Junior Medical Evaluator

Description

**Job Requirements** * Medical degree (certified) * Proficiency in insurance company portals. * Office software proficiency: Intermediate level. * Minimum experience: 2 years in Medical Evaluation and Insurance. * General knowledge of insurance terminology. **Job Responsibilities** * Advise and guide risk administrators and policyholders. * Prepare medical evaluations. * Complete forms for special cases. * Conduct training sessions on insurance policy usage jointly with the Customer Service Executive. * Participate in various organized campaigns. * Jointly develop, with the Customer Service Executive and the client, the Annual Service Plan (activity calendar, health campaigns, insurance usage talks, database reconciliation, renewal, etc.). * Attend follow-up meetings with administrators of assigned accounts. * Participate in the insurance policy renewal process. * Perform quality control checks to ensure renewed policies (pre- and post-renewal) include coverages and endorsements as specified by the Underwriting Department in terms and conditions. * Review documentation and information related to claims processing requests. * Participate in complex case committees with insurance companies. * Request reconsideration from insurance companies when warranted. * Upload files to SICAS. * Request dashboards assigned according to operational needs. **Additional Benefits and Perks** * Fully integrated salary paid through payroll. * 30-day year-end bonus. * Life insurance. * Computer equipment (laptop). * Statutory benefits and above-statutory benefits. * Work schedule: Monday to Friday, 08:00–17:00 hrs. * Hybrid work model. * Ongoing training. * Opportunities for career growth within the company. Employment Type: Full-time, Indefinite-term contract Salary: $20,000.00 – $22,000.00 per month Benefits: * Educational support * Discounts and preferential pricing * Company parking * Free parking * Flexible working hours * Option for indefinite-term contract * Life insurance * Company-provided mobile phone * Remote work * Additional vacation days or paid leave Work Location: Hybrid remote work in 01000, Álvaro Obregón, CDMX