[Hiring] Disability Claims Adjudication Specialist @Mercor

Role Description

The Disability Claims & Underwriting Specialist will be responsible for the following:

• Design realistic scenarios involving short- and long-term disability claims, elimination periods, own-occupation and any-occupation definitions, residual and partial disability, offsets, recurrent disability, and claim duration management.
• Create work products such as claim determinations, benefit calculations, medical and vocational evidence summaries, transferable-skills analyses, return-to-work plans, and appeal decisions.
• Write "golden" reference responses at experienced disability-professional quality.
• Grade AI-generated responses against structured rubrics for definitional accuracy, evidentiary support, benefit-calculation correctness, and procedural fairness.
• Identify misapplied disability definitions, unsupported functional conclusions, missed offsets, incorrect benefit math, and failures to document the administrative record.
• Provide written feedback the research team uses to improve model behavior.

Qualifications

• Must-Have:
• 2+ years of professional experience in disability claims adjudication, disability underwriting, vocational rehabilitation, or leave and absence management.
• Experience with at least one program type, such as group short-term disability, group long-term disability, individual disability income, statutory disability, or life waiver of premium.
• Understanding of contract definitions, elimination periods, offsets, pre-existing-condition provisions, and maximum benefit periods.
• Ability to weigh medical, occupational, and financial evidence and articulate a defensible determination with a documented rationale.
• Excellent written analysis, balanced judgment, and high attention to detail.
• Ability to distinguish claim adjudication from treating-provider clinical decisions and from formal legal advice.
• Preferred:
• CRC, CDMS, CCM, CPDM, RN, or comparable clinical or vocational credential.
• Experience with ERISA administrative records, appeals, or litigation support.
• Individual disability income underwriting, including occupation class and financial underwriting.
• Social Security, workers compensation, or other-income offset coordination experience.
• Experience with FMLA, state leave programs, or ADA accommodation interaction.

Requirements

• Start Date: Immediately; applications reviewed on a rolling basis.
• Compensation: Hourly contractor, paid weekly via Stripe Connect.

Application Process

• Upload resume
• AI interview based on your resume
• Submit form

Resources & Support

• For details about the interview process and platform information, please check: Interview Process Details
• For any help or support, reach out to: [email protected]
• PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.