Complex Claims & Coverage Director

Official role description

Compensation: all experts are paid a flat $800 upon successful completion of the onboarding process, which we estimate takes approximately 10 hours. After successfully completing onboarding, you will be converted to $80/hour.

About the Role

Mercor is partnering with a leading AI lab to train frontier models on high-quality insurance reasoning data. We're hiring Complex Claims and Coverage Directors to design high-severity and coverage-sensitive claim scenarios, evaluate model outputs against established senior claims standards, and help shape how the next generation of AI reasons about disputed coverage, litigation strategy, allocation, and major-loss resolution.

We welcome senior carrier claims professionals, complex-claims leaders, coverage specialists, and technical claim directors. This is an insurance-practitioner role and does not require a law degree or license to practice law.

What You'll 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 • Grade AI-generated responses against structured rubrics for policy analysis, strategic judgment, factual support, stakeholder awareness, and escalation discipline • Identify claim-handling positions that are internally inconsistent, unsupported by the record, operationally unrealistic, or outside the authority of a non-lawyer claims professional • Provide written feedback the research team uses to improve model behavior • Participate in onboarding office hours and calibration sessions

You're a Good Fit If You • Have 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims • Have evaluated coverage issues and developed claim strategies involving multiple parties, layers, policies, or jurisdictions • Understand insurer duties, reservation-of-rights practices, litigation management, settlement authority, and escalation to internal or external counsel • Can distinguish an operational coverage position from formal legal advice and recognize when specialized legal review is required • Demonstrate exceptional written reasoning, defensible judgment, and high attention to detail • Are comfortable reviewing incomplete records and clearly separating facts, assumptions, open issues, and recommended next steps

Bonus Qualifications • CPCU, AIC, SCLA, ARM, or comparable insurance designation • Experience with excess casualty, professional liability, directors and officers, cyber, environmental, construction-defect, or other complex lines • Experience managing mediations, trials, coverage disputes, or extra-contractual exposure • Home-office technical claims or claim-governance experience • Experience overseeing TPAs, independent adjusters, experts, or panel counsel

Role Highlights • Minimum 20 hours per week (ideally 40+) • Role starts immediately, applications reviewed on a rolling basis