Mapfre Work Values

Daily Duties at Mapfre:

Supported corporate initiatives designing and implementing Quality Assurance Program for healthcare insurance division. Developed and monitored appropriate service standards as they relate to professional healthcare, operations and compliance with best practices requiring close interaction with clinical providers and outsourced consultants with in-depth understanding of CMS policies and procedures. Requested consultant proposals from strategic business partners, analyzed and negotiated context requirements with TPOs and awarded contract on quality programs, systems and training. Prepared and processed monthly statistical reports and analysis of healthcare insurance operations. Stayed on board after MAPFRE acquired Canada Life to contribute to Claims Division analyzing, reviewing and making decisions in settling claims up to $100,000.00 for US and USVI territory. Managed reinsurance account reconciliation and processes to ensure quality reviews and compliance with company policies and procedures. Negotiated repricing and payment processes. Contacted providers conducting external quality reviews and educated members of the claims department on proper claims procedures and corporate policies. Supervised 2 associates generating statistical reports for management review and action. Served as reinsurance and repricing coordinator for Bahamas territory analyzing and implementing business action programs to improve production and increase market share. Traveled frequently to the island, monitored production levels and site efficiency, audited practices and procedures, and coordinated/facilitated staff training sessions. Interfaced directly with client and provider network responding to claims, business or service issues. Supervised the talent of 18 staff members and generated sales and operational reports to Canadian based corporate office.

What they like about Mapfre:

You give high priority to hiring firms with prestige. Market reputation and prestige of a firm may be determined through on-line research, and conversations with individuals working in your target industry. Note that firms "in the public eye" receive a great deal more critical publicity and attention than those operating with more anonymity. So as you assess your employment opportunities, be sure to seek out the positive aspects of the firm's reputation in addition to noting negative publicity the company may have received.

Tags

Analyst, Trainer, Examiner, Quality, Claims, Insurance

Skills

Presentation, Ecommerce Strategy and digital marketing channels optimization - SEO, SEM, email, affiliates - for high-profile accounts., Technology Solutions, Software Implementation

These are some of the questions we asked our climbers about their experiences with Mapfre: