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Claims Service Representative Jobs in Texas (NOW HIRING)

Arlon Graphics

Customer Service Representative

San Antonio, TX · On-site

$14.50 - $19.75/hr

The Customer Success Representative will also assist with customer quality and service claims, and processing orders and returns. Position support involves items such as, but not limited to, data ...

Chubb Ltd.

ESIS Claims Team Leader, WC

Dallas, TX · On-site

$125 - $150/hr

Supervises and directs the activities of Claims Representatives in the investigation and settlement of claims to assure prompt, efficient and fair claims services. MAJOR DUTIES & RESPONSIBILITIES:

Mercer France

Claims Representative

Houston, TX · On-site

Claim Representative Our not-so-secret sauce. Award winning, inclusive, Top Workplace culture doesn ... With offices across North America, we combine the personalized service model of a local consultant ...

New

BCForward

Customer Service Representative

Austin, TX · On-site

$15 - $20/hr

Customer Service Representative Location: Austin, 12365 Riata Trace Pkwy, ACN OPS Duration: 10 ... Respond to high-volume inbound calls regarding Medicaid eligibility, medical claims status, and ...

Marsh & McLennan

Claims Representative

Houston, TX · On-site

Claim Representative at McGriff Specialty Award winning, inclusive, Top Workplace culture doesn't ... With offices across North America, we combine the personalized service model of a local consultant ...

KB Home

Assistant Customer Service Representative

Katy, TX

$13.75 - $18.75/hr

Warranty Claim Processing * Assist Customer Service Representative with scheduling, evaluating, and resolving warranty claims to ensure customer satisfaction. * Assist Customer Service Representative ...

KB Home

Assistant Customer Service Representative

Manvel, TX · On-site

$15 - $20.50/hr

Key Responsibilities Warranty Claim Processing * Assist Customer Service Representative with scheduling, evaluating, and resolving warranty claims to ensure customer satisfaction. * Assist Customer ...

KB Home

Assistant Customer Service Representative

Katy, TX · On-site

$14.75 - $20/hr

Key Responsibilities Warranty Claim Processing * Assist Customer Service Representative with scheduling, evaluating, and resolving warranty claims to ensure customer satisfaction. * Assist Customer ...

KB Home

Assistant Customer Service Representative

Manvel, TX · On-site

$15 - $20.50/hr

Key Responsibilities Warranty Claim Processing * Assist Customer Service Representative with scheduling, evaluating, and resolving warranty claims to ensure customer satisfaction. * Assist Customer ...

KB Home

Assistant Customer Service Representative

Katy, TX · On-site

$13.75 - $18.75/hr

Key Responsibilities Warranty Claim Processing * Assist Customer Service Representative with scheduling, evaluating, and resolving warranty claims to ensure customer satisfaction. * Assist Customer ...

Oliver Wyman

Claims Representative

Houston, TX · On-site

Claim Representative Our not-so-secret sauce. Award winning, inclusive, Top Workplace culture doesn ... With offices across North America, we combine the personalized service model of a local consultant ...

KB Home

Assistant Customer Service Representative

Katy, TX

$13.75 - $18.75/hr

Key Responsibilities Warranty Claim Processing * Assist Customer Service Representative with scheduling, evaluating, and resolving warranty claims to ensure customer satisfaction. * Assist Customer ...

Artech

Customer Service Representative

Austin, TX · On-site

$15.75 - $21.50/hr

Job Title: Customer Service Representative Location: Austin, TX (On-site) Roles and ... claims status, and other program questions. * Assists with problem resolution, as needed.

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Showing results 21-40

All JobsClaims Service Representative JobsClaims Service Representative Jobs in Texas

Claims Service Representative information

See Texas salary details

$11

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$27

How much do claims service representative jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for claims service representative in Texas is $18.49, according to ZipRecruiter salary data. Most workers in this role earn between $15.67 and $20.14 per hour, depending on experience, location, and employer.

What does a claims service representative do?

A Claims Service Representative assists customers by processing and managing insurance claims. They review claim details, gather necessary documentation, and communicate with claimants to ensure all required information is obtained. Their role involves verifying policy coverage, investigating claims, and coordinating with other departments or adjusters if needed. The goal is to resolve claims efficiently while providing excellent customer service and ensuring compliance with company policies.

What are the key skills and qualifications needed to thrive as a claims service representative?

To thrive as a Claims Service Representative, you need strong analytical skills, attention to detail, and a background in insurance or a related field, often supported by a high school diploma or associate degree. Familiarity with claims management software, CRM systems, and sometimes insurance adjuster licensing is typically required. Excellent communication, problem-solving abilities, and empathy help build trust with clients and resolve claims efficiently. These skills ensure accurate claims processing, customer satisfaction, and compliance with industry regulations.

What are some common challenges faced by claims service representatives, and how can they be managed effectively?

Claims Service Representatives often encounter emotionally charged situations when assisting clients who have experienced losses. Managing high call volumes while maintaining empathy and accuracy can be challenging. To handle these aspects effectively, it's important to develop strong communication skills, practice active listening, and utilize time management strategies. Most teams offer regular training and support from supervisors to help representatives navigate complex claims and maintain a positive customer experience.

What is the difference between Claims Service Representative vs Claims Adjuster?

AspectClaims Service RepresentativeClaims Adjuster
CredentialsHigh school diploma or equivalent; some roles may prefer insurance licensesHigh school diploma; state licensing or certification often required
Work EnvironmentCustomer service centers, insurance officesField or office-based, investigating claims
Job FocusAssisting policyholders, processing claims, providing informationEvaluating damages, determining claim validity, settling claims

Claims Service Representatives primarily handle customer interactions, processing claims and providing information. Claims Adjusters focus on investigating and evaluating claims to determine payouts. Both roles require insurance knowledge and customer service skills, but their responsibilities differ in scope and focus.

Is it hard to be a claims service representative?

Being a claims service representative involves handling customer inquiries, reviewing claims, and processing documentation, which requires strong communication skills and attention to detail. The job can be demanding during busy periods and may require familiarity with claims processing software and industry regulations.

What are popular job titles related to Claims Service Representative jobs in Texas?

For Claims Service Representative jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Claims Service Representative jobs in Texas look for?

The top searched job categories for Claims Service Representative jobs in Texas are:

Claims Service Representative jobs near you
Infographic showing various Claims Service Representative job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $38,465 per year, or $18.5 per hour.

Health Insurance Customer Service Representative

NEW ERA LIFE INSURANCE COMPANY

Houston, TX • On-site

$18/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 28 days ago

Job description

Under 65 Health Claims Customer Service Representative (CSR)

Location: Main Office

Schedule: Monday–Friday, 8:00 a.m. – 5:00 p.m.

Job Type: Full-time | Status: Non-Exempt

Position Summary

The Under 65 Claims Customer Service Representative (CSR) is the first point of contact for members, providers, and agents, providing exceptional support related to health claims, benefits, and policy information. This role ensures timely, accurate, and compassionate service while helping customers navigate complex healthcare coverage. The ideal candidate demonstrates empathy, professionalism, and a strong commitment to improving the customer experience.

Key Responsibilities

Respond to inquiries from members, providers, and agents regarding claims, benefits, authorizations, and account details.

Deliver clear, accurate, and empathetic communication across all interactions.

Navigate internal systems efficiently to access and share relevant information.

Escalate complex or system-related issues to supervisors or specialized teams.

Explain policy details, coverage options, eligibility, limitations, and exclusions.

Guide customers through claims submissions, appeals, and self-service tools.

Investigate and resolve claim denials, benefit disputes, and billing discrepancies.

Apply critical thinking and active listening to identify issues and propose solutions.

Balance customer needs with company policies to ensure fair, compliant resolutions.

Accurately document all interactions and maintain up-to-date records in company systems.

Follow call center performance standards, including handling time, compliance, and quality metrics.

Stay informed on policy updates, regulatory changes, and company procedures.

Ensure strict compliance with HIPAA and confidentiality requirements.

Participate in ongoing training, coaching, and performance reviews.

Collaborate with trainers, auditors, and leadership to improve quality and efficiency.

Provide customer insights and feedback to support process improvement initiatives.

Qualifications

Required:

Excellent verbal and written communication skills, with strong empathy and active listening abilities.

Professional demeanor with the ability to remain calm under pressure.

Strong multitasking, problem-solving, and time management skills.

Dependable, adaptable, and team-oriented attitude.

Proficiency in Microsoft Outlook, Teams, and Word.

Legal authorization to work in the U.S.

Preferred:

1–3+ years of customer service or call center experience, ideally within the health insurance industry.

Education

High school diploma or equivalent required.

Work Environment

Professional office environment with standard hours (Monday–Friday, 8am–5pm).

Occasional extended hours during peak periods.

Frequent use of computers, phones, and standard office equipment.

Regular interaction with staff, leadership, and customers in a fast-paced setting.

Occasional lifting of up to 15 pounds (e.g., office supplies or equipment).

Hybrid or remote work options may be available based on business needs and company policy.

Company Benefits

Competitive salary with performance-based incentives

Comprehensive medical, dental, and vision insurance

Flexible Spending Account (FSA)

Company-paid life and disability insurance

401(k) with company match

Paid time off (vacation, sick leave, and holidays)

Employee wellness programs and resources

Supportive, collaborative work environment

Join our team and help make a difference in the lives of our members—one call at a time.

Apply