About the job
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .
Position Details
Position: Disability Claims & Underwriting Specialist
Type: Contract
Compensation: $80/hour
Location: Remote
Commitment: 20–40 hours/week
Role Responsibilities
- Design realistic scenarios involving short- and long-term disability claims, elimination periods, own-occupation and any-occupation definitions, residual and partial disability, offsets, recurrent disability, and claim duration management.
- Create work products such as claim determinations, benefit calculations, medical and vocational evidence summaries, transferable-skills analyses, return-to-work plans, and appeal decisions.
- Write "golden" reference responses at experienced disability-professional quality.
- Grade AI-generated responses against structured rubrics for definitional accuracy, evidentiary support, benefit-calculation correctness, and procedural fairness.
- Identify misapplied disability definitions, unsupported functional conclusions, missed offsets, incorrect benefit math, and failures to document the administrative record.
- Provide written feedback the research team uses to improve model behavior.
Qualifications
Must-Have
- 2+ years of qualified experience in disability claims adjudication, disability underwriting, vocational rehabilitation, or leave and absence management.
- Experience with at least one program type, such as group short-term disability, group long-term disability, individual disability income, statutory disability, or life waiver of premium.
- Understanding of contract definitions, elimination periods, offsets, pre-existing-condition provisions, and maximum benefit periods.
- Ability to weigh medical, occupational, and financial evidence and articulate a defensible determination with a documented rationale.
- Excellent written analysis, balanced judgment, and high attention to detail.
- Ability to distinguish claim adjudication from treating-provider clinical decisions and from formal legal advice.
Preferred
- CRC , CDMS , CCM , CPDM , RN , or comparable clinical or vocational credential.
- Experience with ERISA administrative records, appeals, or litigation support.
- Individual disability income underwriting, including occupation class and financial underwriting.
- Social Security, workers compensation, or other-income offset coordination experience.
- Experience with FMLA, state leave programs, or ADA accommodation interaction.
Start Date
- Immediately; applications reviewed on a rolling basis.
Compensation & Legal
- Hourly contractor, Paid weekly via Stripe Connect.
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📌 Disability Claims Adjudication Specialist (Perth)
🏢 Mercor
📍 Perth