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Insurance Claims Processing Jobs in Texas (NOW HIRING)

SERVPRO Team Shaw

Claims Coordinator

Grapevine, TX

In this role, you will manage a wide range of administrative and communication functions that support the insurance claims process from start to finish. This position will work heavily within carrier ...

Orion180

Claims Manager

Irving, TX · On-site

... for insurance companies. We pride ourselves on delivering efficient and innovative solutions that ... Our dedicated team of experts, equipped with cutting-edge technology, ensures seamless processes ...

GEICO

Experienced Claims Specialist

Richardson, TX · On-site

$53K - $79K/yr

Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures. * Customer Interaction: Manage incoming calls, collect accident facts ...

PFS Group

Remote Insurance Rep

Houston, TX · Remote

$53K - $67K/yr

The Insurance Representative at PFS Group, under the supervision of the Insurance Supervisor ... Monitors accounts for updates on claims processing, taking care to resolve balances with single ...

GEICO

Experienced Claims Specialist

Richardson, TX · On-site

$53K - $79K/yr

Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures. * Customer Interaction: Manage incoming calls, collect accident facts ...

Geico

Experienced Claims Specialist

Richardson, TX

$53K - $79K/yr

Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures. * Customer Interaction: Manage incoming calls, collect accident facts ...

AllRight Jobs Inc

Insurance Claims ARJ/156

Irving, TX · On-site

$18/hr

Health Plan Referral Specialist - Process all requests for referral authorizations within the managed care system. - Research and resolve problem referral claims or requests for payment. - Expedite ...

DHI Mortgage

Claims Counsel - DHI Title Insurance

Austin, TX · On-site +1

$120K - $140K/yr

Manage title insurance claims from initial notice through resolution, including coverage analysis ... Background in process improvement, risk management, or claims analytics Come join a winning team ...

Geico

Experienced Claims Specialist

Richardson, TX

$53K - $79K/yr

Claims Processing: Efficiently and accurately handle insurance claims, ensuring adherence to company policies and procedures. * Customer Interaction: Manage incoming calls, collect accident facts ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Texas

Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What jobs pay $2000 a day?

In insurance claims processing, high-paying roles such as senior claims managers or specialized adjusters can earn around $2,000 per day, especially with extensive experience, certifications, and in high-value claim environments. These roles often require advanced knowledge of insurance policies, strong analytical skills, and sometimes leadership responsibilities.

How do I become a claims processor?

To become a claims processor, typically a high school diploma or equivalent is required, and some employers prefer candidates with experience in customer service or insurance. Relevant skills include attention to detail, communication, and familiarity with claims processing software; obtaining industry certifications such as the Certified Claims Professional (CCP) can also enhance job prospects.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

Is a claims processor job in demand?

Claims processing is a stable occupation within the insurance industry, with consistent demand due to the ongoing need for claims management in health, auto, and property insurance sectors. Employment opportunities often require attention to detail and familiarity with claims software, and the job outlook is expected to grow alongside the insurance industry overall.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.
What are popular job titles related to Insurance Claims Processing jobs in Texas? For Insurance Claims Processing jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Texas look for? The top searched job categories for Insurance Claims Processing jobs in Texas are:
What cities in Texas are hiring for Insurance Claims Processing jobs? Cities in Texas with the most Insurance Claims Processing job openings:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Texas as of June 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Hybrid job distribution.

Insurance Claims Tracer I

United Regional Transition Clinic

Wichita Falls, TX • On-site, Remote

Full-time

Posted 19 days ago

Job description

Job Description
Summary of Essential Functions
  • Collection of assigned outstanding insurance claims.
  • Exhausts all possible resources in collection efforts, including but not limited to phone calls to patients and insurance companies and written collection efforts.
  • Displays positive customer relations with other departments within the hospital, patients, and insurance companies
  • Work from home available after 60-90 days of on-the-job training.

Educational Requirements
  • High school graduate or equivalent.
  • Previous experience in insurance is helpful which may be obtained through vocational school or related job experiences, 1 to 2 years preferred.
  • Insurance and medical terminology are helpful.
  • Must be able to communicate effectively in English, both verbally and in writing.

Certification/Knowledge/Skills/Abilities:
  • Requires the use of office equipment such as computer terminals, telephones and telephone headsets, copiers, 10-key adding machine, and fax machine.
  • Ability to communicate with others effectively and courteously.
  • Knowledgeable in all areas of insurance, demonstrate tact, diplomacy, and persistence required in daily contact with patients and third-party payers.
  • Must be able to prioritize collection efforts and work according to oral and written instructions using good organizational skills and sound judgment.
  • Demonstrate diligence, patience, and persistence to obtain required information on outstanding accounts.
  • Type 45 w.p.m. ensuring correct spelling and grammar when documenting account actions or written communications.
  • Basic mathematical knowledge including understanding of debits and credits for correct account transactions.
  • Ability to utilize tools available (i.e., payer websites).
  • Must have internet access and a secure office space to work from home.

Physical Requirements
  • Ability to work under pressure and stress and to sit at a terminal for long periods of time.
  • Required to lift objects of no more than 15 pounds.
  • Requires eye-hand coordination and manual dexterity to include correctable vision and hearing to normal ranges.
  • Must distinguish between letters, numbers, and symbols. Requires most work hours viewing of screens and keyboard entry on computer system.

Duties and Responsibilities
  • Compiles appropriate data based on insurance payer requirements for accurate follow-up.
  • Utilize accurate time frames assigned by management to ensure prompt follow up for reimbursement. Follows written and oral procedures to ensure prompt reimbursement.
  • Converse with third party payers efficiently and professionally to determine status of claims. Ensure accurate information is relayed to the payer to identify the claim.
  • Submit written and verbal inquiries to payers in an efficient and professional manner to determine status of claims. Ensure accurate information is included for the payer to identify the claim.
  • Demonstrate diligence and persistence with payers while maintaining tact and diplomacy.
  • Supply payers with requested information for the claim to be processed in a timely manner. Document all information pending from other providers. Follow through on all resources by contacting other providers and inform them of pended claim due to their outstanding claim information. Contacts patients as needed for required information.
  • Ensure all pertinent information is documented in the patient account note file. Ensure names and phone numbers are documented when applicable. Ensures correct insurance information is maintained and makes changes when necessary.
  • Refer accounts to assigned agencies contracted for insurance collection based on written and oral instructions. Refers to patient collections when efforts are exhausted.
  • Keeps informed on managed care contracts. Reads, retains, and utilizes processes to ensure notification of denial of discounts when appropriate. Sends appropriate correspondence.
  • Ensures work queues are reviewed and worked according to expectations.
  • Maintains good working relationships with coworkers and revenue cycle departments.
  • Maintains productivity set forth by department standards.
  • Performs all other tasks/responsibilities, as necessary.

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