Claims Supervisor

Jobtailor; Osasco; Presencial; BRL 150 000 - 260 000; Tempo integral

Resumo da oferta

Jobtailor in Brazil is seeking a Senior Claims Supervisor to lead the claims adjustment and settlements, reviewing complex cases and guiding the team. You will assign workloads, monitor performance, develop loss-reduction and fraud-prevention strategies, and ensure compliance with SUSEP, CNSP, and insurance market standards.

The role requires strong negotiation, communication, and leadership skills to drive operational excellence and elevated customer satisfaction.

Qualificações

• Bachelor's degree completed.
• Professional experience in claims.
• Experience leading and managing teams.
• Knowledge of technical claims analysis, claims adjustment, settlements, and fraud prevention.
• Ability to analyze and interpret claims-loss indicators, such as loss ratio, frequency, and severity.
• Strong negotiation and communication skills with different stakeholders.
• Strong organizational skills, ability to prioritize, and sound decision‑making under pressure.
• Analytical profile with a results-oriented mindset and strong attention to technical rigor.
• Knowledge of regulations and standards applicable to the insurance market, especially SUSEP and CNSP.
• Preferred: Degree in Actuarial Science

Responsabilidades

• Supervise claims adjustment and settlements, reviewing complex cases and guiding team decisions.
• Assign workloads, monitor performance, ensure deadlines and quality standards.
• Develop and monitor claims-loss reduction and fraud-prevention strategies, partnering with the actuarial/technical team when necessary.
• Monitor department KPIs, including average claims-adjustment turnaround time, case volume, rework, fraud rate, and customer satisfaction, and propose improvement initiatives.
• Negotiate with and manage relationships with experts, claims adjusters, and other service providers, seeking operational efficiency and better commercial terms.
• Ensure compliance with internal policies and applicable regulatory requirements, including SUSEP, CNSP, and other industry regulations.
• Conduct technical training and promote best practices within the team.
• Identify improvement opportunities and propose solutions to optimize operational processes and results

Conhecimentos

Team Leadership

Regulatory Compliance

Negotiation Skills

Claims Analysis

Fraud Prevention

Claims Settlement

Loss Ratio Analysis

Frequency Analysis

Severity Analysis

Analytical Thinking

Formação académica

Bachelor's Degree

Degree in Actuarial Science

Descrição da oferta de emprego

• Supervise claims adjustment and settlement processes, personally reviewing more complex cases and providing technical support for the team's decisions
• Assign workloads, monitor individual and team performance, and ensure compliance with deadlines and quality standards
• Develop and monitor claims-loss reduction and fraud-prevention strategies, partnering with the actuarial/technical team when necessary
• Monitor department KPIs, including average claims-adjustment turnaround time, case volume, rework, fraud rate, and customer satisfaction, and propose improvement initiatives
• Negotiate with and manage relationships with experts, claims adjusters, and other service providers, seeking operational efficiency and better commercial terms
• Ensure compliance with internal policies and applicable regulatory requirements, including SUSEP, CNSP, and other industry regulations
• Conduct technical training and promote best practices within the team
• Identify improvement opportunities and propose solutions to optimize operational processes and results

Requirements

• Bachelor's degree completed
• Professional experience in claims
• Experience leading and managing teams
• Knowledge of technical claims analysis, claims adjustment, settlements, and fraud prevention
• Ability to analyze and interpret claims-loss indicators, such as loss ratio, frequency, and severity
• Strong negotiation and communication skills with different stakeholders
• Strong organizational skills, ability to prioritize, and sound decision‑making under pressure
• Analytical profile with a results-oriented mindset and strong attention to technical rigor
• Knowledge of regulations and standards applicable to the insurance market, especially SUSEP and CNSP
• Preferred: Degree in Actuarial Science

Core Competencies

Demonstrates expertise in claims adjustment, settlement processes, and fraud prevention, with a strong focus on compliance with regulatory requirements such as SUSEP and CNSP. Proven ability to lead teams, analyze claims-loss indicators, and implement operational improvements to enhance efficiency and customer satisfaction.

Highest-signal resume keywords

• Claims Adjustment
• Fraud Prevention
• Team Leadership
• Regulatory Compliance
• Negotiation Skills

Hard Skills

• Claims Analysis
• Claims Settlement
• Loss Ratio Analysis
• Frequency Analysis
• Severity Analysis

Soft Skills

• Strong Communication Skills
• Organizational Skills
• Decision-Making Under Pressure
• Results-Oriented Mindset
• Attention to Technical Rigor

Certifications & Qualifications

• Bachelor's Degree
• Degree in Actuarial Science

Industry Keywords

• SUSEP
• CNSP
• Insurance Market
• Claims Management
• Operational Efficiency