Benefits Claims Analyst

Description

Job Summary: We are seeking a professional to receive and manage claims procedures, perform administrative assessments, and track cases on insurance company platforms. Key Highlights: 1. Experience in GMM Benefits Claims and insurance policy conditions. 2. Claims processing management and case follow-up. 3. Opportunity for growth and continuous training. **About the Position** **Job Requirements** * Education: Bachelor's degree in Economics or Administration. * Experience in GMM Benefits Claims. * Familiarity with general and special insurance policy conditions. * Excellent spelling. * Intermediate Excel skills. **Job Responsibilities** * Receive claims procedures, identifying the type of request for GMM, AP, and Life insurance. * Perform preliminary administrative assessments based on general policy conditions and endorsements. * Identify cases requiring medical department review, surgical scheduling, initial cases, specific medications or treatments, or those with precise clinical indications. * Verify required documents for reimbursements and scheduled procedures against the checklist. * Enter claims procedures into the insurer’s platform or manage them via email. * Follow up on claims, validate adherence to committed deadlines, and relay information. * Provide timely follow-up on insurer responses. * Update claim data in the internal system and file documentation. * Generate administrative minutes for KPI tracking and process analysis. * Support statistical reporting. **Additional Benefits and Perks** * Salary: $15,000 gross monthly. * 100% integrated salary in payroll. * 30-day year-end bonus (aguinaldo). * Life insurance. * Computing equipment (laptop). * Statutory and above-statutory benefits. * Working hours: Monday to Friday, 08:00–17:00 hrs. * Hybrid work arrangement. * Continuous training. * Opportunities for career advancement within the company. Employment Type: Full-time, Indefinite-term contract Salary: Up to $15,000.00 per month Benefits: * Tuition assistance * Discounts and preferential pricing * Company parking * Free parking * Flexible working hours * Option for indefinite-term contract * Life insurance * Company-provided mobile phone * Remote work capability * Additional vacation days or paid leave Work Location: Hybrid remote work in 01000, Álvaro Obregón, CDMX