25 Sep
|
Mercor
|
Toronto
About the RoleMercor is partnering with a leading AI lab to train frontier models on high-quality insurance reasoning data. We're hiring Disability Claims & Underwriting Specialists to design realistic disability adjudication and risk-selection scenarios, evaluate model outputs against established industry standards, and help shape how the next generation of AI reasons about disability definitions, medical and vocational evidence, and benefit entitlement.We welcome group and individual disability claims examiners, disability underwriters, vocational rehabilitation professionals, return-to-work and absence-management specialists, and appeals reviewers from carriers, TPAs and employer-side programs.What You'll DoDesign realistic scenarios involving short- and long-term disability claims, elimination periods, own-occupation and any-occupation definitions, residual and partial disability, offsets, recurrent disability and claim duration managementCreate work products such as claim determinations, benefit calculations, medical and vocational evidence summaries, transferable-skills analyses, return-to-work plans and appeal decisionsWrite "golden" reference responses at experienced disability-professional qualityGrade AI-generated responses against structured rubrics for definitional accuracy, evidentiary support, benefit-calculation correctness and procedural fairnessIdentify misapplied disability definitions, unsupported functional conclusions, missed offsets, incorrect benefit math,
and failures to document the administrative recordProvide 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 experience in disability claims adjudication, disability underwriting, vocational rehabilitation, or leave and absence managementHave worked with at least one program type, such as group short-term disability, group long-term disability, individual disability income, statutory disability, or life waiver of premiumUnderstand how contract definitions, elimination periods, offsets, pre-existing-condition provisions and maximum benefit periods determine entitlement and durationCan weigh medical, occupational and financial evidence and articulate a defensible determination with a documented rationaleDemonstrate excellent written analysis, balanced judgment and high attention to detailCan distinguish claim adjudication from treating-provider clinical decisions and from formal legal adviceBonus QualificationsCRC, CDMS, CCM, CPDM, RN, or comparable clinical or vocational credentialExperience with ERISA administrative records, appeals or litigation supportIndividual disability income underwriting, including occupation class and financial underwritingSocial Security, workers compensation or other-income offset coordination experienceExperience with FMLA, state leave programs or ADA accommodation interactionRole HighlightsMinimum 20 hours per week (ideally 40+)Role starts immediately, applications reviewed on a rolling basis
📌 Claims & Underwriting Specialist - Remote (Toronto)
🏢 Mercor
📍 Toronto