Insurance Specialist - Fully Remote | Upto $1450 Part-time

Job Description

Job Description

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: Health Insurance Expert
Type: Contract
Compensation: $1,150–$1,450 per completed task
Location: Remote

Role Responsibilities

• Review and evaluate AI-generated outputs related to plan benefit design, coverage determination, claims adjudication, and medical necessity criteria.
• Create realistic scenarios based on health insurance workflows, including prior authorization decisions and regulatory audits.
• Annotate, label, and validate data across health insurance use cases, such as ICD coding accuracy and payer policy interpretation.
• Provide structured feedback on AI accuracy in federal and state insurance regulations, payer contracting, and industry-specific terminology.
• Collaborate asynchronously with research teams to refine evaluation frameworks for health insurance AI.

Qualifications

Must-Have

• 3+ years of professional experience at a health plan, benefits administrator, TPA, PBM, or managed care organization.
• Background in claims processing, medical underwriting, utilization management, benefits administration, or regulatory compliance.
• Strong analytical thinking and ability to translate health plan workflows into structured evaluation tasks.
• Clear written communication and attention to detail.

Preferred

• Professional designations such as CEBS , AHIP , HIAA , or Fellow/ASA actuarial credentials .

Compensation & Legal

• Task Completion Pay: Competitive and based on task quality.
• Performance Bonus: Weekly bonus incentive for top performers.
• Hourly Opportunity: Transition to an hourly compensation model for sustained quality and throughput.

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: [email protected]

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