Complex Claims & Coverage Director

Job overview

The Complex Claims & Coverage Director role is remote, with the posting describing work from anywhere and a commitment of 20+ hours per week. Pay is $80 per hour. Mercor connects creative and technical talent with AI research labs. The director develops complex insurance-claims scenarios and reference work products, evaluates AI-generated responses against structured rubrics, and provides feedback to help the research team improve model behavior. The work draws on senior-level claims judgment while distinguishing operational coverage analysis from formal legal advice.

What you'll do

• Design scenarios involving disputed coverage and complex claims
• create claim strategies, coverage analyses, authority requests, litigation plans, reserve rationales, and escalation recommendations
• write senior-quality reference responses
• grade AI-generated responses against rubrics
• identify unsupported or inconsistent claim positions
• provide written feedback to the research team.

What we're looking for

Skills & competencies

complex claims & coverage director

remote

mercor

$80/hr

insurance claims

coverage analysis

claims strategy

ai response evaluation

litigation management

remote work

20+ hours/week

contract

Work arrangement

• Weekend coverage required

Why this role

Remote hourly contractor role at 20+ hours per week; requires at least two years of experience handling complex, litigated, high-severity, or coverage-sensitive claims.

About the employer

Mercor is hiring for this role. Industry: All Other Professional, Scientific, and Technical Services. Sector: 54.