Bankcard Claims Examiner

Allianz InsuranceRichmond, VA
Remote

About The Position

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.

Requirements

  • High school diploma or equivalent required.
  • A strong desire to learn, grow, and build a long-term career with us.
  • 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.
  • Candidates must reside in either Virginia or Florida to be considered.

Nice To Haves

  • Previous claims processing experience is a plus but not required.
  • Familiarity with PeopleSoft or similar claims management systems is a plus.

Responsibilities

  • 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.

Benefits

  • health, dental, and vision insurance
  • retirement savings plans
  • paid time off
  • other employee programs
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