Claims Examiner
About this role
Join a company that puts people first. As a Claims Examiner at Allianz Partners, you’ll help customers navigate important moments with clarity and care—backed by the resources of a global industry leader. You’ll build valuable skills, contribute to a mission-driven team, and grow your career in a supportive, innovative environment. Your attention to detail and commitment to service will ensure customers receive timely, accurate decisions when they need them most.
What you will do
• Review submitted claims to identify the incident, determine applicable coverage based on policy terms, and calculate eligible benefits for reimbursement. • Approve or deny claims in accordance with the terms and conditions of the insurance agreement. • Communicate claim outcomes to customers via letter, email, or phone once a decision has been reached. • Respond to incoming customer inquiries (phone or email) regarding claim status, documentation, or general information. • Accurately document claim determinations, notes, and actions in PeopleSoft following established guidelines. • Collaborate with internal departments to obtain or verify missing or unclear claim information. • Investigate inconsistencies and escalate complex or questionable claims to the Team Leader. • Send out claim forms to new customers as needed. • Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.
What you will bring
• High school diploma or equivalent required. • A strong desire to learn, grow, and build a long-term career with us. • Previous claims processing experience is a plus but not required. • Strong attention to detail and solid organizational skills. • Excellent written and verbal communication abilities. • Ability to work both independently and collaboratively within a team environment. • Familiarity with PeopleSoft or similar claims management systems is a plus. • Candidates must reside in either Virginia or Florida to be considered.
Annualized base pay is $19.25 per hour
Actual base pay may vary based upon factors such as relevant experience, qualifications, internal equity of peers, and geographic location. Employees may also qualify for performance-based bonuses, merit increases, and other incentives based on individual and company performance. The availability and amount of these additional compensation elements are determined by company policy and may vary.
Our employees play an integral part in our success as a business. We appreciate that each of our employees is unique and have unique needs, ambitions and we enjoy being a part of their journey.