Claims Examiner | $100/hr Remote | Mercor
Join to apply for the Claims Examiner | $100/hrRemote | Mercor role at Crossing HurdlesThis 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/hrAt 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 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 LevelAssociateEmployment TypeContractJob FunctionResearchIndustries: Claims Adjusting, Actuarial Services Apply tot his job