Claims Adjusters, Examiners, and Investigators

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

  • *Role Overview**
  • Mercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance. We are seeking experienced independent contractors—particularly claims adjusters, examiners, and investigators—to execute and evaluate a wide range of P&C insurance tasks. This project supports the development of AI systems capable of understanding, simulating, and automating complex insurance operations. It is a short-term, high-impact engagement ideal for professionals with strong technical and compliance knowledge.
  • *Key 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
  • *Ideal Qualifications**
  • 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
  • *More About the Opportunity**
  • **Expected commitment: min 30 hours/week**
  • **Project duration: ~6 weeks**
  • *Application Process**
  • Submit your resume followed by domain expertise interview and short form

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