Disability Claims Adjudication Specialist

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: 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 professional 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 .

Application Process (Takes 20–30 mins to complete)

• Upload resume
• AI interview based on your resume
• Submit form

Resources & Support

• For details about the interview process and platform information, please check:
• For any help or support, reach out to: Montrer un mail

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.