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Mercor · 1 month ago

Claims Adjusters, Examiners, and Investigators

United States

Full-time

Remote

Senior Level

$100/hr - $150/hr

5+ years exp

Mercor is a talent marketplace that connects top experts with leading AI labs and research organizations. They are seeking experienced independent contractors for a short-term project to model claims workflows for property and casualty insurance, focusing on executing and evaluating insurance tasks to support AI system development.

Artificial Intelligence (AI)Data Collection and LabelingEmploymentMachine LearningRecruitingSoftware

Responsibilities

Execute full-cycle claims tasks including FNOL intake, coverage verification, reserve setting, and liability determination

Simulate real-world workflows using structured tools and mock systems such as Guidewire ClaimCenter and Xactimate

Review and synthesize third-party documentation including police reports, medical records, and vendor estimates

Draft structured outputs such as coverage memos, repair estimates, and liability assessments

Identify inconsistencies or red flags in claim statements and documentation

Evaluate claim compliance, document regulatory deadlines, and assess communication quality

Flag fraud indicators and recommend SIU referrals where applicable

Document all work clearly for auditability and quality review

Qualification

Claims handling experienceGuidewire ClaimCenterCoverage interpretationXactimateAnalytical skillsCompliance knowledgeWritten communicationReviewing documentation