Complex Auto Claims Analyst

Location: Mexico City, Mexico; primarily office-based

Company

hirify.global is a global insurance organization providing commercial and personal property casualty insurance solutions across approximately 70 countries and jurisdictions.

What you will do

• Manage special accounts, tourist policy cases, and complex auto claims, handling approximately 60 new claims per month and an outstanding caseload of 210 claims.
• Investigate claims, review documentation and policy provisions, determine coverage, analyze quantum and legal liability, set reserves within authority, and achieve timely, cost-effective settlements.
• Coordinate internal and external stakeholders, including policyholders, employers, medical providers, auto repair centers, vendors, litigators, team managers, and senior adjusters.
• Maintain accurate claim records, use diary systems, meet service-level agreements and departmental metrics, and respond to inquiries with a high standard of customer service.
• Identify subrogation and fraud opportunities, manage complex claims within authority limits, and follow up on technical audit recommendations.
• Contribute to best practices, quality assurance reviews, continuous improvement, and global standards for complex auto claims.

Requirements

• People and team management experience, including the ability to manage team members and address performance issues within the team and body shops.
• Ability to influence stakeholders at all levels in a multicultural environment and communicate effectively in writing, verbally, through presentations, and in training.
• Specialist knowledge of technical claims topics, policy wording interpretation, and technical auto appraisal.
• Experience in negotiation, mediation, arbitration, and alternative dispute resolution, as well as adjusting lower-complexity claims.
• Ability to prioritize and multitask in a fast-paced environment, communicate clearly, and manage difficult customer interactions.
• Knowledge of Desk Management, phone etiquette, time management, legal and regulatory requirements, and litigation procedures relevant to the line of business.
• Experience following up on technical claims audit recommendations and continuous claim-handling improvements.
• Fluent written and conversational English; bilingual proficiency required.
• Computer proficiency; adjuster or related licenses may be required depending on country or jurisdictional requirements.

Culture & Benefits

• Primarily office-based work with an emphasis on in-person collaboration.
• Total Rewards benefits support health, wellbeing, financial security, and professional development.
• Continuous learning and development opportunities.
• Inclusive culture supported by cultural awareness activities and Employee Resource Groups.
• Reasonable accommodations are available for applicants and employees with disabilities.