Job Overview
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Job Description
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
How to Get Hired at Mercor
- 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.
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