Especialista en Reclamaciones (Daños y Pérdidas)

Placements24; Torreón; Hybrid; MXN 320,000 - 520,000; Full time

Benefits offered by this job

Competitive salary

Health insurance

Retirement plan contributions

Generous paid time off

Remote work environment

Professional development opportunities

Company-provided equipment

Job summary

Placements24 is seeking an experienced Especialista en Reclamaciones (Daños y Pérdidas) to join our remote claims team. You will investigate, evaluate, and settle property damage and business interruption claims, communicating clearly with policyholders and experts while navigating regulatory requirements.

This role demands a sharp eye for detail, strong negotiation skills, and the ability to work independently in a remote environment from Torreón, Coahuila, MX or elsewhere.

Qualifications

• High school diploma required; associate or bachelor's degree preferred.
• Minimum of 4 years of experience in handling property and casualty claims, focusing on damages and losses.
• In-depth knowledge of insurance policies, claims processes, and regulatory requirements.
• Excellent negotiation and communication abilities, with strong analytical and investigative skills.

Responsibilities

• Investigate insurance claims thoroughly, including reviewing policy coverage, evidence, and damage assessments.
• Determine the extent of liability and coverage for each claim.
• Communicate effectively with policyholders, claimants, witnesses, and external experts (e.g., adjusters, legal counsel).
• Negotiate settlements with claimants and their representatives in a fair and timely manner.
• Prepare detailed reports documenting claim investigation findings, evaluations, and settlement recommendations.
• Manage a caseload of claims, ensuring adherence to company procedures and regulatory requirements.
• Identify potential fraud indicators and elevate suspicious claims for further investigation.
• Maintain accurate and up-to-date claim files in the claims management system.

Skills

Analytical skills

Investigative skills

Problem-solving

Negotiation

Communication

Remote work

Education

High school diploma

Associate degree

Bachelor's degree

Tools

Claims management software

Job description

Our client, a reputable entity in the seguros landscape, is seeking an experienced and detail-oriented Especialista en Reclamaciones (Daños y Pérdidas) to join their dedicated claims department. This is a fully remote position, providing the flexibility to manage claims efficiently from any location. The successful candidate will be responsible for investigating, evaluating, and settling a variety of insurance claims related to property damage and business interruption. We are looking for an individual with a strong understanding of insurance policies, excellent analytical skills, and a commitment to providing exceptional customer service during challenging times for our clients. This role is crucial for maintaining client satisfaction and upholding the company's reputation for fair and timely claim resolution. If you possess a keen eye for detail, strong negotiation abilities, and thrive in an independent, remote work environment, this is an excellent opportunity to contribute your expertise in **Torreón, Coahuila, MX** and beyond.

Key Responsibilities

• Investigate insurance claims thoroughly, including reviewing policy coverage, evidence, and damage assessments.
• Determine the extent of liability and coverage for each claim.
• Communicate effectively with policyholders, claimants, witnesses, and external experts (e.g., adjusters, legal counsel).
• Negotiate settlements with claimants and their representatives in a fair and timely manner.
• Prepare detailed reports documenting claim investigation findings, evaluations, and settlement recommendations.
• Manage a caseload of claims, ensuring adherence to company procedures and regulatory requirements.
• Identify potential fraud indicators and elevate suspicious claims for further investigation.
• Maintain accurate and up-to-date claim files in the claims management system.

Requirements

• High school diploma required; Associate's or Bachelor's degree in a related field is preferred.
• Minimum of 4 years of experience in handling property and casualty claims, specifically focusing on damages and losses.
• In-depth knowledge of insurance policies, claims processes, and legal/regulatory requirements.
• Strong analytical, investigative, and problem-solving skills.
• Excellent negotiation and communication (written and verbal) abilities.
• Proficiency in claims management software and standard office applications.
• Ability to work independently, manage time effectively, and meet deadlines in a remote setting.
• Customer-centric approach with empathy and professionalism.
• (Optional: Specify any required licenses or certifications in Mexico).

Benefits

• Competitive salary and potential for performance-based bonuses.
• Comprehensive health, dental, and vision insurance.
• Retirement savings plan contributions.
• Generous paid time off and company holidays.
• Professional development opportunities and continuing education support.
• A fully remote work environment offering excellent work-life balance.
• Access to a supportive team and resources for claim handling.
• Company-provided equipment for remote work.