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Insurance Claims Processing Jobs in Pasadena, TX

PFS Group

Remote Senior Insurance Rep

Houston, TX · On-site +1

Key Responsibilities: - Manage and process insurance claims, ensuring accuracy and timeliness in accordance with company policies and industry regulations. - Serve as a primary point of contact for ...

PFS Group

Remote Senior Insurance Rep

Houston, TX · On-site +1

Key Responsibilities: - Manage and process insurance claims, ensuring accuracy and timeliness in accordance with company policies and industry regulations. - Serve as a primary point of contact for ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Evaluate claims against program-specific business rules todetermineapproval or rejection ... Insurance verificationexperience Required * Experience with payment postings Required * Callcenter ...

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 ...

RadNet, Inc.

Risk & Claims Manager

Houston, TX · On-site

$95 - $130/hr

Advising on coverage and claims processes, maintaining familiarity with all insurance coverage. * Coding and submitting monthly insurance deductible invoices. * Reviewing loss-runs from the Third ...

New

Socket.dev

Risk & Claims Manager

Houston, TX · On-site

$95 - $135/hr

Advising on coverage and claims processes, maintaining familiarity with all insurance coverage. * Coding and submitting monthly insurance deductible invoices. * Reviewing loss-runs from the Third ...

New

PFS Group

Follow up Insurance Representative

Houston, TX · On-site

$37K - $45K/yr

This role involves evaluating and processing insurance claims, providing expert advice to clients, and collaborating with other departments to optimize insurance services. Key Responsibilities ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Pasadena, TX

Insurance Claims Processing information

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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 Pasadena, TX is $20.41, according to ZipRecruiter salary data. Most workers in this role earn between $16.68 and $23.27 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 Pasadena, TX?

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

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

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

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

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

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Pasadena, TX as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $42,452 per year, or $20.4 per hour.

Workflow Specialist Claims Processing

Tata Consultancy Service Limited

Cypress, TX • On-site

$50K - $53K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 7 days ago

Job description

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employers guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned
Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.
TCS Employee Benefits Summary:
• Discretionary Annual Incentive.
• Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
• Family Support: Maternal & Parental Leaves.
• Insurance Options: Auto & Home Insurance, Identity Theft Protection.
• Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.
• Time Off: Vacation, Time Off, Sick Leave & Holidays.
• Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
Salary Ran ge: $50,000 - $53,000 per year

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