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.
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, 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.
Please note this position is an onsite position at our Cambridge, ON office

What we offer:

Hourly base pay rate is $22.00 CAD.

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 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. 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

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.

1 Job im Bereich Provider Communication in Kanada

Operations Claims Examiner - Contract