Description
Job Summary:
Claims Analyst responsible for analyzing incidents, reviewing financial documentation, investigating support services, identifying frauds, and assisting members, thereby determining the course of claims processes.
Key Highlights:
1. Analyze various incidents and documentation, performing financial reconciliation.
2. Assist members and regional offices, clarifying doubts and identifying frauds.
3. Maintain contact with investigators and experts for technical analyses.
**Description**
Analyze various incidents and documentation, performing financial reconciliation, investigating support services, reading tracker data, assessing damage extent and losses, and reviewing relevant narratives. Assist members and regional offices with process-related questions, identifying potential frauds.
**Detailed Job Description**
\- Receive claims files and conduct initial review, perform financial reconciliation, investigate support services, read tracker data, assess damage extent and losses, review relevant narratives, and analyze documentation, to determine whether the case requires investigation, expert appraisal, or release;
\- Verify whether the vehicle involved in the incident matches the vehicle registered in the Association’s database, using documents available in the system;
\- Determine whether a third party is involved, to assess tertiary liability;
\- Assist members and regional offices with process-related questions, explaining how the necessary handling was conducted;
\- Maintain contact with investigators and experts during the meticulous investigation of claims files, to ensure appropriate technical analysis;
\- Monitor pending incidents to regularize claims processes and maintain workflow efficiency.
Employment Type: Full-time, Direct Hire (CLT)
Compensation: R$4\.000,00 \- R$4\.225,00 per month
Benefits:
* Medical insurance
* Dental insurance
* Fuel allowance
* Life insurance
* Meal voucher
* Food allowance
* Transportation allowance
Selection Question(s):
* Do you have experience in Claims Analysis?