Medical Advisor

hace 2 semanas


Ciudad de México MetLife A tiempo completo

Somos expertos y reconocidos a nível mundial como líderes en seguros. Tenemos más de 150 años de experiência entregando lo mejor en seguros de vida, rentas vitalicias y programas de beneficios a más de 90 millones de clientes, en 50 países del mundo._

Estamos buscando **Medical Advisor (Pago directo)** para construir juntos un futuro más seguro para las familias mexicanas

**Propósito o misión del Rol**:
**Dictaminar las reclamaciones recibidas de GMM con base en las Políticas y Condiciones de la póliza**

**Buscamos personas que**:

- **Construyan el mañana**, cambien e innoven para tener un desempeño sostenido, aprovechando las oportunidades, experimentando con seguridad y actuando con urgencia.
- ** Ganan junto**, colaboran y fortalecen mutuamente para alcanzar el éxito, buscando perspectivas diferentes, fomentan la inclusión y crean alineamiento.
- ** Se adueñan**, cumpliendo con nuestros clientes asumiendo responsabilidad, facilitando soluciones y logrando entregar los resultados esperados.

**RESPONSABILIDADES Y ATRIBUCIONES**
- Negociar con médicos tratantes de no red los tabuladores en para reembolsos, con base al presupuesto revisar este de acuerdo con el contratado.
- Dictaminar y generar respuestas a reclamaciones recibidas.
- Orientar y dar servicio en los procesos de Pago directo.

**REQUISITOS Y CALIFICACIONES**
- Lic. en Medicina (título y cédula Indispensable)
- De 1 a 2 años de experiência como médico dictaminador (pago directo)
- Office: Avanzado reportes (Tablas dinámicas y procedimiento de análisis)
- Conocimientos técnicos:

- Evaluación de siniestros
- Análisis, revisión de dictámenes y proceso de pago directo
- Documentación de casos
- Conocimiento en dictámenes y siniestros
- Revisión de endosos, pólizas y expedientes
- Condiciones generales de seguros

**PERFIL INTERPERSONAL**
- Comunicación asertiva
- Proactividad
- Análisis
- Solución de problemas
- Trabajo en equipo.
- En MetLife tenemos el compromiso de fomentar la diversidad entre colaboradores y colaboradoras, a través de un trato no discriminatorio por motivos de raza, expresión / identidad de género, orientación sexual, religión, edad, nacionalidad, estado civil, discapacidades, condición física o económica, no se hacen pruebas de VIH y embarazo como requisito para ingreso, permanencia o ascenso y existe igualdad de oportunidades laborales_
- Para la consideración inmediata, haga clic en el botón “Aplicar ahora”. Usted será dirigido a completar un perfil en línea. Una vez completado, usted recibirá un correo electrónico automático, confirmando que su aplicación al trabajo ha sido exitosa._



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