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Insurance Benefits Claims Processor Jobs in Decatur, TX

CRC Group

Complex Claims Adjuster

Flower Mound, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Process claims, which includes evaluating policy for coverage; working with the insured, outside ... Our best-in-class benefits program is designed to care for the whole you, offering a wide range of ...

Tihinsurance

Complex Claims Adjuster

Flower Mound, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Process claims, which includes evaluating policy for coverage; working with the insured, outside ... Our best-in-class benefits program is designed to care for the whole you, offering a wide range of ...

AMBA

Benefits Representative

Fort Worth, TX

  • Retirement

Insurance Benefits Representative (1099 Independent Contractor) Location: Texas (statewide, any ... Build your business using established sales processes, strong carrier relationships, and a trusted ...

AMBA

Benefits Representative

Denton, TX

  • Retirement

Insurance Benefits Representative (1099 Independent Contractor) Location: Texas (statewide, any ... Build your business using established sales processes, strong carrier relationships, and a trusted ...

AMBA

Benefits Representative

Fort Worth, TX · On-site

$90K/yr

  • Retirement

Insurance Benefits Representative (1099 Independent Contractor) Location: Texas (statewide, any ... Build your business using established sales processes, strong carrier relationships, and a trusted ...

AMBA

Benefits Representative

Denton, TX

$90K/yr

  • Retirement

Insurance Benefits Representative (1099 Independent Contractor) Location: Texas (statewide, any ... Build your business using established sales processes, strong carrier relationships, and a trusted ...

AMBA

Benefits Representative

Denton, TX · On-site

$90K/yr

  • Retirement

Insurance Benefits Representative (1099 Independent Contractor) Location: Texas (statewide, any ... Build your business using established sales processes, strong carrier relationships, and a trusted ...

AMBA

Benefits Representative

Fort Worth, TX · On-site

$90K/yr

  • Retirement

Insurance Benefits Representative (1099 Independent Contractor) Location: Texas (statewide, any ... Build your business using established sales processes, strong carrier relationships, and a trusted ...

Tihinsurance

Claims Adjuster - Alpine Rio

Flower Mound, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Process claims, which includes evaluating policy for coverage; working with the insured, outside ... Our best-in-class benefits program is designed to care for the whole you, offering a wide range of ...

CRC Group

Claims Adjuster - Alpine Rio

Flower Mound, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Process claims, which includes evaluating policy for coverage; working with the insured, outside ... Our best-in-class benefits program is designed to care for the whole you, offering a wide range of ...

CRC Group

Claims Adjuster - Alpine Rio

Flower Mound, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Process claims, which includes evaluating policy for coverage; working with the insured, outside ... Our best-in-class benefits program is designed to care for the whole you, offering a wide range of ...

Tihinsurance

Claims Adjuster - Alpine Rio

Flower Mound, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Process claims, which includes evaluating policy for coverage; working with the insured, outside ... Our best-in-class benefits program is designed to care for the whole you, offering a wide range of ...

Ford Motor Company

CAT Auto Claims Adjuster

Fort Worth, TX · Remote

$92K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

This position is with American Road Services Company, the insurance claims component of Ford Motor ... Knowledge of vehicle repair processes and procedures. * Ability to independently plan, organize, re ...

CRC Group

Claims Examiner III

Fort Worth, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Responsible for adjusting major and complex losses in their entirety, including high dollar claims ... insurance related courses General Description of Available Benefits for Eligible Employees of CRC ...

Tihinsurance

Claims Examiner III

Fort Worth, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Responsible for adjusting major and complex losses in their entirety, including high dollar claims ... insurance related courses General Description of Available Benefits for Eligible Employees of CRC ...

Tihinsurance

Claims Examiner II

Fort Worth, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're ... insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. CRC Group also ...

CRC Group

Claims Examiner II

Fort Worth, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're ... insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. CRC Group also ...

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All JobsInsurance Benefits Claims Processor JobsInsurance Benefits Claims Processor Jobs in Decatur, TX

Insurance Benefits Claims Processor information

See Decatur, TX salary details

$10

$19

$30

How much do insurance benefits claims processor jobs pay per hour?

As of Aug 19, 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 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 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 is the difference between Insurance Benefits Claims Processor vs Insurance Claims Adjuster?

AspectInsurance Benefits Claims ProcessorInsurance Claims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; licensing or certification often required
Work EnvironmentOffice setting, processing claims dataField and office, investigating claims
Industry UsageUsed across insurance companies for processing claimsUsed for evaluating and settling claims
Primary FocusProcessing and verifying insurance benefits claimsAssessing 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.

Is an insurance benefits claims processor job in demand?

The demand for insurance benefits claims processors remains steady due to ongoing growth in the insurance industry and the need for claims management. Employment in this role is expected to grow as companies seek skilled workers to handle claims efficiently, often requiring familiarity with claims processing software and attention to detail.

Is claims processing a stressful job?

Claims processing for insurance benefits can be stressful due to tight deadlines, high volume of claims, and the need for accuracy. It requires attention to detail, strong organizational skills, and sometimes dealing with upset claimants, which can contribute to job stress.

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:

Insurance Benefits Claims Processor jobs near you

Complex Claims Adjuster

CRC Group

Flower Mound, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one.
If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response).
Regular or Temporary:
Regular
Language Fluency: English (Required)
Work Shift:
1st Shift (United States of America)
Please review the following job description:
Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims. In addition, prepare reports such as loss runs and monthly bordereau.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Review policy to determine if loss is covered. If questionable, then hire attorney for coverage counsel for coverage analysis.
2. Settle claims within settlement authority, where applicable.
3. Work with adjusters, insureds, attorneys, agents and others to assure the claim is handled efficiently and professionally.
4. Attend mediations, when applicable and negotiate settlement within authority.
5. Oversight of vendors (attorneys/adjusters/experts) for accuracy in reporting. Audit invoices for accuracy.
6. Process incoming and outgoing claims and vendor payments.
7. Maintain loss fund.
8. Must review and recommend policy wording changes.
9. Perform claim status requests and updates.
10. Prepare daily, weekly and monthly reports.
11. Travel for meetings with clients, mediations and underwriters. Approximately 25% of time will be out of the office.
QUALIFICATIONS
Required Qualifications:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. High School Diploma
2. College degree or equivalent work experience
3. Claims Adjuster's license
4. Good organizational/time management skills
5. Ability to work under time constraints and meet deadlines
6. Strong verbal and written communications skills
7. Ability to operate a computer, calculator, multi-line phone, fax machine, copier and other office equipment
8. Knowledge and use of correct spelling and grammar
9. Ability to write legibly
10. Ability to effectively interact with employees at all levels of the organization and with a variety of people from diverse backgrounds
11. Ability to adhere to all organizational policies and procedures
12. Demonstrated proficiency in basic computer applications, such as Microsoft Office software products
13. Ability to travel, occasionally overnight
Preferred Qualifications:
1. Previous administrative support experience
General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group, we're committed to supporting every aspect of teammates' well-being - physical, emotional, financial, social, and professional. Our best-in-class benefits program is designed to care for the whole you, offering a wide range of coverage and support. Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. CRC Group also offers generous paid time off programs, including company holidays, vacation and sick days, new parent leave, and more. Eligible positions may also qualify for restricted stock units and/or a deferred compensation plan.
CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace.
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