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Insurance Claim File Review Jobs in Texas (NOW HIRING)

Chubb

ESIS Claims Specialist, AGL

Houston, TX · On-site

May participate in claim file reviews and audits with customer/insured and broker. Administers benefits timely and appropriately. Maintains control of claim's resolution process to minimize current ...

Chubb

ESIS Claims Specialist, AGL

Houston, TX · On-site

May participate in claim file reviews and audits with customer/insured and broker. Administers benefits timely and appropriately. Maintains control of claim's resolution process to minimize current ...

SERVPRO Team Shaw

Claims Coordinator

Grapevine, TX

We work closely with property owners, businesses, insurance carriers, adjusters, and industry ... claim files from initial notification through completion, billing, and closeout. * Review new ...

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

Work with insurance companies to set claim reserves. * Identify claims that require escalation to ... claim file reviews as requested. * Ensure the company takes appropriate measures to minimize claim ...

Allied Universal

SIU Investigator

Dallas, TX · On-site

$22 - $28.25/hr

... Insurance * Create and maintain detailed documentation for investigations, file reviews, audits ... Fraud Claim Law Associate (FCLA) * Fraud Claim Law Specialist (FCLS) * Certified Protection ...

Allied Universal

SIU Investigator

Dallas, TX · On-site

$22 - $28.25/hr

... Insurance * Create and maintain detailed documentation for investigations, file reviews, audits ... Fraud Claim Law Associate (FCLA) * Fraud Claim Law Specialist (FCLS) * Certified Protection ...

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

Insurance Claim File Review information

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

As of Sep 2, 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 are the key skills and qualifications needed to thrive as an insurance claim file reviewer?

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.

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.

How to become an insurance claim file review?

To become an insurance claim file reviewer, candidates typically need a background in insurance, claims processing, or related fields, along with strong attention to detail and analytical skills. Relevant certifications such as the Certified Claims Professional (CCP) or knowledge of claims management software can enhance job prospects. Usually, employers require a high school diploma or higher education and prior experience in claims or insurance adjusting.

What are popular job titles related to Insurance Claim File Review jobs in Texas?

For Insurance Claim File Review jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Insurance Claim File Review jobs in Texas look for?

The top searched job categories for Insurance Claim File Review jobs in Texas are:

Insurance Claim File Review jobs near you
Infographic showing various Insurance Claim File Review job openings in Texas as of August 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 89% In-person, 3% Hybrid, and 8% Remote job distribution, with an average salary of $42,352 per year, or $20.4 per hour.

Claims Adjuster

Central Transportation Systems, Inc.

San Antonio, TX • On-site

Other

Re-posted 29 days ago

Job description

Hope Administrative Services, DBA as Central Transportation System, Scobey Moving and Storage, Spectrum Relocation Group, and International Moving and Warehouse. Whether directly through our own offices and service centers, or in concert with a worldwide network of service partners, we are positioned to assist our customers with any relocation, anywhere in the world. We are experience you can trust!
The role of the Claims Adjuster is responsible for judgement of settling claims per company policy and managing government, residential and commercial claim files. The position will handle claim processing, from when a claim is reported, investigating facts and evidence, determining appropriate liability, and negotiating and initiating settlement.
Responsibilities:
  • Uses proper judgement and decision making to investigate residential and commercial claims, review facts and circumstances of each claim, evaluates the findings and makes settlement decisions per company policies.
  • Serves as a point of contact for claimants, insurance companies, and others pertinent to settlement negotiations and settlements.
  • Communicates and interacts with management and their team members to ensure photos are taken of damage
  • Handles claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethics requirements.
  • Documents and communicates all claim activity timely and effectively and in a manner, which supports the outcome of the claim file and complies with policy.
  • Reviews claim file for activity and disposition and ensures non-active or settled claims are recorded in proper closed or non-active file status.
  • Responds to phone or email messages regarding accidents and records accident information on appropriate forms.
  • Communicates with Owner Operators regarding accident claims.
  • Maintain and contribute to a safe work environment by adhering to policies and procedures as outlined in the Company Safety Program.
  • Perform any other task or assignment as deemed necessary by the organization.

Education and/or Experience:
  • 2 years adjuster or insurance claims experience preferred.
  • Excellent verbal and written communication skills.
  • Must like working in a team environment and partnering with others.
  • Ability to work well in time-sensitive situations where customer satisfaction is the goal.
  • Proven ability to apply attention to detail, role-related accuracy and task follow-through in a fast-paced environment.
  • Ability to handle changing priorities and competing deadlines.
  • Claims Adjuster Certification/License a plus.
  • Proficient using MS Excel, Word, Power Point, and other Microsoft Office products.
  • Positive, proactive, and professional demeanor.
  • Ability to read and interpret documents such as operating and procedure manuals. Ability to write routine reports and correspondence.
  • The ability to prioritize and complete multiple tasks in a timely manner.
  • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.
Please view Equal Employment Opportunity Posters provided by OFCCP Here.
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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