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Direct Claims Jobs in Spring, TX (NOW HIRING)

Addison Group

Denials Specialist

Houston, TX · On-site

$26 - $28/hr

Direct Hire Benefits: This position is eligible for medical, dental, vision, life insurance and ... This role is ideal for a high-level collector who understands complex technical claims, payor ...

Addison Group

Denials Specialist

Houston, TX

$26 - $28/hr

Direct Hire Benefits: This position is eligible for medical, dental, vision, life insurance and ... This role is ideal for a high-level collector who understands complex technical claims, payor ...

Addison Group

Denials Specialist

Houston, TX · On-site

$26 - $28/hr

Direct Hire Benefits: This position is eligible for medical, dental, vision, life insurance and ... This role is ideal for a high-level collector who understands complex technical claims, payor ...

Qcells

Director of EPC Warranties

Houston, TX · On-site

Director of EPC Warranties Department: EHSQ Location: Houston, TX Supervisor: Sr. Director of EHSQ ... Oversees the warranty claims reporting by creating and maintaining a database of all claims

Qcells

Director of EPC Warranties

Houston, TX · On-site +1

Director of EPC Warranties Department: EHSQ Location: Houston, TX Supervisor: Sr. Director of EHSQ ... claims. The candidates shall have adequate technical & commercial aptitudes and be able to ...

Adroit Partners, LLC

Safety Director

Houston, TX

Major functions are legal compliance, accident investigation and insurance claims. * Monitor legal ... Direct the forklift training/certification program. * Administer the DOT random drug abuse &alcohol ...

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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 Jul 16, 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 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 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 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 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
Denials Specialist

Denials Specialist

Addison Group

Houston, TX • On-site

$26 - $28/hr

Other

Medical, Dental, Vision, Life, Retirement

Posted 22 days ago

Job description

Job Title: Denials Specialist

Location: Houston, TX (Downtown)

Industry: Healthcare / Revenue Cycle Management

Pay: $26-$28/hourly

Job Type: Direct Hire

Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.

About Our Client:

Addison Group is partnering with a professional services organization seeking an experienced Denials Specialist with strong hospital billing expertise. This role is ideal for a high-level collector who understands complex technical claims, payor guidelines, and regulatory requirements including NSA and out-of-network billing.

Job Description:

The Denials Specialist will manage hospital UB-04 claims from follow-up through resolution, with a heavy focus on denial management. This position requires advanced knowledge of commercial payors, strong analytical skills, and experience navigating complex reimbursement issues involving out-of-network and regulatory considerations.

Key Responsibilities:

  • Review and resolve denials related to hospital (UB-04) claims.
  • Conduct detailed payor follow-up with major commercial insurance carriers.
  • Investigate technical claim issues and determine appropriate next steps for resolution.
  • Manage both denials and appeals, with a primary focus on denial recovery.
  • Handle NSA (No Surprises Act) and out-of-network (OON) collections and dispute processes.
  • Analyze claim adjudication trends and identify patterns in payor behavior.
  • Ensure proper documentation and compliance throughout the resolution process.
  • Work independently while maintaining communication with internal stakeholders.

Requirements:

  • 5+ recent years of hospital (UB-04) claims experience required.
  • Strong background working with UB-04 claims.
  • Extensive experience managing denials (more denial-focused than appeals).
  • Experience with NSA (No Surprises Act) and out-of-network (OON) collections required.
  • Heavy commercial payor experience required.
  • High-level collector with strong analytical and problem-solving skills.
  • Ability to interpret complex EOBs and technical claim data.

Additional Details:

  • Schedule: Monday–Friday, 8:00am–5:00pm (flexibility for 7:30am–4:00pm if needed)
  • Assignment Type: Direct Hire
  • Work Model: Fully onsite
  • Environment: Professional office setting
  • Dress Code: Business casual
  • Start Date: ASAP

Perks:

  • Competitive salary range
  • Parking covered or stipend option available
  • Stable, high-level role focused on complex hospital claims
  • Opportunity to work in a specialized, payor-heavy environment

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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