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Disability Claims & Underwriting Specialist

Company: Mercor · Pay: $80/hr · Location: Remote — Global · Type: contractor · Posted: 2026-09-14

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$80 / hr

The Evolution of Insurance Adjudication: Training Artificial Intelligence on Complex Disability Claims Reasoning

The insurance and benefits sector is built upon complex webs of definitions, contractual obligations, medical evidence, and regulatory statutes. For decades, disability claims examiners, underwriters, and vocational rehabilitation specialists have navigated the intricate boundaries of short-term and long-term disability administration, balancing claimant empathy with rigorous risk selection and contractual compliance. Today, artificial intelligence is transforming how insurance operations process information—and elite industry professionals are uniquely positioned to guide this technological wave.

Through innovative platforms like Mercor, leading AI research labs are actively seeking seasoned domain experts to train frontier language models on high-level insurance reasoning. The Disability Claims & Underwriting Specialist role offers an exceptional remote contracting opportunity paying $80 per hour (with an initial $800 flat compensation for completing the 10-hour onboarding milestone). This role enables experienced professionals to transition their deep knowledge of disability adjudication into cutting-edge AI development, operating on a flexible, fully autonomous schedule.

Comprehensive Job Description & Core Responsibilities

For claims examiners, risk underwriters, and absence-management professionals looking to leverage their expertise outside of traditional carrier or third-party administrator (TPA) environments, this role provides a dynamic intellectual challenge. The primary goal is to design realistic adjudication scenarios, evaluate AI outputs against professional insurance standards, and ensure that automated systems master the nuances of benefit entitlement.

Key Responsibilities Include:

  • Scenario Design: Construct intricate, realistic scenarios involving short- and long-term disability claims, elimination periods, own-occupation versus any-occupation definitions, residual and partial disability clauses, benefit offsets, recurrent disability provisions, and comprehensive claim duration management.
  • Advanced Work Product Creation: Develop professional-grade work products including formal claim determinations, precise benefit calculations, medical and vocational evidence summaries, transferable-skills analyses (TSAs), return-to-work plans, and formal appeal decisions.
  • Golden Reference Generation: Write "golden" reference responses that reflect the highest standards of experienced disability-professional quality.
  • AI Output Grading: Rigorously evaluate AI-generated responses against structured rubrics, measuring definitional accuracy, evidentiary support, benefit-calculation correctness, and procedural fairness.
  • Defect Identification: Pinpoint misapplied disability definitions, unsupported functional conclusions, missed financial offsets, inaccurate benefit math, and failures to adequately document administrative records.
  • Feedback & Collaboration: Provide actionable written feedback utilized by research teams to systematically improve model behavior, alongside participating in onboarding office hours and calibration sessions.

Candidate Qualifications & Professional Requirements

Because the models trained through this program are designed to handle complex legal and medical evidence, applicants must demonstrate substantial industry background and technical competence.

Must-Have Requirements:
  • Professional Experience: Minimum of 2+ years of dedicated professional experience in disability claims adjudication, disability underwriting, vocational rehabilitation, or leave and absence management.
  • Program Familiarity: Direct working history with at least one major program type, such as group short-term disability, group long-term disability, individual disability income, statutory disability, or life waiver of premium.
  • Contractual Competence: Mastery of how contract definitions, elimination periods, financial offsets, pre-existing-condition provisions, and maximum benefit periods dictate benefit entitlement and duration.
  • Analytical Rigor: Proven ability to weigh complex medical, occupational, and financial evidence to articulate a defensible determination supported by clear documentation.
  • Communication Skills: Exceptional written analytical abilities, balanced judgment, and meticulous attention to detail.
  • Role Distinction: Clear capacity to distinguish formal claim adjudication from treating-provider clinical decisions and from formal legal advice.

Bonus Qualifications: Possession of recognized credentials such as CRC, CDMS, CCM, CPDM, or RN; experience handling ERISA administrative records, appeals, or litigation support; individual disability income underwriting experience (including occupation class and financial underwriting); Social Security or workers' compensation offset coordination; and familiarity with FMLA, state leave programs, or ADA accommodation interactions.

Contract Terms, Onboarding Structure, and Global Remuneration

Engaging as an independent contractor through Mercor provides unmatched professional flexibility coupled with transparent, reliable payment structures:

  • Lucrative Onboarding: All experts receive a flat $800 upon successful completion of the onboarding process (estimated at approximately 10 hours), transitioning seamlessly to $80 per hour thereafter.
  • Flexible Commitment: Roles require a minimum of 20 hours per week (with 40+ hours ideal for maximum output), allowing you to structure your working hours around your lifestyle.
  • Fast Weekly Payouts: Compensation is disbursed weekly via trusted financial platforms including Stripe and Wise based entirely on services rendered.
  • Global Reach: Open to qualified professionals across the United States, Canada, the United Kingdom, and select international regions.

Why This Role Elevates Your Insurance and Tech Career

Insurance professionals possess a rare combination of legal, medical, and financial acumen. Traditional administrative roles can often feel repetitive or restricted by legacy corporate structures. By stepping into AI training and model evaluation, you operate at the absolute frontier of technology. Your insights directly dictate how artificial intelligence interprets human hardship, medical documentation, and financial entitlements.

Furthermore, mastering AI alignment within the insurance sector future-proofs your career. As insurtech and automated claims evaluation continue to expand, experts who understand both traditional underwriting principles and AI prompt/rubric engineering will lead the next generation of financial services innovation.

Secure Your Position Today

Specialized remote contracts offering elite hourly compensation and flexible hours draw immense interest from top-tier talent, and application review proceeds on a rolling basis. If you possess a strong background in disability adjudication, claims management, or insurance underwriting, take control of your professional future by submitting your application today.

Responsibilities

  • Scenario Design: Construct intricate, realistic scenarios involving short- and long-term disability claims, elimination periods, own-occupation versus any-occupation definitions, residual and partial disability clauses, benefit offsets, recurrent disability provisions, and comprehensive claim duration management.
  • Advanced Work Product Creation: Develop professional-grade work products including formal claim determinations, precise benefit calculations, medical and vocational evidence summaries, transferable-skills analyses (TSAs), return-to-work plans, and formal appeal decisions.
  • Golden Reference Generation: Write "golden" reference responses that reflect the highest standards of experienced disability-professional quality.
  • AI Output Grading: Rigorously evaluate AI-generated responses against structured rubrics, measuring definitional accuracy, evidentiary support, benefit-calculation correctness, and procedural fairness.
  • Defect Identification: Pinpoint misapplied disability definitions, unsupported functional conclusions, missed financial offsets, inaccurate benefit math, and failures to adequately document administrative records.
  • Feedback & Collaboration: Provide actionable written feedback utilized by research teams to systematically improve model behavior, alongside participating in onboarding office hours and calibration sessions.

Qualifications

  • Professional Experience: Minimum of 2+ years of dedicated professional experience in disability claims adjudication, disability underwriting, vocational rehabilitation, or leave and absence management.
  • Program Familiarity: Direct working history with at least one major program type, such as group short-term disability, group long-term disability, individual disability income, statutory disability, or life waiver of premium.
  • Contractual Competence: Mastery of how contract definitions, elimination periods, financial offsets, pre-existing-condition provisions, and maximum benefit periods dictate benefit entitlement and duration.
  • Analytical Rigor: Proven ability to weigh complex medical, occupational, and financial evidence to articulate a defensible determination supported by clear documentation.
  • Communication Skills: Exceptional written analytical abilities, balanced judgment, and meticulous attention to detail.
  • Role Distinction: Clear capacity to distinguish formal claim adjudication from treating-provider clinical decisions and from formal legal advice.

Apply now →