Complex Claims & Coverage Director

Job not on LinkedIn

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $80 / hour

⏳ Contract/Temporary

🔴 Lead

👔 Director

👻 Ghost score 1%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 a non-lawyer claims professional’s authority • Provide written feedback used by the research team to improve model behavior • Participate in onboarding office hours and calibration sessions • Help train frontier AI models using high-quality insurance reasoning data

🎯 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 • Comfortable reviewing incomplete records and separating facts, assumptions, open issues, and recommended next steps • CPCU, AIC, SCLA, ARM, or comparable insurance designation preferred as a bonus qualification • Experience with excess casualty, professional liability, directors and officers, cyber, environmental, construction-defect, or other complex lines • Experience managing mediations, trials, coverage disputes, or extra-contractual exposure • Home-office technical claims or claim-governance experience • Experience overseeing TPAs, independent adjusters, experts, or panel counsel • Must be able to work as an independent contractor • Unable to support H1-B or STEM OPT candidates

🏖️ Benefits

• $800 flat payment upon successful completion of onboarding • Weekly payments via Stripe or Wise based on services rendered • Fully remote work on your own schedule • Minimum 20 hours per week, ideally 40+ • Competitive pay • Projects may be extended, shortened, or concluded early depending on needs and performance • Reasonable accommodations upon request • Referral payments of up to $320 per successful referral