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Claims Processor Jobs in Conroe, TX (NOW HIRING)

MET Healthcare Solutions

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Medical Claims Eligibility Specialist II-Hybrid

Houston, TX · On-site

$23 - $25/hr

The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process in accordance with established ...

Markel Corporation

Manager, Construction Claims

Houston, TX · On-site

$97.52 - $134.09/hr

This position will be responsible for managing a team of claims examiners possessing varied ... Should you require any accommodation through the application process, please send an e-mail to the ...

New

Archgroup

Claims Examiner, General Liability

Houston, TX · Hybrid

$79K - $124K/yr

Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner, Casualty. In this role, the responsibilities include ...

Archgroup

Claims Examiner, General Liability

Houston, TX · Hybrid

$79K - $124K/yr

Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner, Casualty. In this role, the responsibilities include ...

Allstate Insurance

Field Auto Adjuster - Austin TX

Houston, TX · On-site

$47K - $61K/yr

As a Field Auto Adjuster, you will play a crucial role in our Auto claims handling process by writing estimates directly at customer homes, repair shops, or tow yards. Your job will involve a variety ...

TEEMA

Workers Compensation Claims Examiner

Houston, TX · On-site

$36 - $41/hr

Senior Workers' Compensation Claims Examiner (Texas Licensed ) We are seeking an experienced Workers' Compensation Claims Examiner to join a collaborative claims team handling complex indemnity ...

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All JobsClaims Processor JobsClaims Processor Jobs in Conroe, TX

Claims Processor information

See Conroe, TX salary details

$10

$16

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How much do claims processor jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for claims processor in Conroe, TX is $16.41, according to ZipRecruiter salary data. Most workers in this role earn between $13.99 and $17.69 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?

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.

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 Conroe, TX?

The most popular types of Claims Processor jobs in Conroe, TX are:

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For Claims Processor jobs in Conroe, TX, the most frequently searched job titles are:

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The top searched job categories for Claims Processor jobs in Conroe, TX are:

What cities near Conroe, TX are hiring for Claims Processor jobs?

Cities near Conroe, TX with the most Claims Processor job openings:

Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Conroe, TX as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 10% Part Time, and 6% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $34,128 per year, or $16.4 per hour.

Medical Claims Eligibility Specialist II-Hybrid

MET Healthcare Solutions

Houston, TX • On-site

$23 - $25/hr

Full-time

Medical, Retirement, PTO

Re-posted 19 days ago

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Job description

MET Healthcare Solutions is seeking a Medical Claims Eligibility Specialist II to join our fast-paced organization. The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process in accordance with established federal regulations and company policies and procedures.

Responsibilities of the Medical Claims Eligibility Specialist II may include but are not limited to:

· Analyze Explanation of Benefits (EOB) and payment remittance documents submitted by healthcare providers and insurance carriers to determine which level II claims are eligible for the dispute resolution process.

· Compose correspondence in accordance with regulatory requirements (and internal policies in procedures) in a clear, concise, and grammatically correct manner.

· Communicate (via email) with healthcare providers and health plans to obtain information necessary to determine the eligibility of the claims. 

·  Relay the status of all claim submissions utilizing multiple different operating systems.

· Stay up to date on industry specific regulations, ensuring that appropriate strategies are in place.

· Maintain electronic files for all claims determined eligible.

These responsibilities are a condensed list of the full scope of the job description and are subject to change depending on the company’s demand.

· Experience reviewing all types of medical claims, EOBs, and payment remittances (e.g. HCFA 1500, Outpatient/Inpatient UB92, Surgery, Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing).

· Understanding of insurance reimbursement rules.

· Ability to work at a high level and display high attention to detail.

· Ability to work across multiple operating systems.

· Ability to maintain confidentiality and professionalism in difficult situations.

· Strong written and verbal communication skills with the ability to explain reasoning effectively.

This Medical Claims Eligibility Specialist II position is offered as a hybrid position (after in office training) to those candidates that meet all the position requirements and continue to meet the daily expectations.

This is a full-time position, Monday-Friday from 8am-5pm. Please only apply if you are able to meet these requirements weekly.

Education:

  • Bachelor's (Required)

Experience:

  • Healthcare Claims Analysis: 2 years (Required)

License/Certification:

  • Billing and Coding Certification (Preferred)

Company Description

A healthcare management group, URAC-accredited as an independent review organization (IRO). Over 20 years of experience helping control costs, and mitigate regulatory compliance by providing superior administrative and medical expert services to improve the quality of healthcare functions nationwide. Making a difference in healthcare.