ZipRecruiter

Log In

1

Insurance Claim File Review Jobs in Texas (NOW HIRING)

Welling Young, LLC

Claim Assistant

Dallas, TX

$18.75 - $23.50/hr

... Management Insurance degree, or some claim experience . Job Summary: Responsible for providing ... files to include closings, transfers, claim file audit pulls, e tc. • Process letters, and any ...

Chubb

AVP Claim Manager

Dallas, TX

Regularly review claim handers' work, using Brandywine systems as necessary, to ensure the ... Maintain physical/electronic claim file, and claim information captured in claim systems. * Respond ...

CCMSI

Claim Clerk

Dallas, TX · On-site

$18 - $20/hr

File claim mail and related documents. * Set up designated claim files and complete all set up ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

CCMSI

Claim Clerk

Dallas, TX · On-site

$18 - $20/hr

File claim mail and related documents. * Set up designated claim files and complete all set up ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

CCMSI

Claim Clerk

Dallas, TX

$18 - $20/hr

File claim mail and related documents. * Set up designated claim files and complete all set up ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

Allied Solutions

Claims Investigator

Plano, TX · On-site

This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage ... This position will also review database information found in systems such as Unitrac, insurance ...

CCMSI

Claim Clerk

Houston, TX · On-site

$18 - $20/hr

File claim mail and related documents. * Set up designated claim files and complete all set up ... Medical, Dental, Vision, Life, and Disability Insurance * Retirement plans : 401(k) and Employee ...

Allied Solutions

Claims Investigator

Plano, TX

This position ensures that all claim documentation is thoroughly reviewed and assessed for coverage ... This position will also review database information found in systems such as Unitrac, insurance ...

next page

Showing results 1-20

All JobsInsurance Claim File Review JobsInsurance Claim File Review Jobs in Texas

Insurance Claim File Review information

See Texas salary details

$9

$20

$42

How much do insurance claim file review jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for insurance claim file review in Texas is $20.36, according to ZipRecruiter salary data. Most workers in this role earn between $15.91 and $23.94 per hour, depending on experience, location, and employer.

What is an Insurance Claim File Review?

An Insurance Claim File Review is a detailed evaluation of insurance claim documents and files to ensure accuracy, compliance, and proper processing. Professionals in this role review submitted claims, verify information, assess the validity of the claim, and determine if all required documentation is present. They may also check for potential fraud, ensure adherence to company policies, and make recommendations regarding claim approval or denial. This process is critical to maintaining the integrity of the claims system and minimizing losses for the insurance provider.

What is the difference between Insurance Claim File Review vs Insurance Claims Adjuster?

AspectInsurance Claim File ReviewInsurance Claims Adjuster
Primary RoleReview and analyze insurance claim files for accuracy and completenessInvestigate, evaluate, and settle insurance claims
Required CredentialsTypically claims or insurance certifications, sometimes a background in insurance or claims processingAdjuster license, insurance certifications, relevant experience
Work EnvironmentOffice-based, primarily reviewing documents and dataField and office work, including site visits and interviews
Industry UsageCommon in insurance companies, third-party claims review firmsWidely used in insurance companies, claims departments

While both roles involve working with insurance claims, the Insurance Claim File Review focuses on analyzing claim documentation for accuracy, whereas the Insurance Claims Adjuster actively investigates and settles claims. The review role is more document-centric, often office-based, and requires specific certifications, while adjusters may work in the field and handle the entire claims process.

What are the key skills and qualifications needed to thrive as an Insurance Claim File Reviewer, and why are they important?

To thrive as an Insurance Claim File Reviewer, you need a keen understanding of insurance policies, claims processes, and regulatory compliance, often backed by relevant experience or an insurance-related certification. Familiarity with claims management systems, document management software, and industry-specific databases is typical for the role. Attention to detail, analytical thinking, and strong written communication are vital soft skills that help ensure accuracy and clarity in claim assessments. These skills are crucial for efficiently evaluating claims, reducing errors, and ensuring fair and prompt claim resolutions.

What are some common challenges faced by professionals in Insurance Claim File Review, and how can these be managed effectively?

Professionals in Insurance Claim File Review often encounter challenges such as interpreting complex policy language, managing large caseloads, and ensuring compliance with constantly evolving regulations. Staying organized and leveraging claim management software can help streamline the review process and reduce errors. Regular training and collaboration with legal, medical, and adjuster teams also play a key role in addressing ambiguities and maintaining accuracy in claim determinations.
Insurance Claim File Review jobs near you
"Instructor for File Review, Auto, & Adjuster Licensing Courses"

"Instructor for File Review, Auto, & Adjuster Licensing Courses"

MileHigh Adjusters Houston

Pasadena, TX • On-site

Contractor

Posted 20 days ago

Job description

🚨 Now Hiring: Adjuster Instructor - Auto, File Review &
Texas All-Lines Adjuster Pre-Licensing 🚨
MileHigh Adjusters Houston is looking for an experienced adjuster to join our training team! If you have a passion for teaching and expertise in auto adjusting, file review, and adjuster licensing, we want to hear from you!
💪 We are the ONLY training facility in the USA that trains "The Special Forces of Adjusters!" 💪Position Overview:
We need a skilled adjuster to lead:
• File Review for Property Adjusting (4-day course, Mon-Thu) - Course is already structured and ready to teach! (Not prevalent in file review? No problem! Our Lead Instructor, Billy Banks, will teach you how to train it!)
• Texas All-Lines Adjuster Pre-Licensing (4-day course, Fri-Mon) - Fully developed and ready to go! (Must have at least 5 years of adjusting experience to qualify as an instructor.)
• Auto Adjuster Training (4-day course, Tue-Fri) - You'll collaborate with Billy Banks to finalize and structure this course.Requirements:
🔹 At least 5 years of experience as an adjuster (Required to teach the Pre-Licensing Course)
🔹 Experience in auto claims adjusting and file review
🔹 Knowledge of Texas All-Lines Adjuster Licensing
🔹 Training/teaching experience preferred
🔹 Ability to collaborate on Auto Adjuster course development
🔹 Passion for mentoring and developing new adjusters
🔹 Preferably located in the Houston area
🔹 Reliable, professional, and eager to grow with usJob Details:
💼 1099 Contract Position
💰 Competitive pay based on experience
📍 Work at our state-of-the-art training facility:
📍 15255 Gulf Freeway, Suite 135A, Houston, TX 77034
🚀 Be part of shaping the future of adjuster training! Apply today!
📍 Work 12 straight days per month (most months)
📩 Send your resume & experience to: [Insert Contact Email]
📞 Call Mark Smith directly at: 281-741-8505
Hope to hear from you soon!
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.

Apply