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Insurance Claims Processing Jobs in Texas (NOW HIRING)

... insurance claims processes, and workers' compensation regulations. • Strong problem-solving and analytical abilities to investigate and resolve complex claims efficiently. • Excellent ...

POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing ... in insurance, medical or managed care environment including two years of claim processing ...

Claims Auditor

San Antonio, TX · On-site

$19.55 - $29.75/hr

POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing ... in insurance, medical or managed care environment including two years of claim processing ...

Claims Auditor

San Antonio, TX · On-site

$19.55 - $29.75/hr

POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing ... in insurance, medical or managed care environment including two years of claim processing ...

Claims Technician

Houston, TX · Hybrid

$24 - $35.75/hr

... Insurance Claims Processing, Intentional collaboration, Managing performance, Microsoft ... Applications, Prioritization, Problem Solving, Risk Assessments, Time Management How to Apply: To ...

POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing ... in insurance, medical or managed care environment including two years of claim processing ...

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Insurance Claims Processing information

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

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 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.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

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 does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
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:
Infographic showing various Insurance Claims Processing job openings in Texas as of July 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Hybrid job distribution.
Claims Advocate

Other

Retirement, PTO

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


Job description

Company Overview
As one of the largest independent insurance agencies in Texas, we are proud to be recognized for our exceptional, values-driven culture and consistently named among the best places to work. Our reputation reflects our commitment to outstanding client service, meaningful philanthropic efforts, employee well-being, strong financial stewardship, and a promising future.
Position Summary
The Claims Advocate serves as a trusted resource to clients by providing claims support and advocacy for Commercial Lines and Personal Lines accounts. This role assists clients throughout the claims process, facilitates communication with carriers and adjusters, and helps ensure timely and equitable claim resolution. The Claims Advocate works closely with Producers, Account Managers, and carrier partners to deliver positive client experience and support retention efforts.
Essential Duties and Responsibilities
  • Manage and coordinate Commercial Lines and Personal Lines claims from initial reporting through resolution.
  • Serve as a client advocate by facilitating communication between insureds, carriers, adjusters, and other involved parties.
  • Assist clients with claim reporting, documentation collection, and claim status updates.
  • Monitor claim progress and follow up with carriers to ensure timely handling.
  • Review claim activity and identify potential service concerns or escalation needs.
  • Support clients with coverage questions related to active claims and coordinate with internal teams as needed.
  • Maintain accurate claim documentation and activity records within EPIC.
  • Develop working relationships with carrier claim representatives and adjusters.
  • Participate in client meetings, renewal discussions, and stewardship meetings when requested.
  • Provide claims-related support to Producers and Service Teams to enhance client retention and satisfaction.
  • Analyze claim trends and assist in identifying opportunities for risk mitigation and improved claim outcomes.
  • Stay current on carrier procedures, coverage forms, and claims best practices.
Qualifications and Experience
  • Minimum 2 years' experience in insurance claims, risk management or agency experience.
  • Four-year college degree or equivalent work experience and/or industry designation education preferred.
  • Must be able to work independently and build strong internal/external client relationships.

Compensation and Benefits
  • Competitive compensation package.
  • Structured professional development and career growth opportunities.
  • Generous paid time off and recognized holidays.
  • Comprehensive benefits package, including company 401(k) match.
  • Gym membership reimbursement.
  • This role will be hybrid 3 days in the office, 2 days remote weekly after the training period.
Hotchkiss Insurance is an Equal Opportunity Employer and a drug-free workplace.
All applicants must be authorized to work in and currently reside in the United States.
No agencies or third-party inquiries.