Complex Claims Director - Insurance - AI Trainer

Mercor
Chicago, IL
Remote
Job Description
Role Overview

Mercor connects elite creative and technical talent with leading AI research labs. This is a contract role for a Complex Claims & Coverage Director to design realistic insurance claim scenarios and evaluate AI-generated responses.

What You Will 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 and grade AI-generated responses against structured rubrics.

Why It Might Be a Fit

This role requires 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims, with understanding of insurer duties and litigation management. The position offers $800/hour compensation and the ability to work remotely with a commitment of 20–40 hours/week.

Requirements

  • 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
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