ZipRecruiter

Log In

1

Insurance Claim Review Jobs in Texas (NOW HIRING)

Zelis

Clinical Nurse Reviewer

Plano, TX

Conduct prompt claim review to support internal inventory management to achieve greatest possible ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...

Zelis

Inpatient DRG Reviewer

Plano, TX · On-site

$79K - $99K/yr

Conduct prompt claim review to support internal inventory management to achieve greatest savings ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...

PDS Health

Specialist, Insurance Collections

Irving, TX · On-site

$17/hr

... claim payments. Follow-up on claims payment status averaging around 25-35 accounts per day ... Review patients' accounts to ensure accuracy on insurance billing and procedures performed * Read ...

previous pagenext page

Showing results 21-40

All JobsInsurance Claim Review JobsInsurance Claim Review Jobs in Texas

Insurance Claim Review information

See Texas salary details

$11

$21

$40

How much do insurance claim review jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for insurance claim review in Texas is $21.90, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $23.94 per hour, depending on experience, location, and employer.

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

AspectInsurance Claim ReviewInsurance Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires licensing and adjuster certifications
Work EnvironmentOffice-based, reviewing claims remotely or on-siteFieldwork, inspecting damages, meeting clients
Employer & Industry UsageInsurance companies, third-party claims servicesInsurance companies, independent adjusting firms
Search & Comparison IntentUnderstanding claim review roles, job dutiesAssessing damage, settling claims

Insurance Claim Review professionals focus on evaluating and verifying insurance claims, often working in an office setting. Insurance Adjusters, on the other hand, inspect damages firsthand and negotiate settlements. Both roles require insurance-related certifications but differ in work environment and responsibilities.

What are the key skills and qualifications needed to thrive as an insurance claim review specialist?

To thrive as an Insurance Claim Review Specialist, you typically need a strong understanding of insurance policies, claims processes, and relevant regulations, often backed by a degree in business, finance, or a related field. Familiarity with claims management software, document management systems, and sometimes certifications such as AIC (Associate in Claims) are commonly required. Attention to detail, analytical thinking, and effective communication are critical soft skills for evaluating claims and interacting with policyholders. These skills ensure accurate, timely, and fair claim resolutions that uphold company standards and customer satisfaction.

What is insurance claim review?

Insurance claim review is the process by which insurance companies evaluate claims submitted by policyholders to determine their validity and the extent of coverage. Claims reviewers carefully examine documentation, such as medical records, police reports, or repair estimates, to ensure all policy requirements are met. This process helps prevent fraud, ensures claims are paid accurately, and maintains the integrity of the insurance system. Claim reviewers may also communicate with claimants, request additional information, or work with other professionals to make informed decisions.

What are some common challenges faced in an insurance claim review role, and how can they be managed effectively?

One of the most common challenges in Insurance Claim Review is managing a high volume of claims while maintaining accuracy and compliance with regulatory standards. Claims can often be complex, requiring careful analysis of policy terms, medical or incident documentation, and communications with policyholders or third parties. Effective time management, attention to detail, and strong communication skills are essential. Collaborating closely with other departments, such as underwriting and legal, can also help resolve ambiguous cases more efficiently. Ongoing training and keeping up with changes in industry regulations further support success in this role.
What are popular job titles related to Insurance Claim Review jobs in Texas? For Insurance Claim Review jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Insurance Claim Review jobs in Texas look for? The top searched job categories for Insurance Claim Review jobs in Texas are:
Insurance Claim Review jobs near you
Infographic showing various Insurance Claim Review job openings in Texas as of July 2026, with employment types broken down into 80% Full Time, 18% Part Time, 1% Temporary, and 1% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $45,544 per year, or $21.9 per hour.

Insurance Follow-Up & Medical Collections Specialist (Sugar Land, TX)

ARStrat

Houston, TX • On-site

$17 - $17.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Join Our Team as a Medical Collections & Insurance Follow-Up Specialist!
Are you experienced in working accounts on the backend and navigating insurance claims to drive payment? We're looking for someone who can manage both insurance follow-up and medical collections to help resolve accounts efficiently and accurately.
If you're detail-oriented, know how to work claims, and can identify what's holding up payment, this role is for you.
Potential Start Date: 7/20/2026
Location: Onsite- (Sugarland, Texas 77478)
Compensation: $17- $17.50 per hour (based on experience) + quarterly bonus eligibility
Shift: Monday - Friday, 9:00 AM - 6:00 PM
Position Requirements:
As a Medical Collections & Insurance Follow-Up Specialist, you'll be responsible for managing delinquent accounts and ensuring timely insurance claim resolution. This role is focused on backend revenue cycle work, combining insurance follow-up and collections activities to support overall account resolution.
You'll work directly with insurance carriers, review claims, and resolve billing issues to secure payment-while also working accounts to drive resolution and reduce outstanding balances.
Position Responsibilities:
  • Insurance Follow-Up & Claims Resolution:
    • Follow up with insurance carriers on claim status and payment resolution
    • Review accounts to identify claim issues, denials, or delays
    • Verify insurance eligibility, coverage, and claim filing status
    • Re-bill and submit corrected claims as needed
    • Request and review documentation to support claim processing
    • Identify root causes of claim issues and escalate when appropriate

    Medical Collections (Backend):
    • Work assigned accounts to resolve outstanding balances
    • Analyze account history and determine appropriate next steps for resolution
    • Ensure timely follow-up and account progression through the revenue cycle
    • Maintain accuracy in account documentation and updates

    General Responsibilities:
    • Document all account activity accurately in systems
    • Collaborate with internal billing and operations teams
    • Ensure compliance with all Federal, State, and company guidelines
    • Identify trends and recommend process improvements

Qualifications:
  • High School Diploma or GED required
  • 1-2+ years of experience in insurance follow-up, AR, or medical billing REQUIRED
  • Strong understanding of:
    • Insurance claims and denials
    • EOBs and payment posting
    • Revenue cycle processes
  • Healthcare call center or backend AR experience preferred

Requirements:
  • Strong analytical and problem-solving skills
  • Ability to manage workload and meet productivity goals
  • Experience with billing systems (EPIC a plus)
  • Proficient in Microsoft Office
  • Typing speed: 35 WPM with no more than 3 errors
  • Bilingual (Spanish) a plus

Benefits:
  • Comprehensive Health Benefits: Choose from a variety of medical, dental, and vision plans designed to support your overall well-being.
  • Life & Disability Coverage: Receive company-paid Basic Life and AD&D insurance, short-term and long-term disability coverage, with the option to purchase additional voluntary Life and AD&D benefits.
  • 401(k) Retirement Plan: Become eligible to participate in the company's 401(k) plan on the first day of the quarter following three months of continuous employment, with a company match to help you invest in your future.
  • Paid Time Off: Begin accruing PTO on your first day of employment, promoting a healthy work-life balance from the start.
  • Flexible Benefit Options: Tailor your benefits package with a variety of options to meet your individual and family needs.

Note: This job description outlines the primary duties and qualifications for the role. It is not intended to be an exhaustive list of responsibilities or working conditions.
ARStrat is an Equal Opportunity Employer and participates in E-Verify.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

Apply