realistic scenarios involving disputed coverage and high-severity settlements.
• Create work products such as complex claim strategies and litigation-management plans.
• Write gold-standard reference responses for senior claims quality.
• Grade AI-generated policy analyses against structured rubrics.
• Identify inconsistencies or inappropriate positions and escalate appropriately.
• Provide written feedback to the research team for model improvement.
• Participate in onboarding office hours and calibration sessions.

Skills

Complex claims

Policy interpretation

Written communication

Stakeholder management

Litigation coordination

Education

Bachelor's degree

CPCU / AIC / SCLA / ARM certification

Tools

Claims management software

Data analysis tools

Job description

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

This insurance-practitioner role does not require a law degree. Ideal candidates have experience handling complex, litigated, or coverage-sensitive claims, with expertise in coverage issues across multiple parties or jurisdictions.