POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered ...
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered ...
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered ...
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered ...
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered ...
Quick apply
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered ...
Claims Analyst
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered ...
Claims Analyst
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered ...
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Provide claims process guidance and support to field leadership and operational teams, including training on reporting procedures and documentation expectations * Participate in claim review meetings ...
Quick apply
Provide claims process guidance and support to field leadership and operational teams, including training on reporting procedures and documentation expectations * Participate in claim review meetings ...
Claims Analyst
Frisco, TX · On-site
Provide claims process guidance and support to field leadership and operational teams, including training on reporting procedures and documentation expectations * Participate in claim review meetings ...
Claims Analyst
Frisco, TX · On-site
Provide claims process guidance and support to field leadership and operational teams, including training on reporting procedures and documentation expectations * Participate in claim review meetings ...
Workers' Compensation Claim Representative
San Antonio, TX · On-site +1
$56K - $84K/yr
Our dynamic team of claim professionals provide superb customer service with the valuation ... License to process Property & Casualty Insurance. Continued employment with The Hartford is ...
Workers' Compensation Claim Representative
San Antonio, TX · On-site +1
$56K - $84K/yr
Our dynamic team of claim professionals provide superb customer service with the valuation ... License to process Property & Casualty Insurance. Continued employment with The Hartford is ...
Claims Examiner
San Antonio, TX · On-site
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Claims Examiner
San Antonio, TX · On-site
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Claims Examiner
San Antonio, TX · On-site
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Claims Examiner
San Antonio, TX · On-site
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Claims Examiner
San Antonio, TX · On-site
$19.05 - $26.75/hr
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Claims Examiner
San Antonio, TX · On-site
$19.05 - $26.75/hr
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Claims Analyst
Frisco, TX · On-site
Provide claims process guidance and support to field leadership and operational teams, including training on reporting procedures and documentation expectations * Participate in claim review meetings ...
Claims Analyst
Frisco, TX · On-site
Provide claims process guidance and support to field leadership and operational teams, including training on reporting procedures and documentation expectations * Participate in claim review meetings ...
Claims Examiner
San Antonio, TX · On-site
$18.75 - $24.25/hr
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Claims Examiner
San Antonio, TX · On-site
$18.75 - $24.25/hr
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Claims Examiner
$18.75 - $24.25/hr
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Claims Examiner
$18.75 - $24.25/hr
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Claims Examiner
San Antonio, TX · On-site
$18.75 - $24.25/hr
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Claims Examiner
San Antonio, TX · On-site
$18.75 - $24.25/hr
Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, ...
Medical Claim Analyst
Dallas, TX · Remote
$18 - $32/hr
A Medical Claims Analyst (MCA) i s responsible for the intake processing and triage of all initial claim documents in a high-volume environment. This includes but is not limited to referral ...
Medical Claim Analyst
Dallas, TX · Remote
$18 - $32/hr
A Medical Claims Analyst (MCA) i s responsible for the intake processing and triage of all initial claim documents in a high-volume environment. This includes but is not limited to referral ...
Workers' Compensation Claim Team Leader
San Antonio, TX · On-site +1
$86K - $129K/yr
Manage claim assignment process by identifying claim complexity and ensuring proper assigning to the appropriate claim handler * Oversee the completion and execution of the investigation, disposition ...
Workers' Compensation Claim Team Leader
San Antonio, TX · On-site +1
$86K - $129K/yr
Manage claim assignment process by identifying claim complexity and ensuring proper assigning to the appropriate claim handler * Oversee the completion and execution of the investigation, disposition ...
Manage the litigation process to retain, monitor, and manage outside counsel, assisting in the discovery process, and attend legal proceedings as needed. * Manage claim recoveries when appropriate ...
New
Manage the litigation process to retain, monitor, and manage outside counsel, assisting in the discovery process, and attend legal proceedings as needed. * Manage claim recoveries when appropriate ...
New
We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees ...
We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees ...
Claim Processor information
See Texas salary details
$11.20 - $12.42
2% of jobs
$12.42 - $13.64
6% of jobs
$13.64 - $14.86
9% of jobs
$15.50 is the 25th percentile. Wages below this are outliers.
$14.86 - $16.08
14% of jobs
$16.08 - $17.31
18% of jobs
The median wage is $17.34 / hr.
$17.31 - $18.53
17% of jobs
$19.20 is the 75th percentile. Wages above this are outliers.
$18.53 - $19.75
16% of jobs
$19.75 - $20.97
7% of jobs
$20.97 - $22.19
4% of jobs
$22.19 - $23.41
4% of jobs
$23.41 - $24.64
2% of jobs
$11
$17
$24
How much do claim processor jobs pay per hour?
As of Aug 13, 2026, the average hourly pay for claim processor in Texas is $17.86, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $19.28 per hour, depending on experience, location, and employer.
What is a claim processor?
A Claim Processor is a professional who reviews and handles insurance claims submitted by policyholders or healthcare providers. Their main responsibilities include verifying the accuracy of claim information, ensuring all required documentation is provided, and determining whether a claim is valid under the policy terms. Claim Processors work with various types of insurance, such as health, auto, or property, and play a crucial role in ensuring timely and accurate payments. They may also communicate with customers, providers, and adjusters to resolve any discrepancies or additional information requests.
What do you need to be a claim processor?
To become a claim processor, candidates typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Experience with insurance policies, claims processing software, or customer service can be beneficial, and some employers may require familiarity with specific tools or certifications related to insurance or claims management.
Is it hard to be a claim processor?
Claim processing is a detail-oriented job that requires strong organizational skills, attention to accuracy, and familiarity with claims management software. The difficulty can vary based on workload, complexity of claims, and experience level, but it generally involves routine tasks with some need for problem-solving and communication skills.
What are some typical challenges a claim processor might face in their daily work?
Claim Processors often handle high volumes of paperwork and data entry, which can be challenging when ensuring accuracy and meeting tight deadlines. They may also need to interpret complex policy details or resolve discrepancies in submitted claims, requiring strong attention to detail and problem-solving skills. Additionally, Claim Processors frequently interact with policyholders, healthcare providers, or other internal teams, so effective communication and the ability to manage stressful situations professionally are important for success.
What is the difference between Claim Processor vs Claims Examiner?
| Aspect | Claim Processor | Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require insurance certifications | High school diploma; insurance certifications preferred |
| Work Environment | Office settings, insurance companies, healthcare providers | Office settings, insurance companies, healthcare providers |
| Employer & Industry Usage | Insurance companies, healthcare providers, third-party administrators | Insurance companies, third-party administrators, government agencies |
| Job Focus | Processing insurance claims, data entry, verifying information | Reviewing claims for accuracy, compliance, and coverage decisions |
While both Claim Processors and Claims Examiners work within the insurance industry handling claims, Claim Processors primarily focus on data entry and initial processing of claims. Claims Examiners review claims for accuracy and compliance, making decisions on claim approval or denial. The roles often overlap, but Claims Examiners typically require more experience or certifications and perform more in-depth analysis.
What are the key skills and qualifications needed to thrive as a claim processor, and why are they important?
To thrive as a Claim Processor, you need strong attention to detail, analytical skills, and a basic understanding of insurance policies, usually supported by a high school diploma or equivalent. Familiarity with claims management software, data entry systems, and sometimes certification such as AIC (Associate in Claims) is common. Excellent organizational skills, clear communication, and the ability to handle sensitive information with discretion help individuals excel in this role. These skills ensure accurate and timely processing of claims, minimize errors, and maintain customer satisfaction and regulatory compliance.
What are the most commonly searched types of Claim Processor jobs in Texas?
The most popular types of Claim Processor jobs in Texas are:
Full-time
Re-posted 28 days ago
Job description
POSITION SUMMARY/RESPONSIBILITIES
Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication. Perform in accordance with company standards and policies. Promote harmonious relationships within own department, with other departments and within CFHP. Operate under limited supervision.
EDUCATION/EXPERIENCE
High school diploma or GED equivalent is required. Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.