Remote Claims Examiner - Detail-Oriented & Fast-Paced

Firstsource Solutions Limited; United States; Remote; USD 28,000 - 39,000; Full time

Job summary

Firstsource Solutions Limited seeks a detail-oriented Claims Examiner for our Dallas area role with remote work after training. You will review claims, verify documentation, and ensure policy compliance while communicating with claimants, providers, and internal teams to move cases forward efficiently.

The ideal candidate has 1–2 years in claims examination, strong attention to detail, and fluency in English and Spanish.

Qualifications

• 1-2 years of experience in claims examination or related role.
• Strong knowledge of claims processing and policy guidelines.
• Bilingual English/Spanish is required or preferred.

Responsibilities

• Review and analyze claims submissions for eligibility and policy compliance.
• Investigate discrepancies in claims documentation and verify information.
• Communicate with claimants, providers, and teams to facilitate claims processing.
• Maintain accurate records of claims activities per company policies.
• Identify patterns to suggest process improvements and efficiency gains.
• Provide training to junior staff on claims processing practices.
• Stay updated on industry regulations and changes in processing standards.
• Assist in developing and implementing claims policies and procedures.

Skills

Claims processing

Claims software

Attention to detail

Communication

Bilingual English/Spanish

Independent work

Production quality standards

Education

Experience in claims examination

Tools

Claims management software

Job description

Firstsource Solutions Limited seeks a detail-oriented Claims Examiner for our Dallas area role with remote work after training. You will review claims, verify documentation, and ensure policy compliance while communicating with claimants, providers, and internal teams to move cases forward efficiently.

The ideal candidate has 1–2 years in claims examination, strong attention to detail, and fluency in English and Spanish.