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