[Hiring] Disability Claims Expert @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, and claim duration management.
• Create work products such as claim determinations, benefit calculations, and return-to-work plans.
• Write "golden" reference responses at experienced disability-professional quality.
• Grade AI-generated responses against structured rubrics for accuracy and fairness.
• Identify misapplied definitions, unsupported conclusions, and incorrect benefit math.
• Provide written feedback to improve model behavior.

Qualifications

• Must-Have:
• 2+ years of professional experience in disability claims adjudication or related fields.
• Experience with group or individual disability programs.
• Understanding of contract definitions, elimination periods, and benefit periods.
• Ability to weigh evidence and articulate defensible determinations.
• Excellent written analysis and attention to detail.
• Ability to distinguish claim adjudication from clinical decisions and legal advice.
• Preferred:
• CRC, CDMS, CCM, CPDM, RN, or comparable credentials.
• Experience with ERISA records, appeals, or litigation support.
• Experience with Social Security or workers compensation offset coordination.
• Familiarity with FMLA, state leave programs, or ADA accommodation interaction.

Requirements

• Immediate start; applications reviewed on a rolling basis.
• Application process takes 20–30 mins to complete:
• 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
• For any help or support, reach out to: [email protected]
• Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.