Remote Claims Manager – General Insurance

Sitio De Empleo Odemas; México; Remote; MXN 350,000 - 550,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Retirement savings plan

Job summary

Sitio De Empleo Odemas is seeking an experienced and empathetic Gestor de Siniestros to join their fully remote team. This role manages the claims process for general insurance, investigates claims, assesses damages, negotiates settlements, and ensures policy compliance from anywhere.

You will handle a caseload, communicate with claimants and stakeholders, and adhere to service standards and regulations. Bachelor’s degree required, 3+ years in claims adjusting or management, and proficiency with

Qualifications

• 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.

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

Problem-solving

Communication

Empathy

Remote work discipline

Education

Bachelor's degree

Tools

Claims management software

Microsoft Office

Job description

Sitio De Empleo Odemas is seeking an experienced and empathetic Gestor de Siniestros to join their fully remote team. This role manages the claims process for general insurance, investigates claims, assesses damages, negotiates settlements, and ensures policy compliance from anywhere.

You will handle a caseload, communicate with claimants and stakeholders, and adhere to service standards and regulations. Bachelor’s degree required, 3+ years in claims adjusting or management, and proficiency with