[Hiring] Complex Claims Director @Mercor

Role Description

The Complex Claims & Coverage Director will be responsible for the following:

• Design realistic scenarios involving:
  • Disputed coverage
  • Reservations of rights
  • Excess exposure
  • Multiple insureds
  • Multiple carriers
  • Allocation
  • Litigation
  • Mediation
  • Bad-faith risk
  • High-severity settlement strategy
• Create work products such as:
  • Complex claim strategies
  • Coverage-position analyses
  • Authority requests
  • Litigation-management plans
  • Reserve rationales
  • 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
  • Escalation discipline
• Identify claim-handling positions that are:
  • Internally inconsistent
  • Unsupported by the record
  • Operationally unrealistic
  • Outside the authority of a non-lawyer claims professional
• Provide written feedback the research team uses to improve model behavior.

Qualifications

• Must-Have:
  • 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 with reviewing incomplete records and clearly separating facts, assumptions, open issues, and recommended next steps.
• Preferred:
  • CPCU, AIC, SCLA, ARM, or comparable insurance designation.
  • Experience with excess casualty, professional liability, directors and officers, cyber, environmental, construction-defect, or other complex lines.
  • Experience managing mediations, trials, coverage disputes, or extra-contractual exposure.
  • Home-office technical claims or claim-governance experience.
  • Experience overseeing TPAs, independent adjusters, experts, or panel counsel.

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.