Complex Claims & Coverage Director

Job not on LinkedIn

🔥 0 minutes ago

🌐 United States, Canada, +1 more countries – Remote

🇺🇸 United States – Remote 🇨🇦 Canada – Remote 🇬🇧 United Kingdom – Remote

💵 $800 / hour

⏳ Contract/Temporary

🔴 Lead

👔 Director

👻 Ghost score 0%

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Mercor

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2023

🔥 Funding within the last year

💰 $350M Series C - Mercor on 2025-10

Mercor is a company for which no descriptive text was provided in the input. Additional information (products, services, target customers, or industry specifics) is needed to create an accurate summary and select appropriate industries.

📋 Description

• Design realistic scenarios involving disputed coverage, reservations of rights, excess exposure, multiple insureds, multiple carriers, allocation, litigation, mediation, bad-faith risk, and high-severity settlement strategy • Create complex claim strategies, coverage-position analyses, authority requests, litigation-management plans, reserve rationales, and escalation recommendations • Write “golden” reference responses at senior technical claims quality • Grade AI-generated responses against structured rubrics for policy analysis, strategic judgment, factual support, stakeholder awareness, and escalation discipline • Identify claim-handling positions that are internally inconsistent, unsupported by the record, operationally unrealistic, or outside the authority of a non-lawyer claims professional • Provide written feedback to improve model behavior • Participate in onboarding office hours and calibration sessions

🎯 Requirements

• 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims • Experience evaluating coverage issues and developing claim strategies involving multiple parties, layers, policies, or jurisdictions • Understanding of insurer duties, reservation-of-rights practices, litigation management, settlement authority, and escalation to internal or external counsel • Ability to distinguish an operational coverage position from formal legal advice and recognize when specialized legal review is required • Exceptional written reasoning, defensible judgment, and high attention to detail • Comfort reviewing incomplete records and separating facts, assumptions, open issues, and recommended next steps • CPCU, AIC, SCLA, ARM, or comparable insurance designation (bonus) • Experience with excess casualty, professional liability, directors and officers, cyber, environmental, construction-defect, or other complex lines (bonus) • Experience managing mediations, trials, coverage disputes, or extra-contractual exposure (bonus) • Home-office technical claims or claim-governance experience (bonus) • Experience overseeing TPAs, independent adjusters, experts, or panel counsel (bonus) • This is an insurance-practitioner role and does not require a law degree or license to practice law

🏖️ Benefits

• Minimum 20 hours per week (ideally 40+) • Flexible remote work arrangement • Opportunity to shape next-generation AI models • Onboarding office hours and calibration sessions • Referral bonus of up to $250 per successful referral • Reasonable accommodations upon request