Description
Job Summary:
Professional responsible for end-to-end claims management, from initial screening and document analysis to repair follow-up and member support.
Key Highlights:
1. Comprehensive management of vehicle claims and relationship with members.
2. Process optimization and cost control in the claims area.
3. Document analysis and management of suppliers and partners.
Pre\-analysis of claims, including initial screening and verification of contractual coverage;
Verification of documents (police reports, vehicle registration certificates, driver's licenses, photos, estimates) for completeness and authenticity;
Preparation of daily/weekly claim status reports;
Creation and maintenance of spreadsheets for tracking departmental costs and productivity;
Monitoring of vehicle repairs at authorized workshops, including negotiation of deadlines and costs;
Selection of workshops jointly with members or third parties involved in collisions;
Monitoring of deadlines for submission of investigation and technical appraisal reports;
Follow-up on claims adjustment tasks;
Management of information return from external adjusters;
Requesting and managing outsourced services (towing, auto glass replacement, rental cars);
Validation of invoices and service completion certificates;
Member support to clarify process status;
Organization of physical and digital documents for audits;
Updating internal systems with claim decisions and movements;
Consolidation of data for trend analysis and performance indicators;
Identification of document inconsistencies and request for corrections;
Suggestion of operational workflow improvements to enhance efficiency.