Insurance Claims Analyst — Precision & Impact

Firstsource; Northern (KY); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Firstsource is seeking a Claims Examiner to review insurance claims, verify documentation, and ensure adherence to policy terms in a fast-paced healthcare services environment. The role emphasizes accuracy, communication with claimants, and collaboration with teams to determine settlements.

The ideal candidate has 6–12 months of medical/dental claims processing experience, strong analytical skills, and a solid understanding of HIPAA and related coding concepts.

Qualifications

• High School diploma or GED required.
• Minimum 6–12 months of medical/dental claims processing experience.
• Ability to read and interpret general business correspondence, procedure manuals and plan documents.

Responsibilities

• Review insurance claims to assess validity, completeness, and policy adherence.
• Collect and analyze medical records, accident reports, and policy information.
• Ensure claims processing aligns with policies and regulatory requirements.
• Conduct investigations and interact with claimants, witnesses, and field experts.
• Communicate status and requested information to claimants and policyholders.
• Provide timely recommendations for claims approval, denial, or settlement negotiations.

Skills

Analytical skills

Problem-solving

Communication skills

Negotiation

Attention to detail

Education

High School diploma or GED

Tools

Claims processing software

PC applications

Job description

Firstsource is seeking a Claims Examiner to review insurance claims, verify documentation, and ensure adherence to policy terms in a fast-paced healthcare services environment. The role emphasizes accuracy, communication with claimants, and collaboration with teams to determine settlements.

The ideal candidate has 6–12 months of medical/dental claims processing experience, strong analytical skills, and a solid understanding of HIPAA and related coding concepts.