Claims Specialist | $100/hr Remote | Mercor

At Crossing Hurdles, we work as a referral partner. We refer candidates to Mercor that collaborates with the world’s leading AI research labs to build and train cutting-edge AI models.Organization: MercorPosition: Claims Adjusters, Examiners, and InvestigatorsReferral Partner: Crossing HurdlesType: Hourly contractCompensation: $60–$100 per hourLocation: RemoteCommitment: 10-40 hours/week, flexible and asynchronousDuration: ~6 weeksRole ResponsibilitiesFull-Cycle Claims Tasks: Execute FNOL intake, coverage verification, reserve setting, and liability determination.Workflow Simulation: Simulate real-world claims workflows using tools such as Guidewire ClaimCenter and Xactimate.Documentation Review: Review third-party documentation including police reports, medical records, and vendor estimates.Claims Drafting: Draft coverage memos, repair estimates, and liability assessments.Fraud Detection: Identify inconsistencies or red flags in claims documentation and flag fraud indicators.Compliance & Evaluation: Ensure claims compliance, document regulatory deadlines, and assess communication quality.Documentation: Maintain clear and detailed records for auditability and quality review.Ideal QualificationsStrong experience in handling property, auto, bodily injury, or general liability claims.Familiarity with systems like Guidewire, Duck Creek, Xactimate, Hyland OnBase, or FileNet.Strong knowledge of coverage interpretation, state compliance standards, and claims documentation.Experience reviewing third-party documentation (e.g., police reports, medical summaries, contractor estimates).Strong written communication and analytical skills.Application Process (Takes 20 min)Upload resume.AI interview based on your resume (15 min).Submit form.

Created: 2025-12-11