Gestor de Siniestros (Seguros Generales) - Remoto

Placements24; Aguascalientes; Hybrid; MXN 250,000 - 360,000; Full time

Benefits offered by this job

Health insurance

Retirement savings plan

Job summary

Placements24 is seeking an experienced Gestor de Siniestros to join a fully remote team. You will manage the claims process for general insurance, investigate claims, assess damages, negotiate settlements, and ensure regulatory compliance.

Work from anywhere with a dedicated workspace and reliable internet. The role requires 3+ years in claims adjusting or management, a Bachelor’s degree in a related field, and strong communication and negotiation skills.

Qualifications

• Bachelor's degree in Business Administration, Law, or related field.
• 3+ years in claims adjusting or management within general insurance.
• Solid understanding of insurance policies, legal principles, and claims procedures.
• Excellent investigation, negotiation, and problem-solving skills.
• Strong communication and interpersonal skills with empathy and professionalism.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to work independently in a remote setting with reliable internet.

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 SLAs.
• Communicate effectively with claimants, policyholders, and internal stakeholders.
• Ensure compliance with all relevant insurance laws and regulations.
• Identify potential fraud and escalate suspicious claims per protocol.
• Maintain accurate and detailed records of all claim activities and decisions.

Skills

Investigation skills

Negotiation

Communication

Remote work discipline

Education

Bachelor's degree in Business Admin/Law

Tools

Claims management software

Microsoft Office Suite

Job description

About the Role

Our client is seeking an experienced and empathetic Gestor de Siniestros to join their entirely remote team. This role is critical in managing the claims process for general insurance policies, ensuring fair and timely resolutions for policyholders. You will investigate claims, assess damages, negotiate settlements, and ensure compliance with policy terms and regulations. This fully remote position allows you to serve clients effectively from anywhere, providing crucial support during challenging times.

Key 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 escal**ate** suspicious claims as per company protocol.
• Maintain accurate and detailed records of all claim activities and decisions.

Requirements

• Bachelor's degree in Business Administration, Law, or a related field.
• Minimum of 3 years of experience in claims adjusting or management within the general insurance sector.
• Solid understanding of insurance policies, legal principles, and claims procedures.
• Excellent investigation, negotiation, and problem-solving skills.
• Strong communication and interpersonal skills, with empathy and professionalism.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to work independently and manage time effectively in a remote setting.
• Must have a reliable internet connection and a dedicated workspace.

Benefits

• This remote position offers a competitive salary and a comprehensive benefits package, including health insurance, life insurance, and a retirement savings plan. Our client is committed to the professional development of its employees, offering continuous training and career advancement opportunities. You will be part of a supportive and dedicated team, working remotely to provide essential services to clients. Enjoy the flexibility and work-life balance of a fully remote role while making a meaningful impact in the insurance industry.