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Insurance Claims Processing Jobs in Allen, TX (NOW HIRING)

Selene Holdings

Insurance Claims Specialist

Dallas, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... insurance brokerage, and a real estate owned company. We have office locations in Dallas, TX, ... Ensure claims are processed in accordance with company guidelines, investor requirements, and ...

Selene Holdings

Insurance Claims Specialist

Dallas, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... insurance brokerage, and a real estate owned company. We have office locations in Dallas, TX, ... Ensure claims are processed in accordance with company guidelines, investor requirements, and ...

Tokio Marine HCC

Aviation Claims Examiner

Plano, TX · On-site

Ready to take your aviation insurance career to new heights? The "perfect" candidate for this ... processing and claims payment is accurate, efficient, and properly communicated. Key ...

Tmhcc

Aviation Claims Examiner

Plano, TX

Ready to take your aviation insurance career to new heights? The "perfect" candidate for this ... processing and claims payment is accurate, efficient, and properly communicated. Key ...

Crow Holdings

Claims Manager

Dallas, TX · On-site

$110 - $190/hr

Strong understanding of insurance coverage, claims handling practices, and litigation processes * Experience working with carriers, brokers, and third-party administrators * Excellent communication ...

Tata Consultancy Service Limited

Claims Consultant

Mckinney, TX · On-site

$48K - $55K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines Analyzes ... Reviews client critical deliverables, manages the overall workload, and second-level process ...

Tata Consultancy Service Limited

Claims Consultant

Wylie, TX · On-site

$48K - $55K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines Analyzes ... Reviews client critical deliverables, manages the overall workload, and second-level process ...

Crow Holdings

Claims Manager

Dallas, TX · On-site

Strong understanding of insurance coverage, claims handling practices, and litigation processes * Experience working with carriers, brokers, and third-party administrators * Excellent communication ...

Tata Consultancy Service Limited

Claims Consultant

Plano, TX · On-site

$48K - $55K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines Analyzes ... Reviews client critical deliverables, manages the overall workload, and second-level process ...

OMS MEDICAL BILLING LLC

Claims In-take Specialist

Addison, TX

$20 - $25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

... process incoming healthcare claims for anesthesia services * Data Entry: Accurately input patient information, procedure codes, and billing details into practice management systems * Insurance ...

Crow Holdings

Claims Manager

Dallas, TX · On-site

Strong understanding of insurance coverage, claims handling practices, and litigation processes * Experience working with carriers, brokers, and third-party administrators * Excellent communication ...

SERVPRO Team Shaw

Claims Coordinator

Grapevine, TX · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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 ...

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 ...

Geico

Claims Specialist

Richardson, TX · On-site

$28.29/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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 Allen, TX

Insurance Claims Processing information

See Allen, TX salary details

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How much do insurance claims processing jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for insurance claims processing in Allen, TX is $20.78, according to ZipRecruiter salary data. Most workers in this role earn between $16.97 and $23.70 per hour, depending on experience, location, and employer.

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 the key skills and qualifications needed to thrive in insurance claims processing?

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 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.

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.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing 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 claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

What are popular job titles related to Insurance Claims Processing jobs in Allen, TX?

For Insurance Claims Processing jobs in Allen, TX, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processing jobs in Allen, TX look for?

The top searched job categories for Insurance Claims Processing jobs in Allen, TX are:

What cities near Allen, TX are hiring for Insurance Claims Processing jobs?

Cities near Allen, TX with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Allen, TX as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 28% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $43,217 per year, or $20.8 per hour.

Insurance Claims Specialist

Selene Holdings

Dallas, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago

Job description

Selene Holdings is a multiple-lines business financial services firm with a mortgage servicing company, a loan diligence company, a title company, an insurance brokerage, and a real estate owned company. We have office locations in Dallas, TX, Jacksonville, FL, and Salt Lake City, UT. Founded in 2007 to address needs in the mortgage industry, Selene strives to provide amazing client and borrower experiences. A positive attitude coupled with proven creative thinking and actions are all attributes we seek in every one of our employees. If you want to make a difference, then Selene is the place for you!
The Hazard Claims Review Specialist is responsible for reviewing residential property damage claims to ensure claim payments accurately align with documented damages, policy coverage, adjuster findings, and repair estimates. This role analyzes damage reports, adjuster inspections, contractor estimates, and claim settlements to identify discrepancies, overpayments, underpayments, or potential compliance issues. The specialist develops tracking and reporting tools, collaborates with internal stakeholders and third-party vendors, and supports quality assurance efforts across the hazard claims process.
Key Responsibilities
Claims Review and Analysis
  • Review residential property damage reports, adjuster reports, inspection findings, photographs, and repair estimates.
  • Validate that claim payments are consistent with documented damages and approved scope of repairs.
  • Compare adjuster assessments against contractor estimates and settlement amounts.
  • Identify discrepancies, payment variances, duplicate charges, scope inconsistencies, and potential overpayments or underpayments.
  • Ensure claims are processed in accordance with company guidelines, investor requirements, and applicable regulations.
  • Escalate questionable claims, exceptions, or potential fraud indicators to management and appropriate stakeholders.

Claims Quality Control
  • Perform detailed quality assurance reviews of completed claims files.
  • Verify supporting documentation is complete, accurate, and properly retained.
  • Monitor claim trends, recurring issues, and process deficiencies.
  • Recommend process improvements to enhance claim accuracy and operational efficiency.
  • Support internal and external audit requests related to hazard claims activities.

Reporting and Analytics
  • Develop, maintain, and distribute claim tracking reports and dashboards.
  • Monitor claim lifecycle metrics, payment trends, vendor performance, and exception reporting.
  • Analyze claim data to identify operational risks and opportunities for process improvement.
  • Prepare management reports summarizing claim review outcomes, payment accuracy, and performance metrics.
  • Utilize Excel, reporting tools, and claims systems to track key performance indicators (KPIs).

Vendor Management
  • Coordinate with adjusters, inspectors, contractors, restoration companies, and other third-party vendors.
  • Review vendor estimates and supporting documentation for reasonableness and accuracy.
  • Monitor vendor performance against service-level agreements and quality standards.
  • Resolve documentation deficiencies and payment-related discrepancies with vendors.
  • Facilitate communication between vendors and internal business units to ensure timely claim resolution.

Stakeholder Collaboration
  • Partner with Claims, Loss Draft, Risk Management, Loan Servicing, Quality Assurance, and Compliance teams.
  • Communicate claim review findings and recommendations to management.
  • Support process improvement initiatives and special projects.
  • Assist with training efforts related to claim review standards and best practices.

Qualifications
Education
  • Bachelor's degree in Business, Insurance, Risk Management, Finance, Construction Management, or related field preferred.
  • Equivalent combination of education and experience may be considered.

Experience
  • 3+ years of experience in property insurance claims, hazard claims, loss draft administration, property inspection review, mortgage servicing, or related field.
  • Experience reviewing residential property damage assessments and insurance claim settlements.
  • Familiarity with adjuster reports, repair estimates, contractor bids, and property restoration processes.

Knowledge and Skills
  • Strong understanding of residential property insurance claims and damage assessment.
  • Knowledge of roofing, structural, water, fire, wind, hail, and disaster-related property damages.
  • Ability to analyze claim documentation and identify inconsistencies.
  • Advanced proficiency in Microsoft Excel, including pivot tables, reporting, and data analysis.
  • Strong analytical, problem-solving, and decision-making skills.
  • Excellent written and verbal communication skills.
  • Experience with claims management systems and reporting platforms preferred.
  • Ability to manage multiple priorities in a fast-paced environment.

Preferred Qualifications
  • Property and Casualty (P&C) insurance experience.
  • Adjuster license or insurance certification preferred.
  • Experience in mortgage servicing, loss draft administration, or investor claims oversight.
  • Knowledge of Xactimate or similar estimating software.
  • Experience with vendor management and performance monitoring.

Key Performance Indicators (KPIs)
  • Claims review accuracy rate.
  • Percentage of payment variances identified and resolved.
  • Turnaround time for claim reviews.
  • Vendor compliance and performance metrics.
  • Reporting accuracy and timeliness.
  • Reduction in claim payment errors and exceptions.
  • Audit and quality assurance results.
Why Selene?
Benefits
Selene Finance LP is committed to the total wellbeing of its employees and therefore offers one of the best benefits packages available in the industry today, which includes:
  • Paid Time Off (PTO)
  • Medical, Dental &Vision
  • Employee Assistance Program
  • Flexible Spending Account
  • Health Savings Account
  • Paid Holidays
  • Company paid Life Insurance
  • Matching 401(k) Plan

The job requirements listed above are representative of the knowledge, skills, and/or abilities required. This job description is not an inclusive list of all duties and responsibilities of this position. Incumbents will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. Selene reserves the right to amend and change responsibilities to meet business and organizational needs.
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