Coordinating Attorney – Claims Analysis

R$6,000/month
Indeed

Company

Job typeFull-time
Workplace typeOnsite
Experience levelNo experience limit
Education levelNo degree limit

Description

Job Summary: We are seeking a Coordinating Attorney to lead the Claims Analysis area within a mutual association, ensuring legal security and operational efficiency. Key Highlights: 1. Strategic leadership in risk management and fraud prevention. 2. Proactive engagement to reduce litigation and drive continuous improvement. 3. Team coordination and development on legal topics. **About the Role** We are looking for a Coordinating Attorney to lead the Claims Analysis area within a mutual property protection association. The role entails ensuring legal security, efficient claims handling, and a positive member experience, with strategic involvement in risk management and fraud prevention. **Main Responsibilities** * Coordinate the claims analysis/investigation unit (auto and other applicable lines), ensuring compliance with internal regulations, bylaws, and applicable legislation. * Review and validate coverage decisions, denials, indemnifications, and/or repairs, ensuring appropriate legal justification. * Draft legal opinions on complex claims cases, disputes regarding clause interpretation, exceptional circumstances, and potential fraud cases. * Support the team in defining workflows, deadlines, and technical criteria for claims analysis, balancing mutual fund protection and member satisfaction. * Supervise the drafting and review of formal communications to members (approvals, denials, requests for supplementary documentation, settlement agreements, etc.). * Proactively reduce litigation by proposing adjustments to regulations, membership terms, claims policies, and operational routines. * Support litigation management related to claims (coordinating with external law firms, submitting documents, providing defense support, negotiating settlements). * Collaborate with the GRC team to identify, assess, and address legal risks associated with the claims process. * Train and guide claims analysts and investigators on legal topics, regulatory requirements, internal regulations, and best practices in member service. * Monitor departmental KPIs (average analysis time, reversal rate of denials, litigation rate, average indemnification value, etc.) and propose improvement plans. **Mandatory Requirements** * Completed Law degree with active registration at the Brazilian Bar Association (OAB). * Experience in coordination, team leadership, or as a technical reference (mid/senior level) in the field. * Solid knowledge of: * Civil and Consumer Law; * Contracts, insurance, or similar products; * Civil liability and material/moral damages. * Ability to draft clear, objective, and well-founded legal opinions, notices, and communications. * Analytical profile, sense of justice, risk awareness, and focus on the economic\-financial sustainability of the business. **Preferred Qualifications (non-eliminatory)** * Experience in vehicle protection/mutual associations. * Prior experience in claims analysis, claims adjudication, civil litigation related to insurance/vehicle protection, or related areas. * Previous experience in GRC, risk management, compliance, or fraud prevention. * Knowledge of LGPD as applied to claims processes and member service. * Familiarity with performance indicators and management tools (dashboards, BI, etc.). **Behavioral Competencies** * Critical thinking combined with a conciliatory attitude. * Ability to make balanced decisions considering legal risk, financial impact, and member experience. * Collaborative leadership focused on team development and process alignment. * Organization, discipline, and adherence to deadlines. * Clear communication and respect in interactions with members, internal teams, and external partners. Employment Type: Freelance / PJ Contract Duration: 24 months Compensation: Starting from R$6\.000,00 per month Work Location: On-site

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Posted by

João Silva

Indeed · HR

Location

João Silva

Indeed · HR

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