Argelia Macedo - Director de Contraloria, Afirme seguros

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Work Background

Afirme SegurosDirector de Contraloria interna

Oct. 2021México

InterprotecciónDirector de auditoría interna

Apr. 2018 - Sep. 2021México

GenworthPrincipal Internal Audit

Jan. 2015 - Aug. 2021MéxicoResponsible to implement Solvency II over internal audit activity, for the company is a new position, which has the challenge of enhance and strengthen relationship inside of the company, carry out the annual program plan and Internal Audit Committee over Solvency II environment. Implement a clearly performance indicators and internal audit methodology by GCAS (Group Corporate Audit Services) and Local within new regulation law. Build relationship with colleagues and work together into this new challenge for Solvency II.

Grupo Financiero InteraccionesDirector de Auditoria Interna y de Procesos de Aseguradora Interacciones

Oct. 2010 - Oct. 2014Mexico DFResponsable to carry out the annual program plan, the main activity of the function is: identifying gaps and issues of the overall process, elaborate and provide to administration the risks and controls in order to give recomendations that strenghten the operational process to mitigate the key risks; The main challenge of the position is enhance and advice to administration to be aware of the accountability in their process, in order to achieve the objetives. The major responsability of my position is to Implement a clearly performance indicators and internal audit methodology. Build a relationship to partners of the overall process to provide support of the financial partners, management, clients and service providers a linkage for continuous improvement in processes.

RSAHead of Health, Life & PA Portfolio ( Technical & Underwriting process)

Jan. 2009 - Jan. 2010The first challenge of my position was implement control & procedures in all line portfolios, creation at a new product by medical expenses line, increment sales, updated all technical notes, redesigned of team positions, keep control and performance of bottom line on P&L and reach the profitable of each line on my charge. The position responsibilities include, among others, the following activities: - Maintain sales, address new products/conditions, and over the current products validate that is working on line of group polices and internal procedures - Led negotiations with the Group head office to give key elements to implement new products - Constantly search for process improvements for reach operational plan and forecast by quarterly basis - Self-assessment process implementation, Oversee on the key performance indicators - Definition and management of KPIs: by line at all portfolio.

RSAHead of the Claims Department (Line of Health, Life & PA).

Aug. 2007 - Jan. 2009The first challenge of my position was to change the previous outsourcing scheme to an "in-house" solution (reasons: service level had not been covering expectations). Costs were not increased and the customer (internal & external) satisfaction has been addressed. The position responsibilities include, among others, the following activities: - Maintain a cost-effective and in-control claim process at country level aligned with the continuously changes (i.e.: customer expectations; new products/conditions, new group's requirements; etc). - Lead negotiations with Health Providers (discounts) - Supervision of the Call Center (customer service). - Constantly search for process improvements for reducing the payment lead-time; - Self-assessment process implementation (and monitoring) on the medical analysis activities (including the implementation of 4 regional offices). - Definition and monitoring of KPIs (key performance indicators): deductibles, coinsurance reserve processes, adjustments of reserve, others incomes, subrogation, catastrophic and important claims in order to report to reinsurance area, etc.

RSAHead of Internal Audit Subdirector

Jun. 2006 - Aug. 2007The first challenge of my position was implement the figure of Internal Auditor like independent structure of CEO and CFO Management; One of the most relevant achievements has been the alignment of the risk functions under a single objective, including a unified understanding of the company's risk profile, a business-oriented risk language and a more efficient coordination of resources. Other results have included strengthening of capabilities by implementing a new Corporate control & procedures; the improvement of risk functions effectiveness with the standardization of risk management processes; a better understanding and awareness of environment control through all company Other activities - Participation in Mexico's Executive Committee and in several meetings where Regional and Group management members attend. - Presentation to Regional and Group Office (i.e.: projects updates, performance of the business line, etc). - Submission of formal reports to the Regional Office. - Keep contact on to Regional and Group team, each month we receive audit revision by Group team in order to validate on over advance and improvement activities

PwCManager -Advisory Services

Nov. 2004 - Jun. 2006Member of the Corporate Governance and Risk Management line of services with the following responsibilities: Business Development and Sales; Program and Project Management. Head of the following projects: Support of Financial Control Management/SOX function at ING Mexico (Insurance. Sarbanes-Oxley 404 Readiness at ING Mexico (Insurance): Awareness and training courses, SOX404 scoping, business processes documentation, risk assessment, control deficiencies identification (design effectiveness), development of remediation plans and follow up of implementation actions. Organizational and business process improvement, Revenue Assurance process implementation, Performance improvement and Risk assessment over the Claims, Underwriting, Collective accounts, and Expenses processes over the insurance companies: AIG Life Company, ACE, ING, Allianz and Mortgage companies like SHF. Basic reviews of IT security environment; Programming, execution and analysis of computerized (automated) audit procedures.

MAPFREInternal Audit Manager

Mar. 2001 - Nov. 2004Improve operational processes and enhance productivity in the main key processes; execution of internal audit program by Motor Portfolio and give support to external auditor on external audit of stakeholders Companies; Development and discussion of internal control reports to Mapfre Spain.