... business processes and the effective application of industry and organizational technology ... Epic Benefits, Claims and Contracts certifications highly preferred. * May have an equivalent ...
... business processes and the effective application of industry and organizational technology ... Epic Benefits, Claims and Contracts certifications highly preferred. * May have an equivalent ...
... business processes and the effective application of industry and organizational technology ... Epic Benefits, Claims and Contracts certifications highly preferred. * May have an equivalent ...
... business processes and the effective application of industry and organizational technology ... Epic Benefits, Claims and Contracts certifications highly preferred. * May have an equivalent ...
The Bodily Injury Claims Adjuster must also comply with the Texas Department of Insurance Guidelines and remain in compliance, providing documentation through each step of the claims process.
The Bodily Injury Claims Adjuster must also comply with the Texas Department of Insurance Guidelines and remain in compliance, providing documentation through each step of the claims process.
Detailed knowledge of health benefits claims processing, excess loss, customer service, Key Family account servicing, fully insured and self-funding are needed. * General knowledge of insurance is ...
New
Detailed knowledge of health benefits claims processing, excess loss, customer service, Key Family account servicing, fully insured and self-funding are needed. * General knowledge of insurance is ...
New
Knowledge of risk reduction and claims process * Exceptional customer service skills * Able to ... Full health insurance benefits available on day one * Life and disability insurance * Earn up to 15 ...
Knowledge of risk reduction and claims process * Exceptional customer service skills * Able to ... Full health insurance benefits available on day one * Life and disability insurance * Earn up to 15 ...
Knowledge of risk reduction and claims process * Exceptional customer service skills * Able to ... Full health insurance benefits available on day one * Life and disability insurance * Earn up to 15 ...
Knowledge of risk reduction and claims process * Exceptional customer service skills * Able to ... Full health insurance benefits available on day one * Life and disability insurance * Earn up to 15 ...
Detailed knowledge of health benefits claims processing, excess loss, customer service, Key Family account servicing, fully insured and self-funding are needed. * General knowledge of insurance is ...
Detailed knowledge of health benefits claims processing, excess loss, customer service, Key Family account servicing, fully insured and self-funding are needed. * General knowledge of insurance is ...
Insurance Claims Follow-up
Fort Worth, TX · On-site
Primary duties include follow-up, analysis, and resolution of outstanding insurance claims, and initiation of the appeals process on behalf of CCPN providers. Will perform duties such as ...
Insurance Claims Follow-up
Fort Worth, TX · On-site
Primary duties include follow-up, analysis, and resolution of outstanding insurance claims, and initiation of the appeals process on behalf of CCPN providers. Will perform duties such as ...
... insurance claims process from start to finish. This position will work heavily within carrier ... Benefits: * Medical, Dental, Vision Insurance * Paid Time Off + Sick Leave * 401K with Company ...
... insurance claims process from start to finish. This position will work heavily within carrier ... Benefits: * Medical, Dental, Vision Insurance * Paid Time Off + Sick Leave * 401K with Company ...
Recent claims adjudication, review, and/or process ownership experience * Strong mechanical ... Understanding of insurance underwriting and regulations preferred * Excellent oral and written ...
Recent claims adjudication, review, and/or process ownership experience * Strong mechanical ... Understanding of insurance underwriting and regulations preferred * Excellent oral and written ...
Understanding and ability to execute and comply with Department of Insurance Guidelines and ... Assure coverage for each loss and all policy provisions before processing payments * Investigate ...
Understanding and ability to execute and comply with Department of Insurance Guidelines and ... Assure coverage for each loss and all policy provisions before processing payments * Investigate ...
Perform benefit calculations and conduct claim investigations * Communicate with internal and ... auto insurance experience preferred Who We Are OneMain Financial (NYSE: OMF) is a leader in ...
Perform benefit calculations and conduct claim investigations * Communicate with internal and ... auto insurance experience preferred Who We Are OneMain Financial (NYSE: OMF) is a leader in ...
Perform benefit calculations and conduct claim investigations * Communicate with internal and ... auto insurance experience preferred Who We Are OneMain Financial (NYSE: OMF) is a leader in ...
Perform benefit calculations and conduct claim investigations * Communicate with internal and ... auto insurance experience preferred Who We Are OneMain Financial (NYSE: OMF) is a leader in ...
Knowledge of claims processing required * Knowledge of Collateral Protection Insurance helpful ... We offer competitive benefit programs that help meet our diverse and changing environment as well ...
Knowledge of claims processing required * Knowledge of Collateral Protection Insurance helpful ... We offer competitive benefit programs that help meet our diverse and changing environment as well ...
Knowledge of claims processing required * Knowledge of Collateral Protection Insurance helpful ... We offer competitive benefit programs that help meet our diverse and changing environment as well ...
Knowledge of claims processing required * Knowledge of Collateral Protection Insurance helpful ... We offer competitive benefit programs that help meet our diverse and changing environment as well ...
Sr Manager, Risk Management Claims
Fort Worth, TX · On-site +1
... process improvements to streamline workflows and close cases. What you'll do As noted above, this ... Additional Benefits: Other great benefits include our Employee Assistance Program, pet insurance ...
Sr Manager, Risk Management Claims
Fort Worth, TX · On-site +1
... process improvements to streamline workflows and close cases. What you'll do As noted above, this ... Additional Benefits: Other great benefits include our Employee Assistance Program, pet insurance ...
... process improvements to streamline workflows and close cases. What you'll do As noted above, this ... Additional Benefits: Other great benefits include our Employee Assistance Program, pet insurance ...
... process improvements to streamline workflows and close cases. What you'll do As noted above, this ... Additional Benefits: Other great benefits include our Employee Assistance Program, pet insurance ...
At Federated Insurance, we do life-changing work, focused on our clients' success. For our ... Throughout our internship program you will have an opportunity to learn claims processes and ...
At Federated Insurance, we do life-changing work, focused on our clients' success. For our ... Throughout our internship program you will have an opportunity to learn claims processes and ...
Review the carrier underwriting process, ensuring that calculations are using correct rates and ... Work with client claims experience data to create reports showing budgeted vs. actual claims and ...
Review the carrier underwriting process, ensuring that calculations are using correct rates and ... Work with client claims experience data to create reports showing budgeted vs. actual claims and ...
At Federated Insurance, we do life-changing work, focused on our clients' success. For our ... Throughout our internship program you will have an opportunity to learn claims processes and ...
At Federated Insurance, we do life-changing work, focused on our clients' success. For our ... Throughout our internship program you will have an opportunity to learn claims processes and ...
Insurance Benefits Claims Processor information
See Decatur, TX salary details
$10.74 - $12.54
2% of jobs
$12.54 - $14.34
13% of jobs
$16.05 is the 25th percentile. Wages below this are outliers.
$14.34 - $16.14
11% of jobs
$16.14 - $17.93
14% of jobs
The median wage is $18.60 / hr.
$17.93 - $19.73
29% of jobs
$19.73 - $21.53
6% of jobs
$21.64 is the 75th percentile. Wages above this are outliers.
$21.53 - $23.32
9% of jobs
$23.32 - $25.12
3% of jobs
$25.12 - $26.92
3% of jobs
$26.92 - $28.72
3% of jobs
$28.72 - $30.51
7% of jobs
$10
$19
$30
How much do insurance benefits claims processor jobs pay per hour?
As of May 31, 2026, the average hourly pay for insurance benefits claims processor in Decatur, TX is $19.97, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $22.79 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as an Insurance Benefits Claims Processor, and why are they important?
To thrive as an Insurance Benefits Claims Processor, you need strong attention to detail, analytical abilities, and a solid understanding of insurance policies, often supported by a high school diploma or relevant certification. Familiarity with claims management software, data entry systems, and standard office applications is typically required. Excellent communication, organizational skills, and problem-solving abilities help professionals excel when interacting with clients and resolving complex claims. These skills ensure accurate and timely claims processing, customer satisfaction, and compliance with industry regulations.
What are some common challenges faced by Insurance Benefits Claims Processors and how can they be addressed?
Insurance Benefits Claims Processors often encounter challenges such as managing high volumes of claims, interpreting complex policy details, and ensuring compliance with regulatory requirements. Staying organized, using workflow management tools, and maintaining strong attention to detail can help address these issues. Regular communication with team members and ongoing training on policy updates also play a key role in overcoming these challenges. Collaboration with other departments, such as underwriting and customer service, is essential for resolving discrepancies and providing accurate claim resolutions.
What does an Insurance Benefits Claims Processor do?
An Insurance Benefits Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify information, determine coverage eligibility, and ensure that all documentation meets company and regulatory standards. Their work helps ensure that valid claims are paid promptly and accurately, while also identifying any errors or fraudulent activity. Claims processors often communicate with policyholders, healthcare providers, and other parties to gather necessary information or clarify details related to a claim.
What is the difference between Insurance Benefits Claims Processor vs Insurance Claims Adjuster?
| Aspect | Insurance Benefits Claims Processor | Insurance Claims Adjuster |
|---|---|---|
| Credentials | High school diploma or equivalent; certifications vary | High school diploma; licensing or certification often required |
| Work Environment | Office setting, processing claims data | Field and office, investigating claims |
| Industry Usage | Used across insurance companies for processing claims | Used for evaluating and settling claims |
| Primary Focus | Processing and verifying insurance benefits claims | Assessing damages and determining claim validity |
Insurance Benefits Claims Processors primarily handle the administrative side of claims, focusing on data entry and verification. Insurance Claims Adjusters evaluate claims on-site or remotely, investigating damages and making settlement decisions. Both roles are essential in the insurance industry but differ in responsibilities and work environment.
What job categories do people searching Insurance Benefits Claims Processor jobs in Decatur, TX look for? The top searched job categories for Insurance Benefits Claims Processor jobs in Decatur, TX are:
What cities near Decatur, TX are hiring for Insurance Benefits Claims Processor jobs? Cities near Decatur, TX with the most Insurance Benefits Claims Processor job openings:
Cook Children's Health Care System rating
7.8
Based on 72 frontline employees who took The Breakroom Quiz
131st of 864 rated healthcare providers
Job description
Location:
Rosedale Office BuildingDepartment:
Enterprise SystemsShift:
First Shift (United States of America)Standard Weekly Hours:
40Summary:
Additional Job Description
Jobs in this family are responsible for developing, testing, maintaining, installing, and/or deploying of applications and related information technologies. In addition, they are responsible for the establishment, development, and promotion of standard architectures, as well as hardware and software components. This role provides consulting services regarding how to integrate information technologies into clinical and business processes and the effective application of industry and organizational technology standards.
This position is an emerging information technology professional within the Systems Analyst family. This position participates in the implementation, testing, installation and support of clinical and business applications.
Expected activities include but are not limited to:
modification of applications as needed to meet user requirements,
the definition and development of reports,
participation in application upgrades,
participation in the resolution of problems and issues associated with installed applications and related information technologies,
diagnosis of failures encountered in application software and related technologies,
quality control of all application implementations/enhancements prior to release to customers,
maintains an awareness of vendor and industry developments/plans in area(s) of responsibility, communication and
documentation of all relevant items and activities.
This job description is a member of: The Systems Analyst Family, Information Services
This job description is available in the career ladder: Within its Family and equivalent Families of Information Services. Career ladder progression is a decision based on merit, organizational need and management determination.
Qualifications:
Position requires at least 3 years of direct experience and a high school diploma or equivalent.
A BA/BS degree in IS or Business is preferred.
Epic Benefits, Claims and Contracts certifications highly preferred.
May have an equivalent combination of education and/or experience in lieu of education and/or experience stated above.
Certification/Licensure:
Relevant Information Technology certifications preferred.
Epic certification is required within 9 months from employment, including 2 test retakes.
About Us:
Cook Children's Health Care System
Cook Children's Health Care System offers a unique approach to caring for children because we are one of the country's leading integrated pediatric health care delivery organizations. Patients benefit from the integrated system because it allows Cook Children's to use all of its resources to treat a patient and allows for easy communication between the various companies by physicians with a focus on caring for children and adolescents.
Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
What Cook Children's Health Care System employees say
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About Cook Children's Health Care System
Sourced by ZipRecruiter
Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Fort Worth, TX, US
Year founded
1918