Claims Examiner

Job not on LinkedIn

🔥 0 minutes ago

🐊 Florida, Virginia – Remote

infoinfo

💵 $33.5k - $49.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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Logo of Allianz

Allianz

10,000+ employees

🏦 Banking

💸 Finance

🛡️ Insurance

💰 Post-IPO Equity on 2018-04

Banking • Finance • Insurance

Allianz is a global insurance and asset management company that provides a wide range of financial products and services. The company emphasizes the importance of teamwork, honesty, and genuine interactions, fostering a culture of collaboration among employees. Allianz is dedicated to delivering high-quality assurance services and engaging with customers through open discussions and valuable insights from industry experts.

📋 Description

• Review submitted claims to identify incidents, determine applicable coverage based on policy terms, and calculate eligible reimbursement benefits • Approve or deny claims according to insurance agreement terms and conditions • Communicate claim outcomes to customers by letter, email, or phone • Respond to customer inquiries about claim status, documentation, or general information • Document claim determinations, notes, and actions in PeopleSoft • 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 claim forms to new customers as needed • Use AI, machine learning, data analytics, and cloud-based tools responsibly in accordance with data governance, security, and ethical-use standards

🎯 Requirements

• High school diploma or equivalent required • Strong desire to learn, grow, and build a long-term career • 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 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

🏖️ Benefits

• Performance-based bonuses • Merit increases • Other incentives based on individual and company performance • Personal and professional development courses • Targeted development programs • International mobility and career progression opportunities • Work Well programs • Flexible work-life balance planning and arrangements • Health insurance • Dental insurance • Vision insurance • Retirement savings plans • Paid time off • Other employee programs

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