[Hiring] Insurance Claims Specialist @Mercor

Role Description

• Design realistic claims scenarios involving:
  • First notice of loss
  • Coverage verification
  • Investigation
  • Documentation
  • Reserving
  • Damage evaluation
  • Negotiation
  • Settlement
  • Subrogation
  • Salvage
  • Closure
• Create work products such as:
  • Claim action plans
  • Coverage analyses
  • Investigation requests
  • Evaluation summaries
  • Settlement recommendations
  • Insured communications
• Write "golden" reference responses at experienced claims-professional quality.
• Grade AI-generated responses against structured rubrics for:
  • Factual accuracy
  • Policy application
  • Claim-handling judgment
  • Procedural completeness
• Identify:
  • Premature conclusions
  • Missing investigative steps
  • Unsupported valuations
  • Improper communications
  • Failures to distinguish covered damage from excluded or unrelated loss
• Provide written feedback the research team uses to improve model behavior.

Qualifications

• Must-Have:
  • 2+ years of professional P&C claims handling, adjusting, or examining experience.
  • Experience handling claims in at least one area such as:
    • Property
    • Auto physical damage
    • Bodily injury
    • General liability
    • Commercial casualty
    • Catastrophe
    • Specialty claims
  • Understanding of the claim lifecycle from intake and investigation through evaluation, resolution, recovery, and closure.
  • Ability to read and apply policy language to claim facts while recognizing when escalation is required.
  • Excellent written analysis, balanced judgment, and high attention to detail.
  • Ability to distinguish ordinary claim adjudication from complex coverage, litigation, regulatory, and actuarial work.
• Preferred:
  • AIC, CPCU, SCLA, or comparable insurance designation.
  • Multiline or multistate claims experience.
  • Catastrophe, represented bodily injury, litigation, subrogation, SIU, or large-loss exposure.
  • Experience supervising independent adjusters, experts, vendors, or defense counsel.
  • Active or previously held adjuster license.

Requirements

• Start Date: Immediate; 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]
• PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.