Claims Adjudicator

Description

Job Summary: AMPARO is seeking a Claims Adjudicator to perform technical analysis, factual investigation, coverage validation, and quality control of processes. Key Highlights: 1. Analyze and adjudicate incidents/claims and repair estimates 2. Validate coverage according to the association's regulations 3. Identify inconsistencies and potential indicators of fraud AMPARO IS HIRING | INCIDENTS/CLAIMS ADJUDICATOR AMPARO is looking for an Incidents/Claims Adjudicator to conduct technical analysis of incidents, ensuring accurate factual investigation, coverage validation, and process quality control, always in compliance with the association's internal regulations. Salary R$ 3\.000,00 Work Schedule Monday to Friday Benefits \* Meal/Voucher allowance of R$ 25.00 per business day \* Transportation Benefit (AMTU Card) or Fuel Allowance of R$ 150.00 \* Health Insurance (Unimed or Bradesco) \* Dental Insurance \* Gym Assistance \* Referral Bonus \* Day Off \* Pharmacy Partnership \* Monthly Basic Food Basket Main Responsibilities \* Analyze and adjudicate incidents/claims and repair estimates; \* Review expert reports, photos, police reports, and other documents; \* Validate coverage according to the association's regulations; \* Identify inconsistencies and potential indicators of fraud; \* Issue technical opinions for approval, denial, or additional information regarding the incident; \* Provide support to workshops, service providers, and other involved departments; \* Update systems and ensure adherence to operational deadlines. Requirements \* Completed High School education; \* Knowledge of automotive mechanics, bodywork, and interpretation of repair estimates; \* Proficiency with computer systems and Microsoft Office Suite; \* Analytical, organized, ethical profile with attention to detail. Preferred Qualifications \* Experience in claims adjudication; \* Experience working with vehicle protection associations, insurance companies, or regulatory bodies; \* Knowledge of automotive appraisal and fraud prevention Compensation: R$3\.000,00 per month Benefits: * Medical assistance * Dental assistance * Basic food basket * Partnerships and commercial discounts * Meal allowance * Transportation allowance Work Location: On-site