Medical Auditor

Description

Job Summary: MAPFRE is seeking a talented and committed Medical Auditor to conduct file audits, review clinical records, and provide technical support in claim resolution. Key Highlights: 1. Opportunity for professional development and career path 2. Inclusive environment with flexibility to balance personal and professional life 3. Training in digital tools and wellness programs At **MAPFRE**, we have been safeguarding what matters most to you for over 90 years. We are proud to be part of a more sustainable, safe, and solidarity-based society—and we want you to be part of this story. **What are we looking for?** People like you: talented, committed, and innovative. Join the **MAPFRE** family ❤️ and find a place where your time truly makes a difference! Apply now and become our next \#TalentoMAPFRE to grow as a **MEDICAL AUDITOR** **We are looking for talents like you:** * Graduate in Human Medicine. * Hold RNA (National Registry of Medical Auditors). * Have 2 years of experience in reimbursements and/or as a senior auditor. * Intermediate-level proficiency in Office applications. * Intermediate-level proficiency in English. **Your day-to-day responsibilities in this role:** * Conduct outpatient file audits for credits and reimbursements. * Review and evaluate clinical records regarding medical procedure appropriateness, verifying pre-existing conditions or other areas upon request from internal clients. * Provide technical support in claim resolution. * Perform other related tasks as directed by your immediate supervisor. **What makes being part of MAPFRE special:** * You will have the option to enroll in an EPS health insurance plan. * You will be covered by statutory life insurance from your first day of employment (up to 40 times your salary). * You can pursue a career path—either managing people or specializing in technical areas. * You will enjoy a flexible schedule to balance your personal and professional life. * You will receive exclusive discounts on MAPFRE products and services. * You will access discounts and benefits with prestigious educational institutions and commercial establishments. * You will have free access to our Psychological Support Program (PAS). * You can join the MAPFRE Volunteer Network through our MAPFRE Foundation. * You will receive training in digital and collaborative tools (Outlook, OneDrive, SharePoint, Teams, and others). * You will be part of a multinational company with multiple offices nationwide. **Work Location:** Miraflores \- On-site *At MAPFRE, we foster an inclusive environment where every person can reach their full potential. Additionally, we support the labor inclusion of persons with disabilities, in compliance with Law No. 29973.* **Now is the time to build your future with us!** Explore our local and international job openings at: https://jobs.mapfre.com/ **\#MAPFREDondeTuTiempoCobraSentido**