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Claims Processor Jobs in Baytown, TX (NOW HIRING)

Energy Capital Credit Union

Loan Processor

Houston, TX · On-site

$18 - $23.75/hr

Process and fund Premier Check loans, review and approve dealer drafts, and administer GAP claims in accordance with credit union policies and vendor requirements. Coordinate with dealerships ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Apache Industrial Services

Claims Manager

Houston, TX · On-site

Manages the COI process * Oversight of OCIP and CCIP insurance processes and timely claims reporting * Supports the renewal process by gathering and reporting incurred claims data for each line of ...

Apache Industrial Services

Claims Manager

Houston, TX · On-site

Manages the COI process * Oversight of OCIP and CCIP insurance processes and timely claims reporting * Supports the renewal process by gathering and reporting incurred claims data for each line of ...

Texas Children's Hospital

Claims Examiner

Bellaire, TX · On-site

In this position, you will process and adjudicate claims received for reimbursement to Providers based on extensive review, research, and a detailed format of claim processing procedures. Think you ...

Texas Children's Hospital

Claims Examiner

Bellaire, TX · On-site

In this position, you will process and adjudicate claims received for reimbursement to Providers based on extensive review, research, and a detailed format of claim processing procedures. Think you ...

Texas Children's Hospital

Claims Examiner

Bellaire, TX · On-site

In this position, you will process and adjudicate claims received for reimbursement to Providers based on extensive review, research, and a detailed format of claim processing procedures. Think you ...

Texas Children's Hospital

Claims Examiner

Bellaire, TX · On-site

In this position, you will process and adjudicate claims received for reimbursement to Providers based on extensive review, research, and a detailed format of claim processing procedures. Think you ...

ON.energy

Warranty Claims Coordinator

Houston, TX

Warranty Claims Coordinator Department: Operations Location: Houston, TX (Office-Based) Reports To ... Initiate and manage Return Merchandise Authorization (RMA) processes for defective or under ...

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All JobsClaims Processor JobsClaims Processor Jobs in Baytown, TX

Claims Processor information

See Baytown, TX salary details

$10

$17

$24

How much do claims processor jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for claims processor in Baytown, TX is $17.45, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $18.85 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 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.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that involves reviewing and verifying insurance claims. While it can involve tight deadlines and attention to detail, the level of stress varies depending on workload, workplace environment, and individual coping skills.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims 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.

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.

Do you need a degree to be a claims processor?

A claims processor typically does not need a college degree, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include attention to detail, communication, and familiarity with claims processing software, and some positions may offer on-the-job training or certification programs.

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.
More about Claims Processor jobs
What are the most commonly searched types of Claims Processor jobs in Baytown, TX? The most popular types of Claims Processor jobs in Baytown, TX are:
What are popular job titles related to Claims Processor jobs in Baytown, TX? For Claims Processor jobs in Baytown, TX, the most frequently searched job titles are:
What job categories do people searching Claims Processor jobs in Baytown, TX look for? The top searched job categories for Claims Processor jobs in Baytown, TX are:
What cities near Baytown, TX are hiring for Claims Processor jobs? Cities near Baytown, TX with the most Claims Processor job openings:
Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Baytown, TX as of August 2026, with employment types broken down into 1% Internship, 88% Full Time, 9% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $36,297 per year, or $17.5 per hour.

COB Claims Trainer - Remote

Gainwell Technologies LLC

Houston, TX • On-site

$47K - $67K/yr

Other

Medical, Life, Retirement, PTO

Posted 2 days ago

New

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 80 frontline employees who took The Breakroom Quiz

136th of 242 rated software companies

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
The COB Claims Trainer, Professional is responsible for developing, maintaining, and delivering technical training for Coordination of Benefits (COB), Medicaid Reclamation, commercial medical claims processing, appeals, auditing procedures, reimbursement methodologies, and related operational requirements. This position supports claims operations by ensuring employees understand complex requirements, apply procedures consistently, and complete accurate, compliant work.
This role requires strong technical claims knowledge, effective training and facilitation skills, sound judgment, and the ability to translate complex claims policies, operational procedures, quality findings, and research outcomes into practical training solutions for new and existing employees.
Your role in our mission
  • Develop, maintain, and deliver training programs covering Coordination of Benefits (COB), Medicaid Reclamation, commercial medical claims processing, appeals, auditing procedures, and reimbursement methodologies.
  • Facilitate virtual instructor-led training, onboarding programs, re courses, workshops, and one-on-one coaching sessions for new and existing employees.
  • Create and maintain training materials, job aids, process documentation, presentations, assessments, knowledge checks, and standard operating procedures.
  • Translate complex claims policies, procedures, and regulatory requirements into clear, practical learning solutions.
  • Evaluate learner performance through assessments, observations, and practical exercises, providing coaching and feedback to support success.
  • Partner with operations leaders, quality teams, auditors, and subject matter experts to identify training needs and ensure content reflects current business processes.
  • Analyze quality reviews, audit findings, and operational trends to identify knowledge gaps and develop targeted training solutions.
  • Research policy updates, reimbursement changes, system enhancements, and operational requirements to ensure training content remains current and accurate.
  • Update training programs based on changes to Medicaid regulations, client requirements, reimbursement guidelines, and internal processes.
  • Serve as a technical resource for employees and leaders regarding COB and Medicaid claims processing procedures.
  • Support continuous improvement initiatives by measuring training effectiveness and recommending enhancements to curriculum, delivery methods, and learning resources.
  • Perform other auxiliary functions as necessary to support departmental and operational needs.

What we're looking for
  • Significant professional experience as a medical claims examiner, claims auditor, claims processor, or subject matter expert within a healthcare claims environment.
  • Strong knowledge of Medicaid claims processing, Coordination of Benefits (COB), reimbursement methodologies, claims recovery, Medicaid reclamation, and related operational procedures.
  • 3+ years of documented experience in Medicaid reclamation processes, including overpayment identification, recovery efforts, reimbursement reconciliation, and compliance with Medicaid regulations.
  • Previous supervisory, team lead, coaching, training, or employee development experience, with the ability to develop technical training materials, process documentation, job aids, and standard operating procedures.
  • Excellent presentation, facilitation, communication, and interpersonal skills with the ability to effectively train, mentor, and coach employees in a virtual environment.

What you should expect in this role
  • Fully remote opportunity within the United States.
  • Standard Monday through Friday schedule, generally 8:00 a.m. to 5:00 p.m. Central Time, with flexibility to support training events as needed.
  • Frequent collaboration with claims operations, quality, audit, training, and leadership teams.
  • Delivery of virtual training, coaching sessions, assessments, and ongoing employee development activities.
  • Use of video conferencing, presentation technology, claims systems, workflow tools, and reporting resources to support learning and performance.
  • Opportunity to influence operational excellence by improving employee knowledge, accuracy, consistency, and compliance.
  • Work in a dynamic healthcare environment supporting Medicaid and commercial claims operations.
  • Compliance with all client, company, privacy, security, and healthcare program requirements.

The deadline to submit applications for this posting is August 14, 2026.
#LI-REMOTE #LI-JA1 #LI-CM1
The pay range for this position is $47,000.00 - $67,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

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Hours and flexibility

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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