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. _
- En México, somos la aseguradora # 1 de personas en el país, con más de 10 millones de asegurados._

Estamos buscando **Medico Dictaminador** para construir juntos un futuro más seguro para las familias mexicanas.

**Propósito o misión del Rol**: Dictamen médico en las reclamaciones de Siniestros y coberturas indemnizatorias, siguiendo las condiciones generales de diferentes líneas de negocios existentes, políticas, Instrucciones operativas, Trabajo Estándar y otros bajo Normatividad.

**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**
- Revisar: Detalladamente los documentos médicos presentados en cada reclamación para determinar si cuenta con documentación mínima requerida.
- Analizar: Medicamente y administrativamente la cobertura reclamada de acuerdo con la información disponible.
- Validar: Integralmente de acuerdo con las Condiciones Generales de cada producto y línea de negocio el dictamen a trabajar, aplicando políticas e Instrucciones operativas, y Trabajo Estándar vigentes.
- Emitir: Dictamen médico integral
- Se deberá relacionar con áreas administrativas: Dar seguridad de que los dictámenes cuentan con la claridad suficiente para transmitir adecuadamente la respuesta al cliente.
- Área de antifraudes: Dar seguimiento oportuno de casos potencialmente sospechosos de fraude, para evitar pérdidas financieras.
- Clientes externos: Establecer relaciones con nuestros promotores a fin de mantener estrecha comunicación y estándares de servicio para dar una atención con calidad y eficacia a los clientes.

**REQUISITOS Y CALIFICACIONES**
- Lic. Medicina (título y cédula)
- Experiência mínima de 1 a 2 años de experiência como Médico Dictaminador (Preferente en siniestros vida) si no cuenta entonces (Cirugía Programada, reembolso y/o Pago Directo).
- Capacidad de análisis, lectura, síntesis de información.
- Conocimientos sólidos en seguros, condiciones de pólizas y endosos.
- Conocimientos seguros de vida e indemnizatorias
- Office: Excel nível básico, Conocimiento básico en computación.
- Condiciones generales de seguros

**Requisitos específicos para colaboradores internos**:

- _ Deberás contar con al menos 12 meses en tu posición actual_
- _ Para participar tu líder deberá estar informado antes de postularte._
- _ Te pediremos un correo de confirmación._
- _ No puedes participar en dos o más procesos de manera simultánea._

**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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