Operations Claims Examiner - Contract

We’re seeking a detail-oriented and motivated Operations Claims Examiner to join our team on a 6-month contract. In this role, you'll be responsible for reviewing, evaluating, and adjudicating a variety of insurance claims in accordance with company policies and service standards. The ideal candidate is someone who thrives in a fast-paced environment, communicates effectively, and strives to resolve claims at the first point of contact whenever possible.

What you will do:

• Review and process a variety of incoming claims to ensure accurate payment in line with policy terms and within agreed service timelines.
• Analyze claims using internal systems and policy documents to make well-informed adjudication decisions.
• Accurately document claim activity and decisions in company databases.
• Initiate and process stop payment requests and reissue payments as necessary.
• Place outbound calls to clients or service providers to gather missing information required to adjudicate claims.
• Respond to inbound calls and emails regarding claim inquiries, escalations, and general questions.
• Draft and send professional correspondence to clients, providers, or internal teams.
• Collaborate with cross-functional departments to resolve escalated concerns, ensuring issues are addressed promptly and professionally.
• Maintain claim reserves in accordance with internal guidelines.
• Familiarity with AI tools like ChatGPT and similar technologies can help enhance productivity and support innovative problem-solving in daily tasks.

What you will bring:

• Post-secondary education, with 6–12 months of experience in a similar claims processing or administrative role.
• Strong attention to detail and the ability to manage multiple tasks simultaneously.
• Solid judgment and confident decision-making skills.
• Excellent communication and customer service skills.
• Bilingual in French and English is highly preferred.

What we offer

• 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

82922 | Customer Services & Claims | Professional | [[filter11]] | Allianz Partners | Full-Time | Temporary

Allianz Partners is a world leader in B2B2C insurance and assistance, offering global solutions that span international health and life, travel insurance, automotive and assistance. Customer driven, our innovative experts are redefining insurance services by delivering future-ready, high-tech high-touch products and solutions that go beyond traditional insurance.

Our products are embedded seamlessly into our partners’ businesses or sold directly to customers and are available through four commercial brands: Allianz Assistance, Allianz Automotive, Allianz Travel and Allianz Care. Present in 75 countries, our 21,100 employees speak 70 languages, handle over 71 million cases each year, and are motivated to go the extra mile to offer peace of mind to our customers around the world.

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 matters, and nurtures a culture grounded in integrity, fairness, inclusion and trust.

We therefore welcome applications regardless of race, 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.

Great to have you on board. Let's care for tomorrow.