Claims Review Specialist
Mercor
Part time
Software Development
Canada
Hiring from: Canada
About The Job
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.
Position: Claims Workflow Modeler
Type: Independent Contractor
Compensation: $60–$100/hour
Location: Remote
Duration: ~6 weeks
Commitment: 30+ hours/week
Role Responsibilities
Must-Have
,
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.
Position: Claims Workflow Modeler
Type: Independent Contractor
Compensation: $60–$100/hour
Location: Remote
Duration: ~6 weeks
Commitment: 30+ hours/week
Role 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.
Must-Have
- 5+ years handling property, auto, bodily injury, or general liability claims.
- Familiarity with systems such as Guidewire, Duck Creek, Xactimate, Hyland OnBase, or FileNet.
- Deep understanding of coverage interpretation, state compliance standards, and claims file documentation.
- Experience reviewing third-party documentation (e.g., police reports, medical summaries, contractor estimates).
- Strong written communication and analytical skills.
- Independent contractor arrangement.
- Paid weekly via Stripe Connect.
- Submit your resume.
- Domain expertise interview.
- Short form.
- For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome/welcome
- For any help or support, reach out to: [email protected]
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