Claims Examiner

Allianz Partners; Lakeland (FL); On-site; USD 22,000 - 31,000; Full time

Job summary

Allianz Partners is seeking a Claims Examiner to review and adjudicate submitted claims, determine coverage, and calculate eligible benefits. The role involves communicating outcomes to customers by letter, email, or phone, and responding to inquiries while maintaining accurate documentation in PeopleSoft.

Collaboration with internal teams helps verify missing information and resolve issues. The position emphasizes accuracy, attention to detail, and the ability to work both independently and

Qualifications

• Requires a high school diploma or equivalent.
• Strong attention to detail and organizational skills.
• Excellent written and verbal communication abilities.

Responsibilities

• Review submitted claims to identify incident and determine coverage.
• Approve or deny claims per policy terms and calculate eligible benefits.
• Notify customers of outcomes by letter, email, or phone.
• Respond to inquiries regarding claim status, documentation, or information.
• Document claims accurately in PeopleSoft and follow guidelines.
• Investigate inconsistencies and escalate complex claims to leadership.

Skills

Attention to detail

Communication

Teamwork

Education

High school diploma or equivalent

Tools

PeopleSoft

Job description

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.

What You Will Do

• 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 elevate 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.

What You Will Bring

• High school diploma or equivalent required.
• A strong desire to learn, grow, and build a long-term career with us.
• 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 both 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 to be considered.

Annualized base pay is $19.25 per hour

Actual base pay may vary based upon factors such as relevant experience, qualifications, internal equity of peers, and geographic location. Employees may also qualify for performance-based bonuses, merit increases, and other incentives based on individual and company performance. The availability and amount of these additional compensation elements are determined by company policy and may vary.

Our employees play an integral part in our success as a business. We appreciate that each of our employees is 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. We offer a comprehensive benefits package that includes health, dental, and vision insurance, retirement savings plans, paid time off, and other employee programs. Eligibility for benefits is subject to plan terms and conditions and may vary based on position and/or employment status.

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.

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 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.

Join us. Let's care for tomorrow.