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%

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.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 the research team 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 insurance-practitioner role does not require a law degree or license to practice law

🏖️ Benefits

• Minimum 20 hours per week (ideally 40+) • Earn up to $250 for each successful referral • Reasonable accommodations upon request