Gimenes&Gimenes

What Gimenes&Gimenes does

Gimenes & Gimenes is a Brazilian insurance claims advisory company founded in 1986 and headquartered in São Paulo, operating as a B2B professional services provider to insurance carriers across Brazil. The company delivers claims investigation, adjustment, and management across five core service pillars: Pessoas (life/person insurance claims), Automóveis (automobile claims), Ramos Elementares (transport, residential, business, fire), Saúde (medical bill review and field audits for health operators), and Jurídico (legal advisory for judicial insurance cases). It also offers a complementary Treinamento de Auditores (Auditor Training) program. With 62 employees and strategically distributed field investigation bases across multiple Brazilian regions, the firm has maintained a 38-year continuous presence in the market.

The company runs a proprietary claims management system developed exclusively for the insurance claims adjustment sector, integrated with a modern data processing center that enables rapid electronic documentation transmission from field operations to the central system. Field auditors conduct on-site investigations, cross-reference policyholder and non-policyholder data, and generate expert opinions used in claims settlement. The technology infrastructure supports structured workflow execution rather than automation or AI-driven decisioning. Auditor training is delivered by professionals with technical certifications in Insurance Management, Pension, and Claims Settlement.

Revenue is generated through contractual professional services engagements with insurance companies; pricing is not publicly disclosed. The go-to-market is sales-led, emphasizing credibility, personalized attention, and technical quality. Customer segments are insurance carriers (primary) and health insurance operators (secondary). The company maintains partnerships with Brazilian and Pan-American industry bodies including COPADES, CVG-SP, CSP-MG, and ENS, and runs a content-marketing presence via website, LinkedIn, and Facebook to support brand visibility within the Brazilian insurance ecosystem.

Name

Gimenes&Gimenes

Legal name

Gimenes & Gimenes

Website

https://gimenesgimenes.com.br

Company type

Private

Founded year

1986

Operating status

Operating

Headcount range

51–100 employees

Short description

Gimenes & Gimenes is a São Paulo-based insurance claims advisory firm founded in 1986, providing investigation, adjustment, and management services across life, auto, property, health, and legal insurance segments to Brazilian insurance carriers via a proprietary claims management system and distributed field investigation network.

Ownership category

akta.pro rank

Product category

Insurance Claims Advisory Services

NAICS

Claims Adjusting (524291)

SIC

Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Eligibility, Coverage Verification & Policy Administration Support (BPAAAFAC)

Keywords

• Insurance claims adjustment
• Claims management services
• Insurance claims investigation
• Medical claims audit
• Insurance advisory services

Headquarters

HQ city

São Paulo

HQ country

Brazil

HQ region

Latin America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Professional Services - Claims Adjustment: The company generates revenue by providing claims adjustment and assessment services to insurance companies. Services include field investigation, document analysis, information verification, and expert opinions for claims settlement across multiple insurance segments including life, automobile, health, property, and legal advisory.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels4 records

Core offering

Gimenes & Gimenes provides insurance claims investigation, adjustment, and advisory services to insurance companies and health operators across multiple segments (life/person, automobile, elementary lines such as transport, residential, business and fire, health, and legal). The company combines centralized data processing with a nationally distributed field investigation network to verify policyholder information, analyze documentation, audit medical bills, and produce expert opinions that support accurate claims settlement. A complementary Auditor Training program develops talent for the broader insurance claims market.

Product overview

Gimenes & Gimenes is a Brazilian insurance claims advisory company founded in 1986, offering a comprehensive portfolio of claims management services across five core pillars: Pessoas (life/person insurance claims), Automóveis (automobile claims), Ramos Elementares (elementary lines including transport, residential, business, and fire insurance), Saúde (health insurance medical billing review), and Jurídico (legal advisory for judicial processes). The company also provides a complementary Auditor Training service. The offering operates as a unified service portfolio centered on insurance claims investigation, verification, and settlement support, utilizing a proprietary operational system and data processing center developed exclusively for the claims regulation sector, with field operations distributed strategically across multiple locations in Brazil.

Differentiator

Problem solved

Functional benefit

Products and services

• Pessoas (Person/Life Insurance Claims) Insurance claims investigation service for life and personal insurance covering research in official agencies, medical records collection, and expert opinions to clarify how claims occurred transparently and impartially. Targeted at insurance carriers handling person/life claims.
• Automóveis (Automobile Insurance Claims) Insurance claims regulation for automobiles utilizing a modern data processing center and innovative techniques for rapid claim resolution through information cross-referencing and strategic field operations. Targeted at insurance carriers handling automobile policies.
• Ramos Elementares (Elementary Lines Insurance Claims) Insurance claims handling for elementary lines including transportation (land, sea, air), residential, business, and fire insurance, involving data cross-referencing and on-site verification. Targeted at insurance carriers with diversified property and casualty portfolios.
• Saúde (Health Insurance Claims Audit) Medical advisory service consisting of analysis and review of medical bills, materials, medications, and treatments applied to beneficiaries through data cross-referencing and field research conducted by health auditors. Targeted at health insurance operators seeking medical claims cost containment.
• Jurídico (Legal Advisory for Insurance Claims) Legal advisory service providing clarification for insurance company lawyers on judicial actions, featuring specialists including lawyers, experts, insurance technicians, and accounting professionals who deliver evidence and subsidies for fair resolution of legal cases. Targeted at insurance carriers facing judicial claims processes.
• Treinamento de Auditores (Auditor Training) Professional training program for service providers covering auditor interview techniques, field investigation best practices, and communication approaches, delivered by internationally recognized professionals with technical certifications in Insurance Management, Pension, and Claims Settlement. Targeted at insurance market service providers and aspiring claims auditors.

Quantifiable outcome

• Elevated performance index for health operators through medical claims analysis and field audit services

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Four partnerships are on record, tiered major and core.

• COPADES (Pan-American Congress on Insurance Crime)majorStrategic or Co-development Partner · 1 January 2018The company participates in the IV Congress (2018, Costa Rica) and V Congress (2019, Dominican Republic), presenting knowledge and expertise on insurance crime prevention and auditor training. COPADES is a major professional forum for insurance industry professionals across the Americas.
• CVG-SP (Clube de Seguros de Pessoas de São Paulo)coreStrategic or Co-development PartnerActive participation in CVG-SP events including workshops and professional development programs. The company supports and engages with the life insurance club of São Paulo for industry knowledge sharing and professional networking.
• CSP-MG (Clube de Seguros de Pessoas de Minas Gerais)majorStrategic or Co-development PartnerParticipation in the XII Workshop 2021 'Conhecer para Proteger' organized by CSP-MG, discussing challenges in life insurance and market trends.
• ENS: Escola de Negócios e SeguroscoreStrategic or Co-development PartnerThe company recognizes ENS (formerly Funenseg), Brazil's leading insurance business school founded 50 years ago by major industry associations, as a key institution for professional development in the Brazilian insurance market.

Scale indicators3 records

Recent moves5 records

Expansion highlights4 records

Broad incumbents

• Marsh (Brazil): Marsh is a global insurance brokerage and risk management firm with significant Brazilian operations and claims advocacy services for corporate clients. While broader than Gimenes&Gimenes, Marsh offers overlapping claims-adjacent advisory services and competes for similar carrier relationships.
• KPMG Insurance Practice (Brazil): KPMG provides insurance consulting, actuarial, and claims advisory services to Brazilian insurers through its Risk and Regulatory practice. It competes for consulting-level mandates related to claims process improvement and anti-fraud programs, adjacent to Gimenes&Gimenes's core offering.

Regional players

• ICG Brasil (Investigação e Consultoria em Gestão): ICG Brasil provides investigation, intelligence, and corporate consulting services with overlap to insurance claims investigation and SIU (Special Investigations Unit) work in Brazil. It is a regional competitor in the field investigation and information verification segment where Gimenes&Gimenes operates.
• BHS (Brasil Health Services): BHS is a Brazilian firm specialized in health insurance claims management, medical bill auditing, and utilization review for health plan operators. It directly overlaps with Gimenes&Gimenes's Saúde (health claims) service line in the Brazilian market.

Direct peers

• Davies Group: Davies Group is a UK-headquartered professional services and claims management firm providing claims handling, adjusting, and related services to insurers globally. It competes with Gimenes&Gimenes in delivering third-party claims investigation and settlement support to insurance carriers.
• Sedgwick: Sedgwick is one of the world's largest independent claims management and adjusting firms, operating across multiple insurance lines including property, auto, health, and liability with dedicated Brazil operations. It is the closest global direct competitor to Gimenes&Gimenes in offering multi-line claims investigation and settlement services to insurance carriers.
• TKS Soluções em Sinistros: TKS is a Brazilian firm specializing in claims management and settlement services for insurance companies, operating across multiple lines within the Brazilian market. It is a direct domestic competitor with overlapping carrier client base and similar B2B claims adjusting service model.
• McLarens: McLarens is a leading global independent claims adjusting and loss management firm serving insurance carriers across property, aviation, marine, and specialty lines. It is a comparable independent claims adjusting peer with similar multi-line carrier-focused service model.
• Crawford & Company: Crawford & Company is a global independent claims adjusting firm providing loss adjustment, claims management, and TPA services to insurers across property, casualty, and specialty lines. It directly competes with Gimenes&Gimenes in offering third-party claims investigation services to insurance carriers across multiple lines of business.
• Charles Taylor: Charles Taylor is a global provider of insurance services including claims management, loss adjusting, and TPA services across multiple lines. Its claims adjusting arm offers carrier-focused claims investigation and settlement services that mirror Gimenes&Gimenes's value proposition across life, P&C, and specialty insurance.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/GimenesGimenesAssessoria
• LinkedInlinkedin.com/company/gimenes-gimenes

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Gimenes&Gimenes