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Allianz

Claims Examiner

Allianz

. Review submitted claims to identify incidents, determine applicable coverage based on policy terms, and calculate eligible reimbursement benefits .

Posted 10/27/2026full-timeRemote • United StatesMid-LevelSenior💰 $33,516 - $49,157 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims processing, including reviewing claims, determining coverage, and communicating outcomes effectively. Proficient in using PeopleSoft for documentation and collaboration with internal departments to ensure accurate claim management.

Highest-signal resume keywords
Claims Processing ExperienceAttention To DetailWritten And Verbal CommunicationPeopleSoft FamiliarityData Analytics

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Claims ReviewCoverage DeterminationReimbursement CalculationDocumentationInvestigation Of Claims
Soft Skills
Organizational SkillsTeam CollaborationIndependent WorkDesire To Learn
Tools & Technologies
PeopleSoftAIMachine LearningData AnalyticsCloud-Based Tools
Industry Keywords
Insurance AgreementClaim OutcomesCustomer InquiriesData GovernanceEthical-Use Standards

Tech Stack

Tools & technologies
Cloud

About the role

Key responsibilities & impact
  • 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

What you’ll need
  • 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

Comp & perks
  • 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