Complex Claims Director - Insurance

<strong>About The Job<br><br></strong><strong>Mercor</strong> connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include <strong>Benchmark</strong>, <strong>General Catalyst</strong>, <strong>Peter Thiel</strong>, <strong>Adam D'Angelo</strong>, <strong>Larry Summers</strong>, and <strong>Jack Dorsey</strong>.<br><br><strong>Position:</strong> Complex Claims & Coverage Director<br><br><strong>Type:</strong> <strong>Contract<br><br></strong><strong>Compensation:</strong> <strong>$800/hour<br><br></strong><strong>Location:</strong> <strong>Remote<br><br></strong><strong>Commitment:</strong> <strong>20–40 hours/week<br><br></strong><strong>Role Responsibilities<br><br></strong><ul><li>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.</li><li>Create work products such as complex claim strategies, coverage-position analyses, authority requests, litigation-management plans, reserve rationales, and escalation recommendations.</li><li>Write "golden" reference responses at senior technical claims quality.</li><li>Grade AI-generated responses against structured rubrics for policy analysis, strategic judgment, factual support, stakeholder awareness, and escalation discipline.</li><li>Identify claim-handling positions that are internally inconsistent, unsupported by the record, operationally unrealistic, or outside the authority of a non-lawyer claims professional.</li><li>Provide written feedback the research team uses to improve model behavior.<br><br><br></li></ul><strong>Qualifications<br><br></strong><strong>Must-Have<br><br></strong><ul><li>2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims.</li><li>Experience evaluating coverage issues and developing claim strategies involving multiple parties, layers, policies, or jurisdictions.</li><li>Understanding of insurer duties, reservation-of-rights practices, litigation management, settlement authority, and escalation to internal or external counsel.</li><li>Ability to distinguish an operational coverage position from formal legal advice and recognize when specialized legal review is required.</li><li>Exceptional written reasoning, defensible judgment, and high attention to detail.</li><li>Comfort with reviewing incomplete records and clearly separating facts, assumptions, open issues, and recommended next steps.<br><br><br></li></ul><strong>Preferred<br><br></strong><ul><li>CPCU, AIC, SCLA, ARM, or comparable insurance designation.</li><li>Experience with excess casualty, professional liability, directors and officers, cyber, environmental, construction-defect, or other complex lines.</li><li>Experience managing mediations, trials, coverage disputes, or extra-contractual exposure.</li><li>Home-office technical claims or claim-governance experience.</li><li>Experience overseeing TPAs, independent adjusters, experts, or panel counsel.<br><br><br></li></ul><strong>Start Date<br><br></strong><ul><li>Immediately; applications reviewed on a rolling basis.<br><br><br></li></ul><strong>Application Process (Takes 20–30 mins to complete)<br><br></strong><ul><li>Upload resume</li><li>AI interview based on your resume</li><li>Submit form<br><br><br></li></ul><strong>Resources & Support<br><br></strong><ul><li>For details about the interview process and platform information, please check: any help or support, reach out to: support@mercor.com<br><br><br></li></ul><em>PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.</em>

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