• Effectively manages a caseload of 150 to 180 workers’ compensation files. • Initiates and conducts claims investigation in a timely manner. • Determines compensability of claims and administers benefits, based upon state law and in accordance with established Company guidelines. • Manages medical treatment and medical billing, authorizing as appropriate. • Communicates with claimants, providers, and vendors regarding claims issues. • Computes and sets reserves within Company guidelines. • Maintains a diary system for case review and document file to reflect the status of and work being performed on the file. • Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety-related concerns. • Involves TRISTAR loss control staff when appropriate. • Adheres to all Company policies and procedures. • Participates in file reviews, as needed.

• Manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. • Effectively manages a caseload of 150 workers’ compensation files, including very complex claims. • Determines compensability of claims and administers benefits. • Manages medical treatment and medical billing, authorizing as appropriate. • Settles and/or finalizes all claims and obtains authority as designated. • Communicates appropriate information promptly to the client to resolve claims efficiently.

Title: Senior Claims Processor Location: United States Job Identification13836 Job RoleBack Office-Claims Administration Experience (In Years)0-3 Job LocationRemote Job Description The mission of this job is to promptly analyze policy files to determine and pay correct policy death benefits and beneficiaries and to handle incoming calls related to the death benefits. Responsibilities - Accountable for identifying, investigating, evaluating, obtaining and utilizing critical information required to accurately and objectively adjudicate claims. - Verbally communicate and correspond with outside customers to convey claim filing requirements. - Handles claim inquiries and processing on multiple product lines. - Documents all calls clearly and concisely and completes follow-up work. - Identify areas of potential risk for the company, including potential fraud. - Analyze all incoming documents for appropriateness and completeness, and determine whether claim is payable. If so, calculate benefit amounts and serve as 1st approver for payments. - Serves as the first step in resolving claims adjudication issues and in the call escalation process. - May be responsible for incoming and outgoing calls to claimants, Power’s of Attorney, facilities and other person’s or entities involved in the adjudication of a claim. - Ensure all tax information is correctly reported. - Maintain claim file with proper level of documentation. - Answer customer inquiries. - Maintain claim inventories within departmental, contractual, and regulatory guidelines. Qualifications - Death claims processing for life and/or annuity contracts preferred - Two-year college degree or equivalent experience in a financial institution operations department, customer service, or annuity product experience. - Knowledgeable in life or annuity products and death claim processing - Must have sharp attention to detail and ability to perform with high degree of accuracy. - Strong analytical skills to review documents and reach sound decisions - Proven oral and written communication skill set. - Ability to: - Meet multiple performance targets at or above benchmark levels; including, but not limited to: accuracy, call quality, timeliness, and productivity. - Work harmoniously with peers within a small team environment to accomplish both personal and team performance goals. - Work with customers in a professional and empathic manner - Work overtime, as needed, to meet daily deadlines - Work simultaneously with multiple computer systems - Compute moderately difficult mathematical calculations - Available for 8 hour shift between 8am to 8pm working hours; Work from home Salary Range: $35,502.26 - $46,176.33 Remote Position The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.

Role Description - Design clinically realistic prompts and scenarios from your specialty, including diagnostic reasoning and treatment planning. - Write "golden" reference responses at attending-level quality to guide AI model training. - Grade AI-generated responses using structured rubrics to ensure evidence-based standards. - Provide written feedback to the research team to improve model behavior and outputs. - Participate in onboarding office hours and specialty calibration sessions for continuous improvement. Qualifications - Attending Physicians: Must be board certified with current, active, unrestricted medical license. - Resident physicians: Must be in final year of residency; recent graduates must be board-eligible. - Fellows: Must be board-certified/board-eligible in primary specialty and have current active, unrestricted medical license. Requirements - Start Date: Rolling, after onboarding sign-off. - Compensation: $130–$180/hour. - Location: Remote, 100% asynchronous. - Commitment: 20+ hours/week. Benefits - Paid weekly via Mercor. Application Process - Upload resume. - AI interview based on your resume. - Submit form. Resources & Support - For details about the interview process and platform information, please check: Interview Process Details . - For any help or support, reach out to: support@mercor.com .