Mexico Claims Compliance, Performance & Operations Manager

About the role

What you need to know: 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 an insurance company (i.e. UW, operations, audit, sales, etc.) Design, understand, and map complex processes; manage apps/tools to present quickly and efficiently these to internal and external stakeholders. Good practices to map, manage and audit risks inherent to the documented processes of the claims department. Design, understand and create underlying policies and procedures; manage process to accurately describe operational realities into documented policies and procedures. Management, enhancement, maintenance, and training of all aspects of the anti-money laundry framework. Best practices related to security information and data protection activities. Good vendor management practices and lo

Additional Information

Claims Operations & Performance Manager Who we are? American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks. We're also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Get to know the business ! General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world's most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel distribution network. The Claims function is meant to be a partner to the business segments, offering support, expertise, and partnership. It is through a proper and market leading claims service that all business efforts materialize the continuity of client and broker relationships in the long term. The existing diversity of the business portfolio demands from the claims role specialized expertise in the different business areas. The claims managers heading each line of business work partner with Underwriters and other key stakeholders to support a wide array of products and offerings, through a complex and highly demanding distribution force and network. Claims has the responsibility of delivering and materializing the product offer and promise. A policy is a promise and the handling and resolution of a claim is the moment to fulfill that promise and make a significant difference. The Claims Operations and Performance Manager supports the head of claims by properly managing the following functions that are designed to monitor the Claims operation, to provide quantitative feedback and to support the development of evalution and development of solutions in an iterative and ongoing cycle of continuous improvement of the Claims operation: 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.

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