Gestor de Siniestros Remoto - Reclamos con Impacto

Don Sireno - Tacos De Mariscos; Mexico; Remote; MXN 420,000 - 660,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Retirement plan

Career development opportunities

Job summary

WhatJobs Direct is seeking an experienced Gestor de Siniestros to join a fully remote team. The role involves managing general insurance claims, investigating, assessing damages, negotiating settlements, and ensuring policy compliance from anywhere.

The ideal candidate has 3+ years in claims adjusting, a solid grasp of insurance regulations, and strong communication and problem-solving abilities. A remote-friendly environment offers flexibility and continuous professional development

Qualifications

• Bachelor’s degree in Business Administration, Law, or related field.
• At least 3 years of claims adjusting or management experience.
• Solid understanding of insurance policies, laws, and claims procedures.
• Excellent investigation, negotiation, and problem‑solving skills.
• Strong communication and interpersonal skills with empathy and professionalism.
• Proficient in claims management software and MS Office.
• Able to work independently in a remote setting.
• Reliable internet and dedicated workspace.

Responsibilities

• Receive, review, and investigate insurance claims from policyholders.
• Determine coverage eligibility based on policy terms and conditions.
• Assess damages and liabilities through thorough investigation and documentation.
• Negotiate settlements with claimants and third parties in a fair and timely manner.
• Manage a caseload of claims efficiently, ensuring adherence to service level agreements.
• Communicate effectively with claimants, policyholders, and internal stakeholders throughout the claims process.
• Ensure compliance with all relevant insurance laws and regulations.
• Identify potential fraud and elevate suspicious claims as per company protocol.
• Maintain accurate and detailed records of all claim activities and decisions.

Skills

Investigation

Negotiation

Communication

Remote work

Time management

Education

Bachelor’s degree in Business Administration, Law, or related field

Tools

Claims management software

Microsoft Office Suite

Job description

WhatJobs Direct is seeking an experienced Gestor de Siniestros to join a fully remote team. The role involves managing general insurance claims, investigating, assessing damages, negotiating settlements, and ensuring policy compliance from anywhere.

The ideal candidate has 3+ years in claims adjusting, a solid grasp of insurance regulations, and strong communication and problem-solving abilities. A remote-friendly environment offers flexibility and continuous professional development