Mexico Claims Compliance, Performance (Ciudad de México)

Mexico Claims Compliance, Performance (Ciudad de México)

12 ago
|
American International Group
|
Ciudad de México

12 ago

American International Group

Ciudad de México

* Compliance: ensuring that the control environment meets the high standards established by the various regulations that govern the Claims role. These various regulations pertain to a wide array of control frameworks ranging from internal best practice guidelines to regulatory requirements. Properly managing and enhancing this control framework is the basis for empowering the various claims teams.* Vendor Management: Both local regulation, and internal guidelines establish that all Claims vendors must have a contract. Some of these contracts are subject to a very specific local regulation (REPSE) and require intensive follow up in terms of requirements that must be met. Compliance with this requirement determines whether the usage of such vendors can be registered as tax deductible.* First notice of loss (FNOL): properly managing this activity which creates capacity within the technical handling teams by absorbing this activity (which is of a low variability in nature) and seeks to find solutions for efficiency and automation.* Business Analytics:



properly managing the exploitation of data to the benefit of better assessing the efficiency of the operation and allowing for better decisions by claims management. Ensuring that the flow of data is adequate by ensuring that adequacy of the source of data.* Process evaluation and Continuous Improvement: proper assessment of the “as is” status of the operation will eventually lead to determining the correct “target” KPI ́s, processes and controls. This analysis will imply the need for improvement projects and initiatives that need to be led and pushed by claims management through the support of this role.* Deep understanding of the insurance industry and the claims process. Understanding of the context and roles of each of the main types of claims vendors (i.e. adjusters, lawyers, consultants, salvage companies, recovery agents, etc.).* Basic understanding of the claims function and how it relates to the different areas of

📌 Mexico Claims Compliance, Performance (Ciudad de México)
🏢 American International Group
📍 Ciudad de México

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