Complex Claims Director - Insurance Expert

• 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims. • Evaluated coverage issues and developed claim strategies involving multiple parties, layers, policies, or jurisdictions. • Understand insurer duties, reservation-of-rights practices, litigation management, settlement authority, and escalation to internal or external counsel. • Can distinguish an operational coverage position from formal legal advice and recognize when specialized legal review is required. • Demonstrate exceptional written reasoning, defensible judgment, and high attention to detail. • Comfortable reviewing incomplete records and clearly separating facts, assumptions, open issues, and recommended next steps.

About the job 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: Complex Claims & Coverage Director Type:Contract Compensation:$80/hour Location:Remote Commitment:20+ hours/week Role Responsibilities • Design realistic scenarios involving disputed coverage, reservations of rights, excess exposure, multiple insureds, multiple carriers, allocation, litigation, mediation, bad-faith risk, and high-severity settlement strategy. • Create work products such as complex claim strategies, coverage-position analyses, authority requests, litigation-management plans, reserve rationales, and escalation recommendations. • Write "golden" reference responses at senior technical claims quality. • Grade AI-generated responses against structured rubrics for policy analysis, strategic judgment, factual support, stakeholder awareness, and escalation discipline. • Identify claim-handling positions that are internally inconsistent, unsupported by the record, operationally unrealistic, or outside the authority of a non-lawyer claims professional. • Provide written feedback the research team uses to improve model behavior. Qualifications Must-Have • 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims. • Evaluated coverage issues and developed claim strategies involving multiple parties, layers, policies, or jurisdictions. • Understand insurer duties, reservation-of-rights practices, litigation management, settlement authority, and escalation to internal or external counsel. • Can distinguish an operational coverage position from formal legal advice and recognize when specialized legal review is required. • Demonstrate exceptional written reasoning, defensible judgment, and high attention to detail. • Comfortable reviewing incomplete records and clearly separating facts, assumptions, open issues, and recommended next steps. Preferred • CPCU, AIC, SCLA, ARM, or comparable insurance designation. • Experience with excess casualty, professional liability, directors and officers, cyber, environmental, construction-defect, or other complex lines. • Experience managing mediations, trials, coverage disputes, or extra-contractual exposure. • Home-office technical claims or claim-governance experience. • Experience overseeing TPAs, independent adjusters, experts, or panel counsel. Start Date • Immediately; applications reviewed on a rolling basis. Compensation & Legal • Hourly contractor, Paid weekly via Stripe Connect. Application Process (Takes 20–30 mins to complete) • Upload resume • AI interview based on your resume • Submit form Resources & Support • For details about the interview process and platform information, please check: • For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity. Originally posted on Himalayas Claims-Director, Insurance-Claims-Director, Coverage-Specialist, Claims-Manager, Complex-Claims-Resolution-Specialist, Complex-Claims-Director, Claims-Management-Director