Benefits Claims Executive

Description

Job Summary: We are seeking a professional to manage claims procedures, prepare administrative preliminary assessments, and follow up on requests, ensuring information is updated and well-organized. Key Highlights: 1. Experience in GMM Benefits Claims and Insurance Policy Conditions 2. Ongoing Training and Growth Opportunities 3. Hybrid Work Model with Flexible Hours **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. * Prepare administrative preliminary assessments according to general policy conditions and endorsements. * Identify cases requiring medical department review, surgical scheduling, initial cases, specific medications or treatments, or those with precise instructions. * Verify documents for reimbursements and scheduling against the checklist. * Enter claims procedures into the insurer’s platform or manage them via email. * Follow up on claims procedures, validate adherence to committed deadlines, and relay information. * Provide timely follow-up on insurer responses. * Update claim data in the internal system and file uploads. * Generate administrative minutes for performance indicators and process tracking. * Support statistical reporting. **Additional Benefits and Perks** * Salary: $17,000 gross monthly. * 100% integrated salary in payroll. * 30-day year-end bonus. * Life Insurance. * Computing Equipment (laptop). * Statutory and above-statutory benefits. * Working hours: Monday to Friday, 08:00 to 17:00 hrs. * Hybrid work model. * Ongoing training. * Internal growth opportunities within the company. Employment Type: Full-time, Indefinite-term Salary: Up to $17,000.00 per month Benefits: * Study support * Discounts and preferential pricing * Company parking * Free parking * Flexible hours * Option for indefinite-term contract * Life insurance * Company phone * Remote work * Additional vacation days or paid leave Work Location: Hybrid remote work in 01000, Álvaro Obregón, CDMX