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 support@mercor.com PS Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity. Apply tot his job Apply To this Job