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Claims Adjuster | Upto $80/hr Part-time

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

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

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