Claims Manager

3 semanas atrás

São Paulo, Estado de 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 RESPONSIBILITIES

  • Handles 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 RESPONSIBILITIES

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.


QUALIFICATIONS


Education & Licensing

Bachelor's degree from an accredited college or university preferred.


Experience

Five (5) years of related experience or equivalent combination of education and experience required.


Skills & Knowledge

  • Must be Bilingual - Portuguese and English, Spanish would be considered a plus
  • Strong oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Strong customer service skills
  • Attention to detail and accuracy
  • Good time management and organizational skills
  • Ability to work independently or in a team environment
  • Ability to meet or exceed Performance Competencies



The 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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