CLAIMS SUPERVISOR

Description

Job Summary: Responsible for supervising operational claims processes, ensuring efficiency, timely delivery, cost control, and user satisfaction, as well as managing teams and standardizing practices. Key Highlights: 1. Supervise teams and claims processes, ensuring efficiency and adherence to deadlines. 2. Technically assess complex cases and propose solutions to reduce costs. 3. Prevent fraud and support technical decision-making. Responsible for supervising the operational processes of the claims department, ensuring efficiency in assessments, compliance with deadlines (SLAs), cost control, and satisfaction of protection users. Directly manages the team, provides technical support, resolves complex cases, standardizes practices, and continuously improves processes. **MAIN RESPONSIBILITIES** * Supervise the claims team, providing guidance, assigning tasks, and monitoring activity execution; * Monitor SLA compliance and ensure smooth service delivery; * Conduct technical evaluations of claims processes and propose solutions for complex or controversial cases; * Ensure correct application of the association’s bylaws and coverage criteria during service delivery; * Analyze and propose strategies to reduce the average claims cost, maintaining a balance between quality and sustainability; * Prevent fraud by promoting critical case analysis and team training in this area; * Support technical decision-making, serving as a reference for the team; * Prepare management reports, analyzing operational data and indicators to assist coordination in defining strategies; * Interact with repair shops, inspectors, adjusters, consultants, and other partners to identify efficient solutions; * Ensure accurate information entry into systems and maintain\-them up-to-date; * Support integration and training of new employees; * Suggest improvements to operational processes and workflows; * Respond promptly to employees and members with empathy and results orientation; * Comply with and enforce internal regulations, association policies, and applicable legislation; * Support the Claims Coordinator in strategic and operational activities; * Perform other duties related to this position.