Claims Adjuster & Insurance Investigator at Mercor

Claims Adjuster & Insurance Investigator | $60–100/hr | Remote Worldwide

Mercor is partnering with a leading AI research organization to model real-world claims workflows for property and casualty insurance. We're seeking experienced claims adjusters, examiners, and investigators to execute and evaluate P&C insurance tasks that will shape the future of AI-powered insurance operations. This is a short-term, high-impact project ideal for seasoned professionals with deep technical and compliance expertise.

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 (police reports, medical summaries, contractor estimates)
• Strong written communication and analytical skills

Project Details

• Remote and asynchronous — control your own work schedule
• Expected commitment: minimum 30 hours/week
• Project duration: approximately 6 weeks
• Independent contractor arrangement
• Paid weekly via Stripe Connect

About Mercor

Mercor is a talent marketplace connecting top experts with leading AI labs and research organizations. Backed by Benchmark, General Catalyst, Adam D'Angelo, Larry Summers, and Jack Dorsey, we partner with thousands of professionals across insurance, law, engineering, and research to shape the next era of artificial intelligence.