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Claims Processor Jobs in Frisco, TX (NOW HIRING)

Magellan Health, Inc.

Claims Processor I

Frisco, TX · On-site

$34K - $51K/yr

Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements. * Adjudicates claims and ...

CorVel Enterprise Claims, Inc.

Claims Assistant

Dallas, 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 ...

Komodo Claims US

Claims Specialist II

Dallas, TX · Remote

$65K - $68K/yr

Find out more about our history, values, hiring process and more here. The role As a Claim Specialist II, working with our Komodo Claims Brand you will play a crucial role in handling and resolving ...

Sigma Systems, Inc.

Claims Examiner

Irving, TX

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 ...

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All JobsClaims Processor JobsClaims Processor Jobs in Frisco, TX

Claims Processor information

See Frisco, TX salary details

$11

$17

$24

How much do claims processor jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for claims processor in Frisco, TX is $17.94, according to ZipRecruiter salary data. Most workers in this role earn between $15.29 and $19.33 per hour, depending on experience, location, and employer.

What jobs pay 500,000 a year in the US?

Claims processors typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, or ownership of a business. Most claims processing roles have salaries well below this threshold.

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.

Is claim adjusting a dying field?

Claims processing is a stable field that involves reviewing and settling insurance claims, often requiring attention to detail and knowledge of insurance policies. While automation and AI tools are increasingly used to streamline tasks, the need for human claims adjusters remains, especially for complex cases and customer interactions.

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 role of a claims processor?

A claims processor reviews and evaluates insurance claims to determine their validity and the appropriate payout. They verify information, ensure compliance with policies, and process payments using claims management software, often working within strict deadlines. Attention to detail and knowledge of insurance policies are essential for 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.

What are the key skills and qualifications needed to thrive as a Claims Processor, and why are they important?

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 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 Frisco, TX? The most popular types of Claims Processor jobs in Frisco, TX are:
What are popular job titles related to Claims Processor jobs in Frisco, TX? For Claims Processor jobs in Frisco, TX, the most frequently searched job titles are:
What job categories do people searching Claims Processor jobs in Frisco, TX look for? The top searched job categories for Claims Processor jobs in Frisco, TX are:
What cities near Frisco, TX are hiring for Claims Processor jobs? Cities near Frisco, TX with the most Claims Processor job openings:
Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Frisco, TX as of July 2026, with employment types broken down into 87% Full Time, 10% Part Time, and 3% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $37,310 per year, or $17.9 per hour.

Claims Processor I

Magellan Health, Inc.

Frisco, TX • On-site

$34K - $51K/yr

Full-time

Medical, Life

Posted 9 days ago

Job description

Responsible and accountable for the accurate and timely processing of all claims. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements.
  • Adjudicates claims and adjustments as required.
  • Resolves claims edits and suspended claims.
  • Maintains and updates required reference materials to adjudicate claims.
  • Provides backup support to other team/group members in the performance of job duties as assigned.

The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.
Other Job Requirements
Responsibilities
Ability to quickly use a 10-key machine.
Experience with list of ICD-9 codes and Current Procedural Terminology (CPT).
General Job Information
Title
Claims Processor I
Grade
18
Work Experience - Required
Claims
Work Experience - Preferred
Education - Required
GED, High School
Education - Preferred
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$34,295
Salary Maximum:
$51,445
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

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