Join our team as a Claims Examiner (6-month contract) and play a key role in delivering exceptional service to our customers. In this role, you'll review and assess insurance claims, make informed decisions based on policy guidelines, and help ensure claims are resolved accurately, efficiently, and with a customer-first mindset.
What you will do
- Review, analyze, calculate, and adjudicate a variety of insurance claims in accordance with policy provisions and service standards.
- Investigate and evaluate claims by reviewing policies, supporting documentation, and internal systems to make accurate benefit determinations.
- Maintain complete and accurate claim records, including detailed documentation and file notes.
- Process payment adjustments, including stop payment requests and cheque reissues.
- Proactively contact customers, providers, and other stakeholders to obtain information needed to assess and resolve claims.
- Respond to customer inquiries via phone and email, addressing claim status questions and resolving issues in a professional and timely manner.
- Prepare and issue professional written correspondence related to claim decisions and requests for information.
- Partner with internal teams to resolve customer concerns and support efficient claim resolution.
- Manage claim reserves in accordance with established guidelines and procedures.
- Identify opportunities to resolve claims at the first point of contact, enhancing both the customer experience and operational efficiency.
- 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
- Post-secondary education or an equivalent combination of education and experience.
- 6-12 months of experience in a customer service, claims, insurance, or administrative role.
- Strong attention to detail and the ability to manage multiple priorities in a fast-paced environment.
- Sound judgment, critical thinking, and problem-solving skills.
- Ability to work independently while contributing effectively as part of a team.
- Excellent written and verbal communication skills.
- French language skills are considered an asset but are not required.
- Ability to work in a hybrid environment, including two days per week in our Cambridge, ON office. Working hours will be Monday through Friday from 9am to 5pm.
What we offer
Base Pay: $21.58 per hour CAD
Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.
We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged. Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.
At Allianz we use some AI-assisted technology as part of our recruitment process to help match candidates to roles based on skills, experience, job title, and location. AI supports our recruiters by enhancing the efficiency and accuracy of candidate assessments and job recommendations, while all applications are reviewed by our recruitment team and final hiring decisions are made by humans.
Multiple vacancies may be filled from this job posting
How We Hire:
Allianz Partners does not accept unsolicited CV’s or approaches from agencies. We only work with partners on our approved supplier lists under contract. Any unsolicited submission will not be considered.
107334 | Customer Services & Claims | Professional | [[filter11]] | Allianz Partners | Full-Time | Temporary
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
Join us. Let's care for tomorrow.