A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications. The claims examiner should also route the claim to different department or provider / member for any missing information that required for claims adjudication. The claims need to be completed adhering to required TAT and quality SLA.
Key Responsibilities:
Key Performance Indicators:
Qualifications:
High School diploma or equivalent required.
Competencies & Skills:
Additional Qualifications:
Work Environment:
This position may work onsite or remotely from home.
Physical Demands:
Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law. Firstsource also takes Affirmative Action to ensure that minority group individuals, females, protected veterans, and qualified disabled persons are introduced into our workforce and considered for employment and advancement opportunities.
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.
Claims Examiner • Dallas, TX, United States
Claims Adjustment SupportProvides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... Show more
Complex Construction Claims Team PositionLiberty Mutual has an immediate opening for an experienced claims professional to join our Complex Construction Claims Team within the Specialized Claims gr... Show more
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us.If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.... Show more
NTT Data Services is Hiring!Grade 3 - HC & Insurance Operations Sr RepPosition's OverviewAt NTT DATA, we know that with the right people on board, anything is possible.The quality, integrity, a... Show more
Claims Adjuster IBluefire is part of the Confie family of insurance companies.At Bluefire, our employees enjoy a positive, dynamic, inclusive, and collaborative workplace where performance is rewar... Show more
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.Every day we honor our iconic brand by offering quality coverage to millions of customers and being the... Show more
Amtrust Financial Services, a fast growing commercial insurance company, has a need for a Workers' Compensation Team Lead.The WC Team Lead works with the Claim Adjusters to manage and ensure the Wo... Show more
At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate.You'll be backed by our digital ecosystem: a ... Show more
Old Republic Bitco is seeking a Senior Claims Specialist to join our regional office located in Dallas TX.This position is open to a hybrid work arrangement, blending flexibility with meaningful in... Show more
Claims Specialist (Floater)The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority t... Show more
Supervises and directs the activities of Claims Representatives in the investigation and settlement of claims to assure prompt, efficient and fair claims services.Major duties and responsibilities ... Show more
Employment Practices Liability Claims ProfessionalThis is not your average Claims role.When you think of a job handling insurance claims, you may think about storm damage or auto accidents.Or maybe... Show more
Claims InvestigatorInvestigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision.Works within established authority on moderate-to-difficult claims.Re... Show more
Claims CoordinatorThe Claims Coordinator is responsible for reviewing, validating, and correcting claims before they are submitted to insurance payers.This role ensures the accuracy and completenes... Show more
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.Every day we honor our iconic brand by offering quality coverage to millions of customers and being the... Show more
Join Starr, a global leader in commercial insurance with over a century of expertise.We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide... Show more
Claims Auditor Commercial Insurance IndustryThis position is responsible for reviewing and evaluating closed and open claim files against our Claims Handling Guidelines or Best Practices to ensure ... Show more
Come join one of America's fastest-growing insurance companies.Since 1848, National Life Group has aimed to keep our promises, providing families with stability in good times and in bad.Throughout ... Show more
Manages complex, high exposure claims and lawsuits arising out of Dallas Area Rapid Transit operations to obtain the most cost effective and beneficial outcome.Five (5) years related experience in ... Show more
Kemper is one of the nation's leading specialized insurers.Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every d... Show more
