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Health Insurance Customer Service Jobs in Texas (NOW HIRING)

StaffMyAgency LLC

Insurance Customer Service

Burleson, TX · On-site

$36K - $75K/yr

... friendly customer service. Service can include responding to inquiries regarding insurance ... Life and Health license (must be able to obtain) If you are motivated to succeed and can see ...

StaffMyAgency LLC

Insurance Customer Service

Austin, TX · On-site

$50K - $75K/yr

... friendly customer service. Service can include responding to inquiries regarding insurance ... Life and Health license (required) * Excellent interpersonal skills * Excellent communication ...

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All JobsHealth Insurance Customer Service JobsHealth Insurance Customer Service Jobs in Texas

Health Insurance Customer Service information

See Texas salary details

$24.2K

$45.1K

$68K

How much do health insurance customer service jobs pay per year?

As of Jul 30, 2026, the average yearly pay for health insurance customer service in Texas is $45,101.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,300.00 and $51,200.00 per year, depending on experience, location, and employer.

What is the difference between Health Insurance Customer Service vs Health Insurance Claims Specialist?

AspectHealth Insurance Customer ServiceHealth Insurance Claims Specialist
Required CredentialsHigh school diploma; customer service experienceHigh school diploma; knowledge of claims processing
Work EnvironmentCall centers, office settingsClaims departments, office settings
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, healthcare organizations
Common Search & Comparison IntentCustomer support, policy inquiriesClaims processing, reimbursement issues

Health Insurance Customer Service representatives primarily handle policy inquiries and customer support, while Health Insurance Claims Specialists focus on processing claims and reimbursement. Both roles require knowledge of insurance policies and excellent communication skills, but they differ in daily tasks and focus areas within the insurance industry.

What are the key skills and qualifications needed to thrive as a Health Insurance Customer Service Representative, and why are they important?

To thrive as a Health Insurance Customer Service Representative, you need a solid understanding of health insurance products, claims processing, and policy guidelines, often supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with customer relationship management (CRM) software, call center systems, and sometimes HIPAA certification is typically required. Strong communication, patience, and problem-solving skills help you effectively address customer concerns and navigate complex situations. These skills and qualifications are crucial for delivering accurate information, resolving issues efficiently, and maintaining customer satisfaction in a highly regulated industry.

What are some common challenges faced by health insurance customer service representatives, and how are they typically addressed?

Health insurance customer service representatives often encounter challenges such as navigating complex policy details, managing high call volumes, and assisting customers who may be stressed or frustrated about their coverage. To address these, representatives are usually provided with thorough training on insurance products and effective communication strategies. Teams are also supported by knowledge bases and escalation procedures to ensure accurate information is given and customer concerns are resolved efficiently. Collaboration with claims specialists and supervisors is common to resolve more complex issues and ensure a positive customer experience.

What does a Health Insurance Customer Service representative do?

A Health Insurance Customer Service representative assists policyholders with questions about their health insurance plans, including coverage details, claims processing, billing inquiries, and policy changes. They help customers understand their benefits, resolve issues, and guide them through processes such as filing a claim or updating personal information. Representatives may also provide information about plan options and help customers select the best coverage for their needs. Their goal is to ensure a positive experience and clear communication between the insurance provider and the customer.
What are the most commonly searched types of Health Insurance Customer Service jobs in Texas? The most popular types of Health Insurance Customer Service jobs in Texas are:
What cities in Texas are hiring for Health Insurance Customer Service jobs? Cities in Texas with the most Health Insurance Customer Service job openings:
Health Insurance Customer Service jobs near you

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 18 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