Claims Adjuster - Fully Remote
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: Claims Operations Expert Type: Contract Compensation: $55–$80/hour Location: Remote Role Responsibilities
- Develop long-horizon claims tasks with deterministic rubrics to evaluate agent performance against verifiable ground truth.
- Build scenarios in FNOL and triage, Adjudication, and Specialized handling to ensure tasks have checkable answers.
- Evaluate FNOL and triage processes, including intake against required-field checklists and coverage analysis with documented determinations.
- Review adjudication tasks such as reserve setting against guidelines and adjuster notes with required elements.
- Collaborate on specialized handling scenarios like subrogation screening and SIU fraud referrals using rule-based criteria.
- Work independently and asynchronously to meet deadlines while improving AI model performance.
Qualifications
Must-Have
- 3+ years as a claims adjuster, claims operations specialist, or claims supervisor in P&C, workers comp, or specialty lines.
- Expertise in specific claim types, coverage analysis, reserving practice, subrogation, SIU or fraud investigation, or claims systems like Guidewire ClaimCenter or Duck Creek.
- Comfortable with claims artifacts: FNOLs, coverage opinions, reserve memos, adjuster notes, settlement, and denial letters.
- Clear written communication; ability to articulate reasoning step by step and encode it into deterministic rubrics.
Preferred
- Adjuster licensure in at least one US state.
Compensation & Legal
- Hourly contractor
- Strong contributors promoted based on task quality and throughput.
Application Process (Takes 20–30 mins to complete)
- Upload resume
- AI interview based on your resume
- Submit form
Resources & Support
- For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
- For any help or support, reach out to: [email protected]
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.