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Mercor logo
Mercor

Cincinnatus is an enterprise staffing company that partners with leading technology companies to source and employ highly skilled professionals for full-time and long-term contingent roles. Cincinnatus serves as the employer of record for these engagements, providing W-2 employment, payroll, benefits, and compliance, while placing employees directly within client teams to work on high-impact initiatives. Roles hired through Cincinnatus are not project-based or freelance engagements. They are structured, role-based positions that typically involve full-time or fixed-term commitments, close collaboration with a client's internal teams, and integration into standard enterprise workflows. Cincinnatus is a legal entity separate from Mercor. While opportunities may be discovered through Mercor's platform, employment, onboarding, payroll, and benefits for these roles are administered by Cincinnatus. Equal Employment Opportunity Cincinnatus is proud to be an Equal Employment Opportunity employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or any other legally protected characteristic. Cincinnatus is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans throughout the job application process.

Claims Operations Specialist

OperationsOperationsPart TimeRemoteMid LevelH1B No Sponsor

Location

United States

Posted

38 days ago

Salary

$55 - $80 / hour

Seniority

Mid Level

No structured requirement data.

Job Description

Claims Operations Specialist

Mercor

Role Description Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Claims Operations Expert Type: Contract Compensation: $55–$80/hour Location: Remote Role Responsibilities - Develop long-horizon claims tasks with deterministic rubrics to evaluate agent performance against verifiable ground truth. - Build scenarios in FNOL and triage, Adjudication, and Specialized handling to ensure tasks have checkable answers. - Evaluate FNOL and triage processes, including intake against required-field checklists and coverage analysis with documented determinations. - Review adjudication tasks such as reserve setting against guidelines and adjuster notes with required elements. - Collaborate on specialized handling scenarios like subrogation screening and SIU fraud referrals using rule-based criteria. - Work independently and asynchronously to meet deadlines while improving AI model performance. Qualifications - 3+ years as a claims adjuster, claims operations specialist, or claims supervisor in P&C, workers comp, or specialty lines. - Expertise in specific claim types, coverage analysis, reserving practice, subrogation, SIU or fraud investigation, or claims systems like Guidewire ClaimCenter or Duck Creek. - Comfortable with claims artifacts: FNOLs, coverage opinions, reserve memos, adjuster notes, settlement, and denial letters. - Clear written communication; ability to articulate reasoning step by step and encode it into deterministic rubrics. Requirements - Adjuster licensure in at least one US state (preferred). Benefits - Hourly contractor compensation. - Strong contributors promoted based on task quality and throughput. Application Process - Upload resume. - AI interview based on your resume. - Submit form. For details about the interview process and platform information, please check: Interview Process For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

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