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:

Working in an organization that is technologically advanced, creative, and innovative is critical in your assessment of hiring companies. Less important to you are stability of the organization, the length of time an organization has been in business, and the business' plans for the future. You prefer a fast-moving company that will take risks to achieve its goals and objectives. The length of time the company has been in business is irrelevant. Maintaining status quo is unnecessary. You thrive on change, uncertainty and the upside of potential business risks, especially those associated with innovation. Stability for the long haul is not nearly as important as is working in an atmosphere that is charged with a sense of urgency and constant change.

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: