Experto en Gestión de Reclamaciones de Seguros de Vida (Remoto)

Placements24; Tuxtla Gutiérrez; Hybrid; MXN 420,000 - 640,000; Full time

Benefits offered by this job

Seguro de salud

Seguro de vida

Plan de retiro

Trabajo remoto desde México

Job summary

Placements24 busca un Experto en Gestión de Reclamaciones de Seguros de Vida para un cargo completamente remoto en México. Supervisarás el proceso completo de reclamaciones, garantizando resoluciones oportunas y justas para los beneficiarios, cumpliendo con políticas internas y normativas vigentes.

El candidato ideal tiene al menos 4 años gestionando reclamaciones de vida, excelentes habilidades analíticas y de comunicación, empatía y capacidad para trabajar de forma autónoma desde casa.

Qualifications

• Licenciatura en Administración, Finanzas, Derecho o campo relacionado.
• Mínimo 4 años gestionando reclamaciones de seguros de vida.
• Conocimiento de productos de seguro de vida, contratos y procedimientos de reclamación.
• Habilidades analíticas e investigativas, con atención al detalle.
• Empatía y habilidades interpersonales para interacciones sensibles.
• Excelentes habilidades de escritura y comunicación.
• Competencia en software de gestión de reclamaciones y Microsoft Office.
• Capacidad para trabajar de forma independiente en remoto y cumplir plazos.
• Conocimientos de leyes y regulaciones mexicanas de seguros (p. ej., CNSF).
• Altos estándares éticos y confidencialidad.

Responsibilities

• Recibir, revisar y procesar reclamaciones de pólizas de vida.
• Verificar detalles de la póliza, cobertura e información del beneficiario.
• Recopilar y analizar documentación de respaldo (certificados de defunción, historial médico).
• Investigar reclamaciones para determinar validez y posibles fraudes.
• Comunicarse de forma efectiva y empática con beneficiarios, demandantes y representantes legales.
• Explicar el proceso de reclamación, opciones de settlement y plazos.
• Calcular y autorizar pagos de reclamaciones conforme a términos de la póliza.
• Garantizar cumplimiento de normativas de seguros y políticas internas.
• Mantener expedientes de reclamaciones precisos y detallados.
• Colaborar con departamentos legales y actuariales cuando sea necesario.

Skills

Empatía

Análisis

Comunicación efectiva

Trabajo remoto independiente

Education

Licenciatura en Administración/Finanzas/Derecho

Tools

Claims management software

Microsoft Office

Job description

About the Role

Our client is seeking a compassionate and highly organized Experto en Gestión de Reclamaciones de Seguros de Vida to join their team. This is a fully remote position, allowing you to work from anywhere in Mexico. In this vital role, you will be responsible for managing the entire claims process for life insurance policies, ensuring timely, fair, and accurate resolution for beneficiaries during a difficult time. The ideal candidate will possess exceptional empathy, strong analytical skills, and a comprehensive understanding of life insurance claims procedures and regulations. This is an excellent opportunity to contribute meaningfully to people's lives while advancing your career in the insurance industry in a flexible, remote setting.

Key Responsibilities

• Receive, review, and process claims submitted for life insurance policies.
• Verify policy details, coverage, and beneficiary information.
• Gather and analyze supporting documentation, such as death certificates and medical records.
• Investigate claims to determine validity and identify any potential issues or fraud.
• Communicate effectively and empathetically with beneficiaries, claimants, and legal representatives.
• Explain the claims process, settlement options, and timelines clearly.
• Calculate and authorize claim payments in accordance with policy terms and company guidelines.
• Ensure compliance with all relevant insurance regulations and internal policies.
• Maintain accurate and detailed claim files and records in the system.
• Collaborate with legal and actuarial departments when necessary for complex claims.

Requirements

• Bachelor's degree in Business Administration, Finance, Law, or a related field.
• Minimum of 4 years of experience specifically in managing life insurance claims.
• Thorough understanding of life insurance products, policy contracts, and claims procedures.
• Strong analytical and investigative skills, with meticulous attention to detail.
• Exceptional empathy, compassion, and interpersonal skills for sensitive client interactions.
• Excellent written and verbal communication skills.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to work independently, manage workload effectively, and meet deadlines in a remote environment.
• Knowledge of relevant Mexican insurance laws and regulations (e.g., CNSF guidelines).
• High ethical standards and a commitment to confidentiality.

Benefits

Our client offers a competitive salary, comprehensive health and life insurance benefits, and a retirement savings plan. This remote role provides significant flexibility and autonomy. We are committed to professional development, offering continuous training and opportunities for career advancement within the claims department. Join a supportive team and make a real difference in the lives of our policyholders and their families. This role allows you to work from anywhere within Mexico, contributing to our client's success while maintaining an excellent work-life balance.