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Complex Claims & Coverage Director

Listed pay: $80 / hr

What the posting lists, in US dollars an hour, before anything Mercor deducts.

22 openings on this one listing.

How to apply
Platform
Mercor
Terms
Contract, part-time
Location
Remote, see the posting
Posted
· 2 weeks ago
Status
Open at the last check

Applying on Mercor

Apply on Mercor

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Red Pen Jobs is independent. We are not affiliated with, endorsed by, or acting for Mercor in any way, and we do not recruit on its behalf.

What happens after you click

  1. The link opens this role on Mercor. Sign up and apply from there.
  2. Upload a resume, complete the assessments the role asks for and verify your work authorisation.
  3. An AI interview of about 20 minutes. Mercor says it usually takes 2 to 4 weeks to hear back.
  4. If Mercor hires you, you are paid weekly, on the Wednesday after each work week, via Stripe. Mercor says first payouts are held for 7 days.
  5. The work is paid by the hour, at the $80 this posting lists.
  6. Remote. The posting states "USA, CAN, GBR, AUS, NZL, IRL, MLT, NLD, SWE, DNK, NOR, FIN, DEU, AUT, BEL", which we could not read as a country list — check it before applying.

What the work is

Compensation: all experts are paid a flat $800 upon successful completion of the onboarding process, which we estimate takes approximately 10 hours. After successfully completing onboarding, you will be converted to $80/hour.

About the Role

Mercor is partnering with a leading AI lab to train frontier models on high-quality insurance reasoning data. We're hiring Complex Claims and Coverage Directors to design high-severity and coverage-sensitive claim scenarios, evaluate model outputs against established senior claims standards, and help shape how the next generation of AI reasons about disputed coverage, litigation strategy, allocation, and major-loss resolution.

We welcome senior carrier claims professionals, complex-claims leaders, coverage specialists, and technical claim directors. This is an insurance-practitioner role and does not require a law degree or license to practice law.

What You'll Do

  • Design realistic scenarios involving disputed coverage, reservations of rights, excess exposure, multiple insureds, multiple carriers, allocation, litigation, mediation, bad-faith risk, and high-severity settlement strategy

  • Create work products such as complex claim strategies, coverage-position analyses, authority requests, litigation-management plans, reserve rationales, and 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, and escalation discipline

  • Identify claim-handling positions that are internally inconsistent, unsupported by the record, operationally unrealistic, or outside the authority of a non-lawyer claims professional

  • Provide written feedback the research team uses to improve model behavior

  • Participate in onboarding office hours and calibration sessions

You're a Good Fit If You

  • Have 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims

  • Have evaluated coverage issues and developed claim strategies involving multiple parties, layers, policies, or jurisdictions

  • Understand insurer duties, reservation-of-rights practices, litigation management, settlement authority, and escalation to internal or external counsel

  • Can distinguish an operational coverage position from formal legal advice and recognize when specialized legal review is required

  • Demonstrate exceptional written reasoning, defensible judgment, and high attention to detail

  • Are comfortable reviewing incomplete records and clearly separating facts, assumptions, open issues, and recommended next steps

Bonus Qualifications

  • 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

Role Highlights

  • Minimum 20 hours per week (ideally 40+)

  • Role starts immediately, applications reviewed on a rolling basis

From the Mercor listing.