Claims Administration Specialist

Posted 18 Days Ago
Be an Early Applicant
Tijuana, Baja California, MEX
In-Office
Junior
Agency • Insurance • Professional Services • Sales
The Role
Investigate, evaluate, reserve, and settle complex auto claims (liability, physical damage, bodily injury). Manage catastrophe losses, coverage issues, rental/tow mitigation, fraud referrals, and deliver customer service.
Summary Generated by Built In
Responsible for the investigation, evaluation, disposition, and settlement of complex claims and moderate exposures. This includes the investigation, determination, and evaluation of coverage, liability and damages, and the setting of proper reserves.

1.      Handling claims which may have multiple features identified upon report or likely to arise during the investigation of the claim including collision, comprehensive, physical damage and unrepresented injury claims

2.      Identify and triage possible bodily injury exposures

3.      Responsible for claims that result from catastrophes including:

·       Hail losses

·       Hurricane/Wind losses

·       Flood losses

4.      Responsible for claims that may involve significant/multiple coverage issues including:

·       Unlisted driver operating vehicle at time of loss

·       Unlisted vehicle being operated at time of loss

·       Non-permissive user of vehicle at time of loss

·       Other loss to VIN/Policy

·       Business Use

·       Non-Cooperation

·       Loss within 10 days of coverage, change, inception or expiration

·       Policy cancellation

5.      Responsible for claims involving all types of auto accidents from single vehicle to complex multi vehicle losses

6.      Responsible for rental management and tow storage mitigation

7.      Deliver Customer Service according to company expectations

8.      Responsible for processing claims involving:

·       Complex liability investigations

9.      Identifying red flags and referring possible fraud to the SIU team




Requirements
Scholarship: College (Desirable)
Specialized knowledge: Claims
English level: Advanced
Computer knowledge: MS Office applications (Word, Excel, Power Point) Intermediate to advanced
Experience: 1 to 2 years of claims experience in auto liability and physical damage preferred, customer service, negotiation, analytical thinking


Benefits
  • Paid days off
  • Competitive weekly salary
  • Great location (Zona Río, Tijuana)
  • Benefits by law and more
  • Private Health Insurance and Preventative Care
  • Friendly work environment
  • Savings Fund and voluntary Savings Account
  • Financing and discounts at various establishments around the city
  • Career growth opportunities
  • Constant motivational events and more!


Skills Required

  • Specialized knowledge of insurance claims
  • Advanced English proficiency
  • Proficiency with MS Office (Word, Excel, PowerPoint) at intermediate to advanced level
  • Claims experience in auto liability and physical damage (1-2 years)
  • Customer service skills
  • Negotiation skills
  • Analytical thinking
  • College education (desirable)
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The Company
HQ: Huntington Beach, CA

What We Do

Confie is the largest independent personal lines insurance agency and broker in the United States, operating as a leading call center in Tijuana that provides customer service, back office support, and sales for US insurance companies.

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