[Hiring] Insurance Operations Expert @Mercor

Role Description

The Insurance Data & Operations Specialist will be responsible for:

• Designing realistic scenarios involving policy, premium, exposure, claim, provider, member, producer, and operational data.
• Creating work products such as metric definitions, data-quality assessments, workflow analyses, dashboard requirements, operational reports, root-cause analyses, and process-improvement recommendations.
• Writing "golden" reference responses at experienced insurance data and operations quality.
• Grading AI-generated responses against structured rubrics for data interpretation, metric consistency, process understanding, feasibility, and communication.
• Identifying incorrect denominators, misleading aggregations, inconsistent definitions, data-lineage gaps, workflow bottlenecks, and conclusions not supported by the available evidence.
• Providing written feedback the research team uses to improve model behavior.

Qualifications

• Must-Have:
• 2+ years of professional experience in insurance data, business analysis, reporting, operations analysis, quality assurance, or process improvement.
• Understanding of at least one insurance operating domain, such as underwriting, policy administration, claims, distribution, health-plan operations, reinsurance, or compliance.
• Ability to translate business questions into metrics, reporting requirements, data definitions, workflow changes, or operational controls.
• Capability to analyze a process without substituting for the underwriter, adjuster, clinician, actuary, or compliance specialist responsible for the substantive decision.
• Excellent analytical writing, structured problem-solving, and high attention to detail.
• Proficiency with spreadsheets and at least one reporting, database, analytics, or workflow tool.
• Preferred:
• Experience with SQL, Python, R, Tableau, Power BI, Looker, or insurance data platforms.
• Lean, Six Sigma, project-management, business-analysis, or data-governance credential.
• Experience with policy, billing, claims, CRM, provider, or member-administration systems.
• Data governance, model governance, audit, or operational quality experience.
• Experience developing KPIs, service-level metrics, or executive reporting.

Requirements

• Start Date: Immediately; applications reviewed on a rolling basis.

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
• 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.