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Claims Processor Jobs in Houston, TX (NOW HIRING)

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Claims Advocate

Houston, TX · Remote

$78K - $95K/yr

Analyze claims for accuracy, completeness and eligibility, prepare and maintain reports and process payments. The Claims Advocate will have responsibilities in these areas subject to standards of ...

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Will be responsible for customer service calls and processing claims. Will investigate and reviews customer claims and order discrepancies, research warehouse and delivery records, checks inventory ...

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

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes ... Knowledge of statistical process control desirable.

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

Showing results 21-40

Claims Processor information

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How much do claims processor jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for claims processor in Houston, TX is $18.30, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $19.76 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.

What job categories do people searching Claims Processor jobs in Houston, TX look for?

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

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

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

Infographic showing various Claims Processor job openings in Houston, TX as of August 2026, with employment types broken down into 1% Internship, 91% Full Time, 6% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $38,068 per year, or $18.3 per hour.

Senior Claims Specialist - Healthcare Professional Liability - Long Term Care

Gallagher

Houston, TX • On-site, Remote

$150K/yr

Full-time

Posted 20 days ago


Arthur J. Gallagher & Co. rating

7.6

Company rating: 7.6 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

211th of 309 rated insurance


Job description

Introduction
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Overview

Salary: Salary can go up to $150,000 per year, dependent upon experience

Jurisdictions: Open to any

Licenses: Must be willing to obtain all licenses as required by the manager within a specified timeframe

Location: This role is eligible for fully remote work

The Senior Claims Specialist within GB Specialty is responsible for managing moderately complex Healthcare Professional Liability - Long Term Care claims. This role manages the full claim life cycle, including coverage analysis, investigation, evaluation, and resolution, while ensuring claims are handled in accordance with client expectations, policy obligations, and regulatory requirements.

How you'll make an impact
  • Analyzes coverage and settles moderately complex claims in Healthcare Professional Liability. 
  • Generally, incumbent does not work on workers’ compensation claims.
  • Able to manage the full-life cycle of all assigned claims files.
  • Analyzes coverage and determines defense obligations.
  • Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.
  • Creates reservation of rights and coverage denial letters.
  • Negotiates settlements with clients, client attorneys, and Public Adjusters.
  • Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary.
  • Prepares reserve and settlement authority requests for client and carrier approval.
  • May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.
  • Has a solid understanding of claims processing and the insurance brokerage business.
  • Has a basic understanding of the terminology and case law associated with medicine professional liability claims.
  • Handles claims consistent with clients’ and corporate policies, procedures and best practices and in accordance with statutory, regulatory, and ethical requirements.
  • Incumbents at this level should be able to work at full caseload capacity

About You

Required:

  • Bachelor's Degree and 5+ years related claims experience required.
  • Prior experience working within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues.
  • Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.
  • Knowledge of accepted industry standards and practices.
  • Computer experience with related claims and business software.

Preferred:

  • JD Highly Preferred
  • Licensed Attorney highly preferred.
  • 2+ years of prior experience adjusting claims in Healthcare professional Liability - Long Term Care, Medical Malpractice.  

Behaviors:

  • Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
  • Analytical skill necessary to make decisions and resolve issues inherent in handling of claims.
  • Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.

#LI-DF1

#GBSpecialtyCareers


Compensation and benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

  • Competitive compensation
  • Comprehensive benefits programs designed to support your well-being 
  • Career development opportunities and ongoing learning 
  • A collaborative, people-first culture with accessible leadership 
  • The opportunity to do meaningful work with global reach and local impact 

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)

Qualifications:

Required:

  • Bachelor's Degree and 5+ years related claims experience required.
  • Prior experience working within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues.
  • Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.
  • Knowledge of accepted industry standards and practices.
  • Computer experience with related claims and business software.

Preferred:

  • JD Highly Preferred
  • Licensed Attorney highly preferred.
  • 2+ years of prior experience adjusting claims in Healthcare professional Liability - Long Term Care, Medical Malpractice.  

Behaviors:

  • Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
  • Analytical skill necessary to make decisions and resolve issues inherent in handling of claims.
  • Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.

#LI-DF1

#GBSpecialtyCareers

Education:UNAVAILABLEEmployment Type: FULL_TIME

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