Job Details

What you'll doMercor is partnering with leading AI labs to advance frontier agent evaluations in claims operations. As a Claims Operations Expert, you'll build long‑horizon claims tasks that mirror the work you already do, each paired with a deterministic rubric that grades agent performance against verifiable ground truth. Tasks need to have checkable answers; no open‑ended essays, no subjective judgment calls. Expect to build scenarios across:FNOL and triage: intake against required‑field checklists, coverage analysis with a documented correct determination, claim assignment against defined routing rulesAdjudication: reserve setting against guidelines with ground‑truth reserve amounts, adjuster notes with required elements, settlement or denial letters against policy languageSpecialized handling: subrogation screening against defined criteria, SIU fraud referrals triggered by rule‑based red flags, litigation file management against required‑document listsThese scenarios will be challenging and take long sessions of focus. You will also need to:Communicate clearly in writing; be able to articulate reasoning step by step and encode it into deterministic rubricsWho we're looking for3+ years as a claims adjuster, claims operations specialist, or claims supervisor (P&C, workers comp, or specialty lines)Adjuster licensure in at least one US state strongly preferredExpertise in one or more of the following:A specific claim type (auto, property, general liability, workers comp, medical)Coverage analysis and policy interpretationReserving practiceSubrogationSIU or fraud investigationA claims system (Guidewire ClaimCenter, Duck Creek, legacy carrier systems)Comfortable reading and producing claims artifacts: FNOLs, coverage opinions, reserve memos, adjuster notes, settlement and denial lettersLocated in the United StatesCompensation$55–$80 / hr depending on domain depth and prior experience. Strong contributors are promoted based on task quality and throughput.#J-18808-Ljbffr