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Claims Processor Jobs in Plano, TX (NOW HIRING)

EDGE CLAIMS LLC

GL Claims Adjuster

Roanoke, TX · On-site

$63K - $82K/yr

Demonstrates understanding of the reserving process for indemnity and expense in analyzing the potential exposure of low to moderately complex claims. * Ability to develop and execute a negotiation ...

DSN

Processor - Title Documents

Denton, TX · On-site

$19 - $21/hr

Claims Processor * Mortgage Loan Processor * Bank Teller * Insurance Agent * Credit Union Clerk * Knowledge of transactions / paperwork processing Responsibilities and qualifications: * Process ...

Lonestar

Auto Bodily Injury Claims Specialist

Richardson, TX · On-site

$44K - $58K/yr

Collaborate with claimants, attorneys, third parties, medical providers, and management throughout the claims process.Research applicable case law and state statutes to support claim investigations ...

SERVPRO Team Shaw

Claims Coordinator

Grapevine, TX · On-site

In this role, you will manage a wide range of administrative and communication functions that support the insurance claims process from start to finish. This position will work heavily within carrier ...

Selene Holdings

Insurance Claims Specialist

Dallas, TX · On-site

Ensure claims are processed in accordance with company guidelines, investor requirements, and applicable regulations. * Escalate questionable claims, exceptions, or potential fraud indicators to ...

Selene Holdings

Insurance Claims Specialist

Dallas, TX · On-site

Ensure claims are processed in accordance with company guidelines, investor requirements, and applicable regulations. * Escalate questionable claims, exceptions, or potential fraud indicators to ...

Bitco Corporation

Claims Specialist

Irving, TX · On-site

Provide customer service to insureds and claimants throughout the claims process * Negotiates and resolves claims with claimants and insureds and provides appropriate claims resolution documents

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Claims Processor information

See Plano, TX salary details

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How much do claims processor jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for claims processor in Plano, TX is $17.91, 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 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 Plano, TX?

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

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

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

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

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

Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Plano, TX as of August 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $37,243 per year, or $17.9 per hour.

GL Claims Adjuster

EDGE CLAIMS LLC

Roanoke, TX • On-site

$63K - $82K/yr

Other

This job post has expired 3 days ago. Applications are no longer accepted.

Job description

The Commercial Auto & GL Claims Adjuster is responsible for investigating, evaluating, and resolving automobile and general liability claims. With moderate direction, this position handles multi-party CGL claims of low to moderate exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.


Job Duties & Responsibilities

  • Investigate Auto & GL Claims - Collect statements, review police reports, photographs, estimates, correspondence, and other available evidence; analyze facts and determine liability and claim exposure.
  • Manage Claim Files - Maintain complete, accurate, compliant, and organized claim files; document correspondence, reports, discussions, decisions, payments, and other claim activity throughout the claim lifecycle.
  • Report and Track Claims - Assist with timely claim reporting and filing; monitor open claims, maintain claim status information, and prepare claim watchlists and recurring claim reviews.
  • Evaluate and Resolve Claims - Review coverage, liability, damages, reserves, and settlement considerations; exercise sound judgment and coordinate with carriers, independent adjusters, and defense counsel as appropriate.


Qualifications

  • 3+ years of experience handling Commercial General Liability claims including comprehensive investigation, coverage analysis, liability determination, and claim resolution
  • 3+ years of experience handling Property Damage and Bodily Injury claims
  • Carrier-side claims experience, with a strong understanding of insurance
  • Experience collaborating in a team environment and building cross functional working relationships
  • Ability to determine the scope and low to moderate complex claims
  • Demonstrates understanding of the reserving process for indemnity and expense in analyzing the potential exposure of low to moderately complex claims.
  • Ability to develop and execute a negotiation strategy and plan for resolution.
  • Ability to present information necessary to propose a claim resolution to leadership.
  • Strong interpersonal skills and highly collaborative with strong ability to build relationships, gain credibility, and partner across functions to build consensus.
  • Confident and flexible to operate in a fast-paced, constantly evolving environment.
  • Embody the highest standards of integrity, ethics, and accountability.
  • Strong verbal and written communication skills with the ability to clearly articulate coverage determinations.
  • Time management skills with the ability to manage multiple priorities with an attention to detail, data and analytics


EDUCATION/EXPERIENCE

  • High school diploma, bachelor’s degree preferred.
  • 3-5 or more years of Commercial Auto Insurance Claims Handling experience with a focus on General Liability .
  • Appropriately licensed and/or certified in all states in which claims are being handled.


The above statements are intended to describe the general nature and level of work being performed by the incumbents of this job. They are not intended to be an exhaustive list of all responsibilities and activities required of this position.

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