Insurance Claims Specialist - Fully Remote (Edmonton)

Insurance Claims Specialist - Fully Remote (Edmonton)

25 Sep
|
Mercor
|
Edmonton

25 Sep

Mercor

Edmonton

About the RoleMercor is partnering with a leading AI lab to train frontier models on high-quality insurance reasoning data. We're hiring Senior Multiline Claims Examiners to design realistic claim-handling scenarios, evaluate model outputs against established claims standards, and help shape how the next generation of AI reasons about coverage, investigation, evaluation, settlement, and claim resolution.We welcome carrier examiners, desk adjusters, field adjusters, TPA professionals, and independent adjusters with experience handling property, auto, casualty, or specialty P&C claims.What You'll DoDesign realistic claims scenarios involving first notice of loss, coverage verification, investigation, documentation, reserving, damage evaluation, negotiation, settlement, subrogation, salvage, and closureCreate work products such as claim action plans, coverage analyses, investigation requests, evaluation summaries, settlement recommendations, and insured communicationsWrite "golden" reference responses at experienced claims-professional qualityGrade AI-generated responses against structured rubrics for factual accuracy, policy application, claim-handling judgment, and procedural completenessIdentify premature conclusions, missing investigative steps, unsupported valuations, improper communications,



and failures to distinguish covered damage from excluded or unrelated lossProvide written feedback the research team uses to improve model behaviorParticipate in onboarding office hours and calibration sessionsYou're a Positive Fit If YouHave 2+ years of professional P&C claims handling, adjusting, or examining experienceHave independently handled claims in at least one area, such as property, auto physical damage, bodily injury, general liability, commercial casualty, catastrophe, or specialty claimsUnderstand the claim lifecycle from intake and investigation through evaluation, resolution, recovery, and closureCan read and apply policy language to claim facts while recognizing when escalation is requiredDemonstrate excellent written analysis, balanced judgment, and high attention to detailCan distinguish ordinary claim adjudication from complex coverage, litigation, regulatory, and actuarial workBonus QualificationsAIC, CPCU, SCLA, or comparable insurance designationMultiline or multistate claims experienceCatastrophe, represented bodily injury, litigation, subrogation, SIU, or large-loss exposureExperience supervising independent adjusters, experts, vendors, or defense counselActive or previously held adjuster licenseRole HighlightsMinimum 20 hours per week (ideally 40+)Role starts immediately, applications reviewed on a rolling basis

📌 Insurance Claims Specialist - Fully Remote (Edmonton)
🏢 Mercor
📍 Edmonton

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