Claims Manager

4 semanas atrás


São Paulo, São Paulo, Brasil Sedgwick Tempo inteiro
PRIMARY PURPOSE:
To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and attempts to effect out-of-court settlement with claimants.ESSENTIAL FUNCTIONS and RESPONSIBILITIESHandles complex losses locally unassisted up to designated authority;
assists on larger losses, including handling accounting-based losses (business interruption and stock).Examines claim form and other records to determine insurance coverage.Interviews, telephones, or corresponds with claimant and witnesses regarding claim.Consults police and hospital records;
and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance.Estimates cost of repair, replacement, or compensation.Prepares report of findings and negotiates settlement with claimant.Recommends litigation by legal department when settlement cannot be negotiated.Attends litigation hearings.Revises case reserves in assigned claims files to cover probable costs.Prepares loss experience reports to help determine profitability and calculates adequate future rates.ADDITIONAL FUNCTIONS and RESPONSIBILITIESPerforms other duties as assigned.Supports the organization's quality program(s).Travels as required.QUALIFICATIONSEducation & LicensingBachelor's degree from an accredited college or university preferred. ExperienceFive (5) years of related experience or equivalent combination of education and experience required.Skills & KnowledgeMust be Bilingual - Portuguese and English, Spanish would be considered a plusStrong oral and written communication, including presentation skillsPC literate, including Microsoft Office productsStrong customer service skillsAttention to detail and accuracyGood time management and organizational skillsAbility to work independently or in a team environmentAbility to meet or exceed Performance CompetenciesThe statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
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