The Bodily Injury Claims Adjuster must also comply with the Texas Department of Insurance Guidelines and remain in compliance, providing documentation through each step of the claims process.
The Bodily Injury Claims Adjuster must also comply with the Texas Department of Insurance Guidelines and remain in compliance, providing documentation through each step of the claims process.
Claims Examiner
San Antonio, TX · On-site
Key Responsibilities Claims Processing & Review Review healthcare claim submissions for completeness, accuracy, and compliance with established guidelines. Verify claim information and support ...
Claims Examiner
San Antonio, TX · On-site
Key Responsibilities Claims Processing & Review Review healthcare claim submissions for completeness, accuracy, and compliance with established guidelines. Verify claim information and support ...
The Assistant Manager of Claims Processing is responsible for managing a team of Claims Examiners for the day-to-day operations of claims. What Will You Be Doing: * MANAGING A TEAM OF CLAIMS ...
The Assistant Manager of Claims Processing is responsible for managing a team of Claims Examiners for the day-to-day operations of claims. What Will You Be Doing: * MANAGING A TEAM OF CLAIMS ...
The Assistant Manager of Claims Processing is responsible for managing a team of Claims Examiners for the day-to-day operations of claims. What Will You Be Doing: * MANAGING A TEAM OF CLAIMS ...
The Assistant Manager of Claims Processing is responsible for managing a team of Claims Examiners for the day-to-day operations of claims. What Will You Be Doing: * MANAGING A TEAM OF CLAIMS ...
Claims Assistant
Irving, TX · Remote
$13.08 - $22.89/hr
Process mail, handle files (until paperless), and input notes/diary entries in the claims system * Process payments, as needed * Process form letters, state forms and reports * Assist claims ...
Quick apply
Claims Assistant
Irving, TX · Remote
$13.08 - $22.89/hr
Process mail, handle files (until paperless), and input notes/diary entries in the claims system * Process payments, as needed * Process form letters, state forms and reports * Assist claims ...
The Assistant Manager of Claims Processing is responsible for managing a team of Claims Examiners for the day-to-day operations of claims. What Will You Be Doing: * MANAGING A TEAM OF CLAIMS ...
The Assistant Manager of Claims Processing is responsible for managing a team of Claims Examiners for the day-to-day operations of claims. What Will You Be Doing: * MANAGING A TEAM OF CLAIMS ...
Claims Auditor
$19.55 - $29.75/hr
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Claims Auditor
$19.55 - $29.75/hr
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Claims Auditor
San Antonio, TX · On-site
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
New
Claims Auditor
San Antonio, TX · On-site
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
New
Claims Auditor
$19.55 - $29.75/hr
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Claims Auditor
$19.55 - $29.75/hr
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
New
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
New
Claims Auditor
San Antonio, TX · On-site
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Claims Auditor
San Antonio, TX · On-site
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Claims Auditor
San Antonio, TX · On-site
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
New
Claims Auditor
San Antonio, TX · On-site
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
New
Claims Auditor
San Antonio, TX · On-site
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
New
Claims Auditor
San Antonio, TX · On-site
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
New
Claims Auditor
San Antonio, TX · On-site
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Claims Auditor
San Antonio, TX · On-site
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Claims Auditor
San Antonio, TX · On-site
$19.55 - $29.75/hr
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Claims Auditor
San Antonio, TX · On-site
$19.55 - $29.75/hr
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Claims Representative
Austin, TX · On-site
$21/hr
Process and update claims within internal systems * Move claims through the appropriate stages of review and approval * Maintain detailed and accurate records of all communications and claim activity
Quick apply
Claims Representative
Austin, TX · On-site
$21/hr
Process and update claims within internal systems * Move claims through the appropriate stages of review and approval * Maintain detailed and accurate records of all communications and claim activity
Claims Auditor
San Antonio, TX · On-site
$19.55 - $29.75/hr
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Claims Auditor
San Antonio, TX · On-site
$19.55 - $29.75/hr
Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid ...
Provide clear guidance to customers on next steps in the claims process. * Triage and classify claims based on severity, complexity, and urgency. * Assign or route claims to the appropriate adjusters ...
Provide clear guidance to customers on next steps in the claims process. * Triage and classify claims based on severity, complexity, and urgency. * Assign or route claims to the appropriate adjusters ...
Manager of Claims Processing
Irving, TX · On-site
The Manager of Claims Processing is accountable for achieving business results through the application of effective leadership and management processes with a special emphasis and focus on reviewing ...
Manager of Claims Processing
Irving, TX · On-site
The Manager of Claims Processing is accountable for achieving business results through the application of effective leadership and management processes with a special emphasis and focus on reviewing ...
Manager of Claims Processing
Irving, TX · On-site
The Manager of Claims Processing is accountable for achieving business results through the application of effective leadership and management processes with a special emphasis and focus on reviewing ...
Manager of Claims Processing
Irving, TX · On-site
The Manager of Claims Processing is accountable for achieving business results through the application of effective leadership and management processes with a special emphasis and focus on reviewing ...
Claims 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 claims processor jobs pay per hour?
As of Sep 6, 2026, the average hourly pay for claims 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 claims processor?
A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.
What does a claims processor do?
A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.
What are the key skills and qualifications needed to thrive as a claims processor?
To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.
What are some common challenges faced by claims processors, and how can they be managed effectively?
Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.
What is the difference between Claims Processor vs Claims Examiner?
| Aspect | Claims Processor | Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require certification | High school diploma; certification often preferred |
| Work Environment | Office setting, processing claims efficiently | Office setting, reviewing and approving claims |
| Employer & Industry Usage | Insurance companies, healthcare providers | Insurance companies, government agencies |
| Common Search & Comparison | Claims Processor vs Claims Examiner |
Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.
Do you need a degree to be a claims processor?
A degree is not typically required to become a claims processor, as most employers prioritize relevant skills such as attention to detail, communication, and familiarity with claims processing software. Many positions accept candidates with a high school diploma or equivalent, and on-the-job training is often provided. Certifications in claims or insurance can enhance job prospects but are not mandatory.
Is claims processing a stressful job?
Claims processing is often considered a routine administrative role that requires attention to detail and organizational skills. While it can involve handling high volumes of claims and meeting deadlines, stress levels vary depending on workload, workplace environment, and individual resilience. Proper training and time management can help mitigate stress in this job.
More about Claims Processor jobs
What are the most commonly searched types of Claims Processor jobs in Texas?
The most popular types of Claims Processor jobs in Texas are:
What are popular job titles related to Claims Processor jobs in Texas?
For Claims Processor jobs in Texas, the most frequently searched job titles are:
- Claims Representative Associate
- Part Time Insurance Claims Adjuster
- Dental Claims Examiner Remote
- Remote Medical Claims Processor
- Flexible Work From Home Medical Claims Processing
- Medical Examiner
- Remote Unemployment Claims Adjudication
- Work From Home Dental Claims Processor
- Entry Level Medical Claims Processor
- Freelance Construction Claims Consultant Part Time Temporary
What job categories do people searching Claims Processor jobs in Texas look for?
The top searched job categories for Claims Processor jobs in Texas are:
What cities in Texas are hiring for Claims Processor jobs?
Cities in Texas with the most Claims Processor job openings:
What are popular job titles related to Claims Processor jobs in TX?
For Claims Processor jobs in TX, the most frequently searched job titles are:
Full-time
Re-posted 19 days ago
Job description
Description:
The Bodily Injury Claims Adjuster primary focus will be to provide service to our customers through initiative communication, verification of coverage, establishing liability through investigation, evaluation of all damages and payment of only what is owed to protect the interests of the customer as provided within their assigned auto policy.
The Bodily Injury Claims Adjuster must also comply with the Texas Department of Insurance Guidelines and remain in compliance, providing documentation through each step of the claims process.
Position Responsibilities:
- Upon receipt, reviews each claim file to identify and establish a prompt investigation of coverage, liability, and damages.
- Oversee assigned claims in accordance with the policy contract, best internal practices, industry standard, Fair Claim Practices, regulatory guidelines, applicable case law, and jurisdictional requirements.
- Properly documents and manages all aspects of the file during the life of a claim (investigation, correspondence, negotiation, and settlement).
- Effectively negotiates the settlement of claims of varying complexity with little direction and more complex claims under the direction of their supervisor/manager.
- Achieves a prompt, fair and equitable settlement of a claim, where there is policy liability.
- Communicate timely and professionally with insureds, claimants, witnesses, attorneys, and other carriers via telephone and written correspondence to set expectations, explain rationale behind decisions made, and negotiate settlements as appropriate through resolution.
- Works within settlement authority; submits requests to management for authority to negotiate, settle, accept, or deny claims when appropriate.
- Investigates questions on coverage under a reservation of rights and advises the Underwriting Department of adverse findings.
- Ensures that claims payments are issued in a timely and accurate manner.
Education
- High School Diploma or equivalent required. Bachelor’s degree referred.
Experience
- Minimum of 2 to 5 years of auto bodily injury claim handling experience
- Texas Adjuster license required.
- Strong technical and administrative background in auto claims handling.
- Ability to work independently on technical and administrative matters in accordance with company policy and procedures.