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Claims Processor Jobs in Katy, TX (NOW HIRING)

Conduct a detailed review and process Freight, Demurrage, and other claims in strict accordance with established procedures and guidelines, ensuring accuracy and efficiency. * Collaborate closely ...

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 ยท Remote

$85K - $95K/yr

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

Risk Claims Manager

Houston, TX ยท 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 ...

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

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Claims Processor information

See Katy, TX salary details

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How much do claims processor jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for claims processor in Katy, TX is $17.58, according to ZipRecruiter salary data. Most workers in this role earn between $15.00 and $18.99 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 are the most commonly searched types of Claims Processor jobs in Katy, TX? The most popular types of Claims Processor jobs in Katy, TX are:
What are popular job titles related to Claims Processor jobs in Katy, TX? For Claims Processor jobs in Katy, TX, the most frequently searched job titles are:
What job categories do people searching Claims Processor jobs in Katy, TX look for? The top searched job categories for Claims Processor jobs in Katy, TX are:
What cities near Katy, TX are hiring for Claims Processor jobs? Cities near Katy, TX with the most Claims Processor job openings:
Infographic showing various Claims Processor job openings in Katy, TX as of August 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $36,574 per year, or $17.6 per hour.

Workflow Specialist Claims Processing

Tata Consultancy Service Limited

Cypress, TX โ€ข On-site

$50K - $53K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 26 days ago


Job description

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned
Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.
TCS Employee Benefits Summary:
โ€ข Discretionary Annual Incentive.
โ€ข Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
โ€ข Family Support: Maternal & Parental Leaves.
โ€ข Insurance Options: Auto & Home Insurance, Identity Theft Protection.
โ€ข Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.
โ€ข Time Off: Vacation, Time Off, Sick Leave & Holidays.
โ€ข Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
Salary Ran ge: $50,000 - $53,000 per year