Claims Adjuster | Upto $80/hr Part-time - AI Trainer
Mercor · New York, NY
- Hybrid
- Part-time
- $80,000 / year
- New York, NY
Job highlights
- Develop claims tasks and rubrics for AI training.
- Evaluate FNOL, triage, adjudication, and specialized claims.
- Utilize expertise in claims processes and artifacts.
- Communicate reasoning clearly for AI model improvement.
- Work remotely and asynchronously on contract basis.
About the role
Claims Operations Expert - AI Trainer
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.
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. #hiringmercor
Key skills/competency
- Claims Adjuster
- Claims Operations
- AI Trainer
- FNOL
- Triage
- Adjudication
- Subrogation
- Fraud Investigation
- Coverage Analysis
- Reserve Setting
Skills & topics
- Claims Adjuster
- Claims Operations
- AI Trainer
- FNOL
- Triage
- Adjudication
- Subrogation
- Fraud Investigation
- P&C Insurance
- Workers Comp
- Guidewire
- Duck Creek
- Remote Work
- Contractor
- AI
How to get hired
- Tailor your resume: Highlight 3+ years in claims adjusting, operations, or supervision. Emphasize expertise in P&C, workers comp, or specialty lines.
- Showcase claims artifact familiarity: Explicitly mention experience with FNOLs, coverage opinions, reserve memos, and settlement/denial letters.
- Detail system and specialization knowledge: List any experience with Guidewire, Duck Creek, subrogation, SIU, or fraud investigation.
- Prepare for AI interview: Be ready to articulate your reasoning step-by-step, as this is crucial for developing deterministic rubrics.
- Complete application steps promptly: Upload your resume and finish the AI interview to be considered.
Technical preparation
Review FNOL, adjudication, and specialized claims handling.,Understand coverage analysis and reserve setting practices.,Familiarize with claims systems like Guidewire, Duck Creek.,Practice articulating reasoning step-by-step for rubrics.
Behavioral questions
Describe a complex claim you managed.,How do you ensure accuracy in your work?,How do you articulate complex processes clearly?,How do you manage asynchronous work and deadlines?
Frequently asked questions
- What is the role of a Claims Operations Expert at Mercor?
- As a Claims Operations Expert for Mercor, you will develop and evaluate claims tasks for AI training. This involves creating rubrics to assess agent performance, building scenarios in FNOL, triage, and adjudication, and reviewing specialized handling like subrogation and fraud referrals. Your work directly contributes to improving AI model performance in the insurance claims domain.
- What qualifications are essential for the Claims Operations Expert position?
- Mercor requires at least 3 years of experience as a claims adjuster, operations specialist, or supervisor in P&C, workers comp, or specialty lines. Essential expertise includes specific claim types, coverage analysis, reserving, subrogation, SIU/fraud investigation, or familiarity with claims systems like Guidewire or Duck Creek. Strong written communication skills are also critical.
- Is the Claims Operations Expert role remote?
- Yes, the Claims Operations Expert position at Mercor is fully remote, offering flexibility to work from anywhere.
- What is the compensation for this role?
- The compensation for the Claims Operations Expert role at Mercor ranges from $55 to $80 per hour, based on your experience and qualifications. Strong performers can see opportunities for growth based on task quality and throughput.
- How long does the application process take?
- The application process for the Claims Operations Expert role at Mercor is designed to be efficient, typically taking about 20-30 minutes to complete. This includes uploading your resume and completing an AI interview.
- What kind of claims systems experience is valued?
- Mercor values experience with claims systems such as Guidewire ClaimCenter or Duck Creek. Familiarity with these platforms can be a significant advantage for candidates applying for the Claims Operations Expert role.
- What are 'claims artifacts' and why are they important for this role?
- Claims artifacts are documents and records generated during the claims process, such as First Notice of Loss (FNOL), coverage opinions, reserve memos, adjuster notes, and settlement or denial letters. For the Claims Operations Expert role, familiarity with these artifacts is crucial as you will be evaluating and developing tasks based on them to train AI models.