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MetLife

Sells life insurance and workplace benefits

Claims Coordinator

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeMexico City, CDMX, MexicoNo salary listed

About the Job

Requirements

  • A bachelor's-level licenciatura in an administrative field, Medicine, or Law.
  • At least five years of experience in Life or GMM claims, including knowledge of reserves, claim adjudication and authorization, and experience leading analysts, adjudicators, or authorizers.
  • Intermediate or advanced Excel, Power BI, and reporting tools to analyze operational information, create dashboards, and prepare executive presentations.
  • Knowledge of Individual Life and Group Life insurance, policy contract interpretation, death and disability claims, additional benefits, and insurance-sector regulations.
  • Experience handling high insured-sum cases, preventing documentary fraud, conducting internal or regulatory audits, monitoring indicators, and improving operations.
  • Knowledge of artificial-intelligence applications to support reporting and automate operational activities without compromising technical claim decisions.
  • Situational leadership, effective communication, organization, autonomy, and proactivity; ability to develop a team, manage conflict, and collaborate across departments in a high-pressure environment.
  • Availability to work 100% in person at Torre Manacar, Mexico City.

Responsibilities

  • Lead the Life Claims operation and team, assigning resources and balancing workloads to handle claims promptly.
  • Create dashboards, reports, and capacity plans by monitoring service levels, customer satisfaction, quality, productivity, pending cases, and response times.
  • Oversee claim decisions, approvals, and escalation of complex or high-insured-sum cases, as well as the establishment and release of reserves and associated payments.
  • Manage the application of contractual terms and regulations to death, disability, and additional-benefit claims, including review of medical and legal documentation, fraud prevention, and handling audit findings.
  • Develop the team's technical capabilities through guidance, coaching, and feedback, promoting communication, collaboration, and continuous improvement.
  • Coordinate with Legal, Compliance, Product, Commercial, Accounting, Treasury, Regulatory, Technology, and Operations teams to address requests and implement improvements; follow up with business partners, agents, brokers, and vendors.

Desired Qualifications

  • Intermediate spoken and written English.

About the Company

MetLife

Sells life insurance and workplace benefits

MetLife sells life, dental, disability and other insurance, along with annuities and retirement products, to individuals and to employers that offer them as workplace benefits. It is one of the largest US life insurers and a major supplier of group benefits to American employers, with insurance businesses across Asia, Latin America, Europe and the Middle East. Customers pay premiums for coverage, and MetLife invests those funds and also manages money for outside clients through its asset management arm. Its retirement business takes over pension obligations from employers and pays the monthly benefits owed to their retirees. MetLife was founded in 1868 and is based in New York City.

Company size
10,001+
Company stage
IPO
Headquarters
New York City, New York
Founded
1868

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