ZipRecruiter

Log In

1

Direct Claims Jobs in Spring, TX (NOW HIRING)

Brookfield

TEMP- Claims Adjuster

Houston, TX · Remote

$63K - $81.60K/yr

Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.

Archgroup

AVP, Casualty Claims - Excess

Houston, TX · Hybrid

$170K - $195K/yr

Lead and direct Complex claims department leadership and personnel in achieving high standards of productivity, efficiency and alignment of organizational goals. Ensure compliance with all local ...

Archgroup

AVP, Casualty Claims - Excess

Houston, TX · Hybrid

$170K - $195K/yr

Lead and direct Complex claims department leadership and personnel in achieving high standards of productivity, efficiency and alignment of organizational goals. Ensure compliance with all local ...

QBE

Complex Claims Manager QIMA USA

Houston, TX · Hybrid

$168K - $277K/yr

Direct thorough investigation of claims to comply with budgetary constraints and requirements. * Manage budgeted resources by forecasting needs and accounting for expenses accurately. * Oversee third ...

next page

Showing results 1-20

People also search for

All JobsDirect Claims JobsDirect Claims Jobs in Spring, TX

Direct Claims information

See Spring, TX salary details

$27.1K

$57.5K

$80.1K

How much do direct claims jobs pay per year?

As of May 31, 2026, the average yearly pay for direct claims in Spring, TX is $57,495.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,400.00 and $67,200.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Direct Claims Specialist, and why are they important?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What are some common challenges faced by professionals in Direct Claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What are direct claims?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What are popular job titles related to Direct Claims jobs in Spring, TX? For Direct Claims jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Direct Claims jobs in Spring, TX look for? The top searched job categories for Direct Claims jobs in Spring, TX are:
What cities near Spring, TX are hiring for Direct Claims jobs? Cities near Spring, TX with the most Direct Claims job openings:
Direct Claims jobs near you
Workers Compensation Claims Examiner

Workers Compensation Claims Examiner

TEEMA

Houston, TX • On-site

$36 - $41/hr

Full-time

Posted 9 days ago

Job description

Senior Workers’ Compensation Claims Examiner (Texas Licensed)

We are seeking an experienced Workers’ Compensation Claims Examiner to join a collaborative claims team handling complex indemnity claims from initial investigation through resolution. This is an excellent opportunity for a detail-oriented professional who thrives in a fast-paced environment and enjoys balancing analytical decision-making with strong client and claimant communication.

In this role, you will independently manage a caseload of approximately 110–150 workers’ compensation claims, including complex files requiring advanced investigation, compensability analysis, reserve management, and ongoing medical oversight. You will work closely with claimants, employers, medical providers, attorneys, and internal stakeholders to ensure timely and compliant claim resolution in accordance with Texas workers’ compensation regulations.

Key Responsibilities:

  • Investigate and manage workers’ compensation claims from inception to closure

  • Determine compensability and administer benefits in accordance with state laws and company guidelines

  • Coordinate medical treatment and manage related billing activity

  • Establish and maintain accurate claim reserves

  • Maintain organized documentation and diary management for all claim activity

  • Communicate effectively with clients regarding claim status, trends, and risk concerns

  • Conduct independent file reviews and proactively drive claims toward resolution

Qualifications:

  • Active Texas Workers’ Compensation Adjuster License required

  • 5+ years of workers’ compensation claims handling experience, including complex indemnity claims

  • Strong understanding of workers’ compensation statutes, medical terminology, and claims investigation

  • Excellent written and verbal communication skills

  • Ability to manage a high-volume caseload independently

  • Proficiency with Microsoft Office applications preferred

This position offers the opportunity to join a professional, team-oriented environment where your expertise and judgment will have a direct impact on claim outcomes and client satisfaction.

Teema logo

About Teema

Sourced by ZipRecruiter

TEEMA is an award-winning, industry-leading recruitment agency dedicated to building meaningful relationships across North America. We achieve this time after time by consistently sourcing, screening, managing and securing top talent tailored to employers’ specific needs. The team that makes this happen consists of hundreds of experienced professional recruiters backed by exceptional, tenured leadership and back-office support. No matter how unique or challenging your hiring needs may be or how misunderstood or undervalued your in-demand skills may be in your current role, we have you covered. Our primary objective is to provide an exceptional recruitment experience for our clients and candidates and an ecosystem that empowers our team to thrive.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Litchfield Park, AZ, US

Social media

FacebookInstagram

View All Teema Jobs