Complex Claims Director Insurance

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 DAngelo Larry Summers and Jack Dorsey.

Position: Complex Claims & Coverage Director
Type: Contract
Compensation: $800/hour
Location: Remote
Commitment: 2040 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.
• Experience evaluating coverage issues and developing claim strategies involving multiple parties layers policies or jurisdictions.
• Understanding of insurer duties reservation-of-rights practices litigation management settlement authority and escalation to internal or external counsel.
• Ability to distinguish an operational coverage position from formal legal advice and recognize when specialized legal review is required.
• Exceptional written reasoning defensible judgment and high attention to detail.
• Comfort with 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.

Application Process (Takes 2030 mins to complete)

• Upload resume
• AI interview based on your resume
• Submit form

Resources & Support

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PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.