Claims Examiner
$14/hr
This position may work onsite or remotely from home. Physical Demands The physical demands ... About Firstsource Firstsource Solutions is a leading provider of customized Business Process ...
$14/hr
This position may work onsite or remotely from home. Physical Demands The physical demands ... About Firstsource Firstsource Solutions is a leading provider of customized Business Process ...
$14/hr
This position may work onsite or remotely from home. Physical Demands The physical demands ... About Firstsource Firstsource Solutions is a leading provider of customized Business Process ...
Salesforce Solutions Engineer - Work From Home This Salesforce Solutions Engineer opening is a hands-on role configuring objects/fields and building automations, but it is critical that candidates ...
Salesforce Solutions Engineer - Work From Home This Salesforce Solutions Engineer opening is a hands-on role configuring objects/fields and building automations, but it is critical that candidates ...
Salesforce Solutions Engineer - Work From Home This Salesforce Solutions Engineer opening is a hands-on role configuring objects/fields and building automations, but it is critical that candidates ...
Salesforce Solutions Engineer - Work From Home This Salesforce Solutions Engineer opening is a hands-on role configuring objects/fields and building automations, but it is critical that candidates ...
Belews Creek, NC · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Belews Creek, NC · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Hancock, MD · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Hancock, MD · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Dickson, TN · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Dickson, TN · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Prather, CA · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Prather, CA · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Deerfield, IL · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Deerfield, IL · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Mcconnelsville, OH · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Mcconnelsville, OH · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Paterson, NJ · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Paterson, NJ · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Ward, CO · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Ward, CO · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Bakersfield, CA · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Bakersfield, CA · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Houston, TX · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Houston, TX · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Burnet, TX · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Burnet, TX · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
River Edge, NJ · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
River Edge, NJ · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Paluxy, TX · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Paluxy, TX · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Renwick, IA · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Renwick, IA · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Goldsboro, NC · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Goldsboro, NC · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Orosi, CA · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Orosi, CA · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Estelline, TX · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
Estelline, TX · Remote
$25/hr
Have a desire to work from home * Looking to earn extra income Requirements * Access to a computer or smartphone * Have high-speed internet access * Follow instructions * Basic reading and writing ...
$7.21 - $12.48
4% of jobs
$12.48 - $17.74
18% of jobs
$18.57 is the 25th percentile. Wages below this are outliers.
$17.74 - $23.01
17% of jobs
The median wage is $25.64 / hr.
$23.01 - $28.28
21% of jobs
$33.36 is the 75th percentile. Wages above this are outliers.
$28.28 - $33.54
15% of jobs
$33.54 - $38.81
4% of jobs
$38.81 - $44.08
10% of jobs
$44.08 - $49.34
3% of jobs
$49.34 - $54.61
3% of jobs
$54.61 - $59.88
2% of jobs
$59.88 - $65.14
2% of jobs
$7
$30
$65
A typical day involves handling inbound or outbound customer interactions via phone, email, or chat, addressing concerns, answering questions, and ensuring a positive customer experience. You’ll be expected to follow scripts and company guidelines while utilizing various digital tools and systems to track and resolve customer issues. Team meetings and communication with supervisors are usually done virtually, allowing you to stay connected and informed. There may be set schedules or shift rotations, and adherence to metrics like response time and customer satisfaction is important. This structure supports both independent work and virtual collaboration, helping maintain a productive and supportive remote work environment.
To thrive as a Work From Home Firstsource Solutions representative, you typically need strong communication skills, a high school diploma or equivalent, and prior customer service or call center experience. Familiarity with CRM platforms, basic computer applications, and a reliable internet connection are often required. Time management, problem-solving abilities, and a customer-centric attitude help individuals excel in this position. These skills and qualities ensure effective remote support, high customer satisfaction, and efficient handling of inquiries or issues.
A Work From Home job at Firstsource Solutions allows employees to perform customer service, sales, or support roles remotely. These positions typically involve handling inbound and outbound calls, responding to customer inquiries, and providing solutions for clients. Employees need a reliable internet connection, a quiet workspace, and sometimes specific computer equipment. Firstsource provides training and support to ensure employees can effectively perform their roles from home.

$14/hr
Other
Posted 2 days ago
6.8
Based on 54 frontline employees who took The Breakroom Quiz
21st of 71 rated call and contact centers
Job Title: Claims Examiner - Remote
Pay Rate: $14/hr
Schedule: Monday-Friday 8.00am-4.30pm EST (possible overtime)
Job Type: Full Time
FLSA Status: Non-Exempt/Hourly
Grade: H2
Function/Department: Health Plan and Healthcare Services
Reporting to: Team Lead/Supervisor - Operations
Role Description: 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
Should have Excellent Analytical skills to review claims based on rules and workflows.
Need good comprehension skills to adjudicate claims as per Policies and Procedures.
Should be a complete team player
Key Performance Indicators:
Ensuring that the key Service Level Agreements are met consistently without any exceptions.
Achieve set Production goals.
Adherence to departmental and company rules and regulations.
Qualifications
The qualifications listed below are representative of the background, knowledge, skill, and/or ability required to perform their duties and responsibilities satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
Top of Form
Top of FormEducation
High School diploma or equivalent required
Competencies & Skills
Highly-motivated and success-driven
Exceptional verbal and written communication and interpersonal skills, including negotiation and active-listening skills
Exceptional analytical and problem-solving skills
Strong attention to detail with a commitment to accuracy
Ability to adapt to change in a dynamic fast-paced environment with fluctuating workloads
Basic mathematical skills
Intermediate typing skills
Basic computer skills
Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding, and HIPAA regulations preferred
Knowledge of insurance policies, regulations, and best practices preferred
Additional Qualifications
Ability to download 2-factor authentication application(s) on personal device, in accordance with company and/or client requirements
Ability to pass the required pre-employment background investigation, including but not limited to, criminal history, work authorization verification and drug test
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position may work onsite or remotely from home.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to regularly or frequently talk and hear, sit for prolonged periods, use hands and fingers to type, and use close vision to view and read from a computer screen and/or electronic device. Must be able to occasionally stand and walk, climb stairs, and lift equipment up to 25 pounds.
About Firstsource
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. We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our clientele includes Fortune 500 and FTSE 100 companies.
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.
Get the full story on Breakroom
Sourced by ZipRecruiter