Claims Examiner | $100/hr Remote | Mercor

Remote, USA Full-time
Join to apply for the Claims Examiner | $100/hr Remote | Mercor role at Crossing Hurdles This range is provided by Crossing Hurdles. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base Pay Range $60.00/hr - $100.00/hr 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: Mercor Position: Claims Adjusters, Examiners, and Investigators Referral Partner: Crossing Hurdles Type: Hourly contract Compensation: $60–$100 per hour Location: Remote Commitment: 10-40 hours/week, flexible and asynchronous Duration: ~6 weeks Role Responsibilities • Full-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 Qualifications • Strong 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). Seniority Level Associate Employment Type Contract Job Function Research Industries: Claims Adjusting, Actuarial Services Apply tot his job
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