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Claims Adjusters, Examiners, and Investigators

Remote · Philippines Full-time

Role Overview

Mercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance. We are seeking experienced independent contractors—particularly claims adjusters, examiners, and investigators—to execute and evaluate a wide range of P&C insurance tasks. This project supports the development of AI systems capable of understanding, simulating, and automating complex insurance operations. It is a short-term, high-impact engagement ideal for professionals with strong technical and compliance knowledge.

  • *Key Responsibilities**

- Execute full-cycle claims tasks including FNOL intake, coverage verification, reserve setting, and liability determination - Simulate real-world workflows using structured tools and mock systems such as Guidewire ClaimCenter and Xactimate - Review and synthesize third-party documentation including police reports, medical records, and vendor estimates - Draft structured outputs such as coverage memos, repair estimates, and liability assessments - Identify inconsistencies or red flags in claim statements and documentation - Evaluate claim compliance, document regulatory deadlines, and assess communication quality - Flag fraud indicators and recommend SIU referrals where applicable - Document all work clearly for auditability and quality review

  • *Ideal Qualifications**

- 5+ years handling property, auto, bodily injury, or general liability claims - Familiarity with systems such as Guidewire, Duck Creek, Xactimate, Hyland OnBase, or FileNet - Deep understanding of coverage interpretation, state compliance standards, and claims file documentation - Experience reviewing third-party documentation (e.g., police reports, medical summaries, contractor estimates) - Strong written communication and analytical skills

  • *More About the Opportunity**

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Expected commitment: min 30 hours/week

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Project duration: ~6 weeks

• *Application Process** - Submit your resume followed by domain expertise interview and short form

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