Remote Claims Examiner – Detail-Driven, Bilingual

Firstsource Healthcare; Dallas (TX); Hybrid; USD 52,000 - 76,000; Full time

Job summary

Firstsource Healthcare in Dallas seeks a detail-oriented Claims Examiner to join our team. The role involves reviewing claims for eligibility, resolving discrepancies, and communicating with claimants and providers to expedite processing.

The ideal candidate has experience in claims examination, proficiency with claims management software, and strong attention to detail. This position supports a remote-friendly, fast-paced environment with focus on accuracy and compliance.

Qualifications

• Strong claims processing knowledge across health, auto, and property.
• Proficient with claims management software and tools.
• High attention to detail and accurate documentation.
• Excellent verbal and written communication.
• Ability to work independently and manage multiple priorities.
• Bilingual English/Spanish abilities.
• Maintain production and quality standards in a fast-paced setting.
• Adapt to regulatory changes in claims processing.

Responsibilities

• Review and analyze claims to determine eligibility and policy compliance.
• Investigate discrepancies in documentation and verify information.
• Communicate with claimants, providers, and internal teams to move claims forward.
• Maintain accurate records of claims activities per policy and regulations.
• Identify trends to suggest process improvements and efficiency gains.
• Provide training and mentorship to junior staff on processing best practices.
• Stay updated on industry regulations and claims processing standards.
• Assist in developing and implementing claims policies and procedures.

Skills

Claims processing

Software tools

Attention to detail

Communication

Independent work

Bilingual EN/ES

Fast-paced

Quality standards

Education

Experience in claims examination

Tools

Claims management software

Job description

Firstsource Healthcare in Dallas seeks a detail-oriented Claims Examiner to join our team. The role involves reviewing claims for eligibility, resolving discrepancies, and communicating with claimants and providers to expedite processing.

The ideal candidate has experience in claims examination, proficiency with claims management software, and strong attention to detail. This position supports a remote-friendly, fast-paced environment with focus on accuracy and compliance.