This is a work-from-home medical claims role with a clear start date and straight hourly pay. You’ll review medical insurance claims for validity, completeness, and policy coverage, then approve, deny, or route for more info while keeping everything compliant and well-documented.
About Firstsource
Firstsource Solutions provides business process services for major brands across industries including healthcare and insurance. This role supports health plan and healthcare services operations, helping claims move accurately and efficiently from intake to decision.
Schedule
• Full-time, hourly (Non-Exempt)
• Start date: January 19, 2026
• Remote (role notes it may be onsite or remote, but listing is Remote U.S.)
• Must be able to use 2-factor authentication apps on a personal device
What You’ll Do
⦁ Review medical insurance claims for validity, completeness, and compliance with policy terms
⦁ Collect and analyze documentation (medical records, reports, policy details)
⦁ Confirm processing aligns with company policies and regulatory requirements
⦁ Investigate claims when needed by contacting claimants or coordinating with experts
⦁ Determine coverage, liability, and benefit amounts based on policy rules
⦁ Evaluate loss/damage and determine appropriate settlement amounts
⦁ Communicate with claimants and stakeholders to request info and provide updates
⦁ Recommend approval, denial, or negotiation and push for timely processing
⦁ Maintain clean, organized claim files and records
⦁ Provide strong customer service and respond to inquiries
⦁ Track trends and submit reports on claim status, errors, and patterns
⦁ Stay current on regulations and claims best practices
What You Need
⦁ High school diploma or equivalent (required)
⦁ Medical claims processing experience (required), including claims software/tools
⦁ Strong attention to detail, accuracy, and steady productivity
⦁ Communication skills (including negotiation and active listening)
⦁ Analytical and problem-solving ability in a fast-moving environment
⦁ Basic math and intermediate typing skills
⦁ Basic computer skills
⦁ Preferred: medical terminology, ICD-9/ICD-10, CPT, HCPCS, HIPAA; knowledge of insurance regs and best practices
⦁ Ability to pass background check, work authorization verification, drug test
Benefits
⦁ 401(k) and 401(k) matching
⦁ Health, dental, vision insurance
⦁ Flexible spending account (FSA)
⦁ Paid time off
⦁ Employee assistance program
⦁ Life insurance
⦁ Referral program
Backbone moment: $16/hour is on the low end for claims examiners if you already have legit claims processing experience. If you’re using this as a “get in the door” move, fine. But if you’re experienced, you should be applying to higher bands too, not just this.
Happy Hunting,
~Two Chicks…