Complex Claims & Coverage Director

About this role

## About the Role Mercor is partnering with a leading AI lab to train frontier models on high-quality insurance reasoning data. We're hiring Complex Claims and Coverage Directors to design high-severity and coverage-sensitive claim scenarios, evaluate model outputs against established senior claims standards, and help shape how the next generation of AI reasons about disputed coverage, litigation strategy, allocation, and major-loss resolution. We welcome senior carrier claims professionals, complex-claims leaders, coverage specialists, and technical claim directors. This is an insurance-practitioner role and does not require a law degree or license to practice law. ## What You'll Do - 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 - Participate in onboarding office hours and calibration sessions ## You're a Good Fit If You - Have 2+ years of professional experience handling complex, litigated, high-severity, or coverage-sensitive insurance claims - Have 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 - Are comfortable reviewing incomplete records and clearly separating facts, assumptions, open issues, and recommended next steps ## Bonus Qualifications - 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 ## Role Highlights - Minimum 20 hours per week (ideally 40+) - Role starts immediately, applications reviewed on a rolling basis

Eligible applicant countries

This role accepts applicants from:

• CAN
• GBR
• USA

Skills & domains

• ai-training
• rlhf
• sme
• annotation
• Law