Insurance

• Provide technical Personal Insurance claims leadership across LAC
• Lead approximately 40+ LAC Personal Insurance adjusters and analysts
• Coordinate large claims, authorize reserves and payments within granted authority, and refer over-authority decisions
• Delegate reserving, payment, and settlement authority in accordance with the Authority Matrix
• Collaborate with global, regional, and country claims leadership to ensure appropriate resources and skills
• Report LAC Personal Insurance major claim exposures, including catastrophe losses
• Review and implement corrective actions for continuous operational improvement through MBR/QBR metrics
• Maintain relationships with underwriting, actuarial, finance, claims leaders, customers, brokers, and partners
• Support new business partnerships and tenders through client meetings and presentations
• Review and upgrade claims guidelines and adjustment procedures
• Provide technical training and guidance and support recruiting claims talent
• Identify and report claims trends, lessons learned, feedback, and risk management opportunities
• Drive proactive customer claims experiences using Fast Track and complex technical claims processes
• Work with Claims Operations to advance digital claims channels and services
• Facilitate compliance with governmental regulations and AIG claims governance guidelines

Head of Personal Insurance Claims – LAC

• Conduct comprehensive audits of financial statements to identify discrepancies and areas for improvement
• Evaluate internal controls and regulatory compliance to enhance governance and risk management
• Apply auditing methodologies and financial reporting standards to assess disclosures and transactions
• Collaborate with clients on financial reporting and compliance needs
• Analyze financial data to support recommendations and decision-making
• Develop and maintain client relationships
• Apply technical accounting knowledge to interpret and implement accounting policies and standards
• Lead audit engagement teams and ensure timely, accurate task completion
• Identify process improvement opportunities and recommend solutions
• Uphold professional and technical standards, PwC's code of conduct, and independence requirements

Senior Associate, Assurance Private

• Desarrollar y optimizar scripts de consulta utilizando SQL y Python para la extracción, limpieza y estructuración de bases de datos masivas
• Diseñar y automatizar tableros de control ejecutivos aplicando principios de Data Storytelling
• Analizar periódicamente la evolución de los indicadores clave (KRIs) para identificar tendencias, anomalías o variaciones atípicas
• Revisar críticamente la suficiencia de los indicadores actuales y proponer nuevas variables para anticipar riesgos emergentes
• Migrar de esquemas de reporte estáticos y manuales hacia modelos dinámicos utilizando analítica avanzada e Inteligencia Artificial Generativa
• Extraer y consolidar grandes volúmenes de información provenientes de múltiples entidades manteniendo la integridad técnica
• Monitorear patrones inusuales de forma oportuna

Analista AML Risk Management Reporting

• Gestionar con socios comerciales la activación de pólizas de seguro de daños, cancelaciones y atención de siniestros de unidades de la cartera de crédito auto
• Gestionar la recuperación de primas de seguro de daños y devoluciones por financiamiento duplicado
• Identificar pagos de siniestros, como liquidaciones por pérdida total, y procesar cancelaciones
• Realizar la conciliación diaria de cuentas concentradoras
• Monitorear las renovaciones anuales de pólizas
• Atender el flujo operativo del área manteniendo un alto estándar de precisión en la gestión diaria de solicitudes
• Mantener un control riguroso de recuperaciones, aplicaciones de pago y conciliación de cuentas de alto riesgo bajo un alto volumen operativo

Analista de pólizas de seguro

• Conduct independent assessments of financial statements and internal controls
• Evaluate compliance with regulations and assess governance and risk management processes
• Obtain reasonable assurance about financial statement accuracy and identify material misstatements
• Use auditing methodologies and Generally Accepted Auditing Standards (GAAS) to perform external audits
• Apply Generally Accepted Accounting Principles (GAAP) in financial reporting and analysis
• Review and verify financial documents for accuracy and compliance
• Analyze financial transactions and trends to inform insights and recommendations
• Collaborate with clients to address data challenges and improve financial reporting
• Implement data visualization and digital tooling to enhance audit processes
• Uphold professional and technical standards, including PwC tax and audit guidance
• Build client connections, manage and inspire others, and navigate increasingly complex situations

Senior Associate – Assurance

• Manage tracking and shipping processes
• Track the flow of critical parts through supplier facilities from raw materials to final delivery
• Identify potential supply chain disruptions early and build recovery plans for shortages or capacity constraints
• Provide daily status reports, maintain open order reports, and brief leadership on delivery commitments
• Investigate reasons for delivery failures and apply corrective actions
• Partner with procurement, quality assurance, and operations teams to remove bottlenecks
• Manage delivery assurance processes and achieve day-to-day delivery assurance objectives
• Implement solutions for shipment coordination, sub-process suppliers, and technical assistance to ensure on-time delivery
• Identify root causes impacting on-time delivery
• Implement process improvements and deploy delivery assurance systems to ensure early identification of shortages
• Collaborate with other departments to meet customer requirements and minimize negative business impacts from shortages
• Ensure timely delivery of materials required for production of assigned complex components

Delivery Assurance

• Own end-to-end underwriting strategies for new accounts in Mexico to profitably grow consumer and commercial businesses while controlling net loss provision
• Collaborate with and influence business partners to enhance the value proposition, improve customer experience, and strengthen adherence to regulatory and compliance requirements
• Collaborate with central Risk Management, Operations, and Marketing teams to develop, improve, and implement credit strategies and processes
• Manage relationships and data strategy with local credit bureaus and other information providers, including monitoring data quality
• Drive credit risk strategies and evaluate partnerships with data providers, fintechs, and other service providers
• Monitor key indicators of credit performance and identify emerging trends, improvement opportunities, corrective actions, and emerging risks
• Conduct ad hoc analytics and independent risk assessments
• Monitor regulatory and industry developments and identify potential threats and opportunities
• Lead and inspire managers and analysts, including hiring, training, development, and performance assessment

Director, Credit Risk Management

• Verify patient insurance eligibility, active coverage, benefits, effective dates, plan type, network status, copays, deductibles, coinsurance, out-of-pocket information, referral requirements, and authorization requirements
• Document eligibility and benefit information in EZ Derm or the designated workflow
• Communicate with insurance companies about eligibility, benefits, authorization requirements, and pending requests
• Document insurance calls, including representative name, reference number, date and time, phone number, information obtained, and next action
• Manage prior authorizations from submission through final resolution
• Submit prior authorization requests with complete supporting documentation
• Track status updates, additional information requests, approvals, denials, authorization numbers, approved codes, units, and date ranges
• Manage prior authorizations for biologic medications
• Create and maintain follow-up tasks for unresolved insurance and authorization items
• Track pending items through completion, resolution, or escalation
• Escalate clinical, financial, missing information, denial, delay, or decision-making concerns as appropriate
• Handle insurance-related phone calls as the primary focus
• Provide overflow patient call support as operational needs allow
• Provide a daily End of Day report summarizing completed work and outstanding items
• Maintain patient confidentiality and comply with HIPAA and practice policies
• Use EZ Derm, 3CX, insurance portals, payer systems, task workflows, phone, email, and internal communication systems

Bilingual Prior Authorization, Insurance Verification Specialist

• Realizar la suscripción y el análisis de riesgo para seguros de automóviles conforme a las políticas vigentes
• Gestionar y dictaminar folios de cotización, campañas promocionales e igualación de primas de la competencia
• Atender y responder solicitudes de la red comercial sobre casos especiales o flotillas grandes
• Consultar y dar seguimiento a información mediante herramientas internas del banco, incluyendo Wizzard
• Analizar siniestralidad y primas pagadas para validar la viabilidad de propuestas
• Gestionar entre 200 y 500 casos diarios
• Cumplir un KPI de entrega de una hora y 45 minutos por folio

Insurance jobs in Mexico