Claims Operations Specialist I

Crossell; Jocotitlán; Presencial; MXN 200,000 - 400,000; Jornada completa

Descripción de la vacante

A leading global insurance provider in Mexico City is seeking a CL Operations Analyst I to handle direct insurance accounts and claims. Responsibilities include capturing accurate claims information, ensuring adherence to processes, and collaborating across teams. The ideal candidate holds a Bachelor’s degree and possesses advanced Excel and English skills. A supportive and inclusive work environment is offered.

Formación

• Minimum Bachelor’s in relevant fields.
• Proficient Excel knowledge; PowerBI is a plus.
• Advanced English skills required.

Responsabilidades

• Capture accurate claim information and handle claims.
• Ensure financial transactions are in adherence to guidelines.
• Contact partners to resolve operational issues.

Conocimientos

Proficient Excel knowledge

Effective interpersonal and communication skills

Agile team player

Ability to work collaboratively

Advanced English

Educación

Bachelor’s in Administration, Actuarial Science, Finance, Accounting, Insurance or related fields

Herramientas

PowerBI

Descripción del empleo

Overview

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We are looking for an agile, motivated, and dedicated personality who is ready to join our PC Business Operations Team in Mexico City as a CL Operations Analyst I.

As a Direct Insurance Associate, you will be responsible for handling direct insurance accounts and claims in an end-to-end policy fulfillment responsibility, ensuring business deliverables and working within a set framework of policies, processes and making suggestions/recommendations to management for improvement of the same.

Core Responsibilities

• Capture accurate claim information by referring to initial notices and proactively handle claims including indexation of claim within the timelines defined.
• Ensure financial transactions/payments are in adherence to processes and guidelines, quality management framework and key controls.
• Contact internal business partners and external Clients/TPAs (either written or verbal) to resolve any long pending operational issues like missing account information, incorrect data, payment delays, etc.
• Ensuring that all correspondence with clients is professional and appropriate by adherence to process guidelines and norms.
• You will work collaboratively across teams, functions and regions and support the requirements of internal clients.
• Enter policy information into systems for consumption by other functions, such as Finance, Accounting, Claims and Reserving.

About the Team

Our Claims APH & XSWC team brings significant value to Swiss Re with accurate and knowledgeable claims handling. Our responsibilities require regular interactions with peers and experts from other locations. With our continuous improvement mindset our aim is to provide our external clients and internal partners with fast, easy, and effective ways of conducting business within an environment where the risks are understood.

About You

• Minimum Bachelor’s in Administration, Actuarial Science, Finance, Accounting, Insurance or related fields
• Proficient Excel knowledge. PowerBI would be an added advantage
• Effective interpersonal and communication (written and verbal) skills
• Being an agile team player with the ability to manage own workload and demonstrate a sense of Accountability, Responsibility and Commitment.
• Ability to work together collaboratively, flexibly, and constructively in a team/group environment including in virtual set-ups.
• Ability to challenge the status quo and manage multiple business partners (multi-cultural and cross functional team in a virtual set-up).
• Advanced English

About Swiss Re

Swiss Re is one of the world’s leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. We cover both Property & Casualty and Life & Health. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world.

Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability.

If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience.

Job Reference: 135451

Job Segment: Operations Manager, Claims, Accounting, Actuarial, Operations, Insurance, Finance