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

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:

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

Originally posted on Himalayas