Firstsource
Claims Examiner
United States · Full-time · Posted Oct 21, 2026
- Experience
- Minimum of 1–2 years in claims examination or a related role.
About the job
Examines and processes claims by assessing eligibility, resolving documentation issues, and maintaining accurate records.
What you'll do
- Review claims for eligibility and compliance, investigate discrepancies, and verify documentation.
- Communicate with claimants, providers, and internal teams; maintain accurate records of claims decisions.
- Identify trends to recommend process improvements and help train junior staff and develop claims procedures.
What they ask for
- Strong knowledge of claims processing and claims types such as health, auto, or property.
- Proficiency in claims management software and tools.
- Bilingual in English and Spanish.
- Ability to work independently, manage multiple priorities, and meet production and quality standards.
Nice to have
- Familiarity with regulatory compliance related to claims processing.
- Knowledge of data analysis tools and techniques.
Tools
claims management software
Model-written summary · the original posting is authoritative