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Claims & Underwriting Specialist - Remote

Remote / Online - Candidates ideally in
Mississauga, Ontario, Canada
Listing for: Mercor
Part Time, Remote/Work from Home position
Listed on 2026-09-11
Job specializations:
  • Insurance
Job Description & How to Apply Below
About the Role
Mercor is partnering with a leading AI lab to train frontier models on high-quality insurance reasoning data. We're hiring Disability Claims & Underwriting Specialists to design realistic disability adjudication and risk-selection scenarios, evaluate model outputs against established industry standards, and help shape how the next generation of AI reasons about disability definitions, medical and vocational evidence, and benefit entitlement.

We welcome group and individual disability claims examiners, disability underwriters, vocational rehabilitation professionals, return-to-work and absence-management specialists, and appeals reviewers from carriers, TPAs and employer-side programs.

What You'll Do

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

Participate in onboarding office hours and calibration sessions

You're a Good Fit If You

Have 2+ years of professional experience in disability claims adjudication, disability underwriting, vocational rehabilitation, or leave and absence management

Have worked 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

Understand how contract definitions, elimination periods, offsets, pre-existing-condition provisions and maximum benefit periods determine entitlement and duration

Can weigh medical, occupational and financial evidence and articulate a defensible determination with a documented rationale

Demonstrate excellent written analysis, balanced judgment and high attention to detail

Can distinguish claim adjudication from treating-provider clinical decisions and from formal legal advice

Bonus Qualifications

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

Role Highlights

Minimum 20 hours per week (ideally 40+)

Role starts immediately, applications reviewed on a rolling basis

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