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Associate In Claims Jobs in Dallas, TX (NOW HIRING)

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for: • Processing of Professional claim ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for: • Processing of Professional claim ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for: Processing of Professional claim forms ...

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All JobsAssociate In Claims JobsAssociate In Claims Jobs in Dallas, TX

Associate In Claims information

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How much do associate in claims jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for associate in claims in Dallas, TX is $20.77, according to ZipRecruiter salary data. Most workers in this role earn between $16.88 and $22.84 per hour, depending on experience, location, and employer.

What is an associate in claims?

An Associate in Claims (AIC) is a professional designation awarded by The Institutes to individuals who have demonstrated expertise in handling insurance claims. The designation is achieved by completing a series of courses and exams focused on claims investigation, evaluation, negotiation, and settlement. Earning an AIC can enhance a claims professional's knowledge, credibility, and career advancement opportunities within the insurance industry.

What skills and qualifications are needed to thrive as an associate in claims?

To thrive as an Associate In Claims, you need a solid understanding of insurance principles, claim investigation, and policy analysis, often supported by an AIC designation or similar qualification. Familiarity with claims management systems, documentation tools, and relevant regulatory software is typically required. Strong analytical thinking, negotiation, and customer service skills help you resolve claims efficiently and build trust with policyholders. These competencies are essential for accurate claim handling, regulatory compliance, and maintaining company reputation.

What are common challenges faced by an associate in claims, and how can they be overcome?

Associates in Claims often encounter challenges such as handling high volumes of claims, managing tight deadlines, and communicating effectively with policyholders who may be upset or stressed. To overcome these challenges, strong organizational skills and the ability to prioritize tasks are essential. Additionally, developing effective communication and conflict resolution techniques helps build trust with clients and resolve disputes more efficiently. Regular collaboration with senior adjusters and ongoing training can also support professional growth and improve problem-solving abilities.

What is the difference between Associate In Claims vs Claims Adjuster?

AspectAssociate In ClaimsClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licenses or certificationsHigh school diploma; licensing often required depending on state and claim type
Work EnvironmentOffice setting, administrative tasks, team collaborationField or office; inspecting damages, interviewing claimants, assessing damages
Industry UsageInsurance companies, claims departmentsInsurance companies, third-party claims firms
Common Search/ComparisonAssociate In Claims vs Claims Adjuster

The main difference between Associate In Claims and Claims Adjuster lies in their roles and responsibilities. An Associate In Claims typically supports claims processing, handles administrative tasks, and may be in training or entry-level positions. Claims Adjusters, on the other hand, actively investigate and evaluate claims, often inspecting damages and negotiating settlements. Both roles require similar credentials and work within insurance environments, but Claims Adjusters have more direct involvement in claim resolution.

Is being an Associate In Claims hard?

Being an Associate In Claims can be challenging as it requires strong attention to detail, good communication skills, and the ability to analyze policies and claims accurately. The role often involves handling complex cases, working under deadlines, and using claims management software, which can be demanding for some individuals.

What are popular job titles related to Associate In Claims jobs in Dallas, TX?

For Associate In Claims jobs in Dallas, TX, the most frequently searched job titles are:

What job categories do people searching Associate In Claims jobs in Dallas, TX look for?

The top searched job categories for Associate In Claims jobs in Dallas, TX are:

What cities near Dallas, TX are hiring for Associate In Claims jobs?

Cities near Dallas, TX with the most Associate In Claims job openings:

Associate In Claims jobs near you

Claims Examiner Senior - Health Plan Admin

CHRISTUS Health

Irving, TX • On-site

Full-time

Re-posted 10 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 531 frontline employees who took The Breakroom Quiz

531st of 888 rated healthcare providers

Job description

Summary:
The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.
Responsibilities:
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Analyze medical claim information and take appropriate action for payment resolution in accordance with policies and procedures, desktops, processing guidelines, and federal regulations.
  • Process medical claims submitted on CMS-1500 and CMS-1450/UB-04 claim forms from facilities, physicians, Home Health, Durable Medical Equipment providers, laboratories, etc.
  • Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
  • Process provider refunds, reconsiderations, and direct member reimbursements.
  • Process medical claim adjustments, recovery of claim overpayments, and execution of claim batch adjudication.
  • Solve moderately complex claims and escalate issues to the Claims Team Lead, Supervisor or Manager.
  • Assist with database improvements and testing for system upgrades, conversions, or implementation of new processes.
  • Serves as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management.
  • Sets high standards of performance and promotes teamwork to achieve established team goals, while maintaining a positive, professional attitude.
  • Contacting/responding to internal and external customers for resolution on claim issues.
  • Assist claims leadership to identify claim trends, gaps in workflow and create/update desktops and policies and procedures.
  • Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals.
  • Must be able to organize and prioritize work to meet deadlines.
  • Have good judgment, initiative, and problem-solving abilities.
  • Attention to detail is critical to ensure timely and accurate processing of claims.
  • Consistently meet established productivity and quality standards.
  • Follow CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
  • Performs other duties as assigned by management to support claims functions, which are focused on achieving both departmental and organizational objectives.
  • Must be knowledgeable about medical terminology, CPT, HCPCS, ICD-10, Revenue Codes, CMS-1500 and CMS-1450/UB-04 claim forms and reimbursement methodologies.
  • Must have excellent written, verbal, organizational and interpersonal communication skills.
  • Must be proficient in Microsoft Office, Power Point, Excel, Word, Outlook, spreadsheet, and database skills.

Job Requirements:
Education/Skills
  • Associate's degree or equivalent job-related experience required.

Experience
  • Minimum of 3 years' experience processing medical claims in the healthcare industry.
  • Prior experience working with managed care, Medicare, Medicare Advantage, Health Exchange, and TRICARE are highly desirable.

Licenses, Registrations, or Certifications
  • None required.

Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time

What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

CHRISTUS Health logo

About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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