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Claims Processor Jobs in Humble, TX (NOW HIRING)

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 Specialist

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 ...

Ccfs

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.

jbpco

Risk Manager - Claims

Houston, TX · On-site

Reporting to the JBPCO Claims Manager, the Claims Manager will be responsible for driving optimum ... processing and resolution. - Oversee return-to-work programs to facilitate the prompt and safe ...

ON.energy

Warranty Claims Specialist

Houston, TX · On-site

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

JB Poindexter Company

Risk Manager - Claims

Houston, TX · On-site

$120 - $180/hr

Workers' Compensation Management - Oversee and manage all workers' compensation claims, ensuring timely processing and resolution. - Oversee return‑to‑work programs to facilitate the prompt and ...

New

Elementia

Warranty Claims Specialist

Houston, TX · On-site

$50K - $58K/yr

Position Summary The Warranty Claims Specialist administers product warranty claims from initial ... claim process. Maintain accurate and complete electronic claim files, status notes, financial ...

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All JobsClaims Processor JobsClaims Processor Jobs in Humble, TX

Claims Processor information

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How much do claims processor jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for claims processor in Humble, TX is $16.55, according to ZipRecruiter salary data. Most workers in this role earn between $14.13 and $17.84 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.
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Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Humble, TX as of August 2026, with employment types broken down into 1% Internship, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 79% Physical, 5% Hybrid, and 16% Remote job distribution, with an average salary of $34,422 per year, or $16.5 per hour.

Claims Examiner

Texas Children's Hospital

Bellaire, TX • On-site

Full-time

Re-posted 6 days ago

Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 177 frontline employees who took The Breakroom Quiz

85th of 1,065 rated hospitals

Job description


We are looking for a Claims Examiner, someone who's ready to grow with our company. 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've got what it takes?
Job Duties & Responsibilities
• Adjudicate claims received into processing system.
• Thoroughly reviews, investigates, and adjudicates claims daily, working oldest to newest claim in 30 days or less, and 98% of the time.
• Examiners should process at least 14 claims per hour, or 98 claims per day.
• Conducts review and investigation of pended claims and follow up with internal and external departments to finalize claims resolution within 30 days.
• Macess requests are processed within 30 days of receipt, with a 98% accuracy, to ensure timely resolution of claims, in adherence with HHSC regulatory requirements.
• The claims are processed accurately as defined by standard guidelines.
• The claims should be adjudicated with a 98% procedural accuracy rate monthly as reviewed by weekly audit reports.
• The claims should be adjudicated with a 98% accuracy rate monthly as reviewed by returned claims for adjustment review.
• The claims that are manually adjudicated must have notes entered as reviewed by weekly audits, check run, returned claims, management review 98% of the time.
• Clear concise documentation/notes must be entered for each claim reviewed, which provides a historical reference of how the claim was processed at the time of adjudication.
• Complete special projects as requested.
Skills & Requirements
• Required H.S. Diploma or GED
• Required 1 year claims examination experience
About Us
Founded in 1996, Texas Children's Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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