Claim Service Representative

hace 6 meses


Tijuana, México Qualitas Insurance A tiempo completo

Puesto: Recepcion de siniestros

Turno: 45 horas a la semana

Reporta a: Supervisor

Objetivo:
Continuar con el proceso una vez tomado el reporte, abrir la carpeta del archivo y dar seguimiento al siniestro con la finalidad de que el este actualizado al el archivo y el ajustador pueda dar el seguimiento correspondiente.

**Actividades**:

- Capturar el primero aviso de perdida reportado mediante vía telefónica o correo electrónico e ingresar la información en el Notepad de siniestros, a fin de mantener la información y seguimiento del siniestro reportado.
- Verificar los reportes de perdidas, coberturas, listado de conductores, vehículos y vencimientos de pólizas, por medio de los sistemas proporcionados para asegurar el buen funcionamiento de los programas y detectar problemas en las coberturas a tiempo.
- Subir documentación relacionada al siniestro por medio del portal de Qnnect, con la finalidad de que el ajustador tenga acceso a la información.
- Gestionar el trámite de reembolsos médicos y/o grúas, revisando documentación y enviando al área de Revisión Técnica para su autorización e informar al afectado, para realizar el trámite de pago
- Revisar y depurar reporte de Reservas vs Pagos, analizando y revisando cada siniestro de dicho reporte, verificando si es posible ajustar la reserva oportunamente, para actualizar, revisar, depurar, controlar y modificar oportunamente los ajustes a la reserva y así mantener la sana siniestralidad de la oficina.
- Asistir a los ajustadores con traducciones cuando sea necesario y de esta manera crear una mejor comunicación entre el asegurado y el ajustador.

**Perfil del puesto**:
Escolaridad: Licenciatura en admnistración

Idioma: Ingles avanzado

Tipo de puesto: Tiempo completo

Salario: $20,000.00 - $25,000.00 al mes

Horario:

- Turno de 8 horas

Prestaciones:

- Seguro de gastos médicos mayores
- Seguro de vida
- Vacaciones adicionales o permisos con goce de sueldo

Idioma:

- Ingles (Obligatorio)

Lugar de trabajo: remoto híbrido en 10289, Zona urbana rio, Tijuana



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