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

Choice Health At Home

Billing Specialist

Tyler, TX · On-site

$15.75 - $21.25/hr

The Billing Specialist in Health Care Services plays a critical role in ensuring accurate and timely processing of patient billing and insurance claims. This position is responsible for managing the ...

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

Insurance Claims Processing information

See Tyler, TX salary details

$11

$21

$32

How much do insurance claims processing jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for insurance claims processing in Tyler, TX is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $23.99 per hour, depending on experience, location, and employer.

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 are popular job titles related to Insurance Claims Processing jobs in Tyler, TX? For Insurance Claims Processing jobs in Tyler, TX, the most frequently searched job titles are:
What cities near Tyler, TX are hiring for Insurance Claims Processing jobs? Cities near Tyler, TX with the most Insurance Claims Processing job openings:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Tyler, TX as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $43,782 per year, or $21 per hour.

Workers' Compensation Claims Representative

Claims Administrative Services, Inc.

Tyler, TX • Remote

Full-time

Medical

Re-posted 9 days ago

Job description

About Us

Claims Administrative Services, Inc (CAS) has served as a third-party administrator handling workers' compensation and property and casualty claims for a wide array of clients since 1990. In addition to our claims experience, CAS offers safety and loss control, cost containment services, and program administration. Every day our experienced professionals are on the job, reducing the frequency and severity of workplace injuries, managing associated claims costs, and helping injured employees return to work. Our personalized customer service combined with dedicated experience, innovation, and cost efficiency, assists our clients in reducing costs and protecting their employees.

Structure and Ownership

Heartland Security Insurance Group is the holding company for Claims Administrative Services, Inc. Heartland is comprised of seven different insurance and risk management businesses, providing products and services globally. Each of the companies offer solutions to distinct client groups in the federal, state and private sectors. The organization has been under continuous private family ownership for 50 years. Today, it has over 60 stockholders as well as ESOP ownership. In addition to providing an important retirement benefit to associates, the Employee Stock Ownership Plan (ESOP) assures that everyone in the organization has a vested interest in providing the very highest level of service to the client.

Commitment to the Community

Claims Administrative Services, Inc., and the parent organization, Heartland Security Insurance Group, have a long history of philanthropy to the local, national, and international communities.

Workers' Compensation Claims Representative

Primary Responsibility

The Claims Representative will manage an assigned caseload of medical only and lost time Workers’ Compensation claims from the first report of injury to resolution according to the applicable law. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. The Claims Representative will adjudicate medical only and lost time Workers' Compensation files according to applicable law.

Essential Functions & Responsibilities

Manage assigned caseload of workers’ compensation claims.

Make decisions about compensability, set reserves and negotiate settlements.

Interact with claimants, clients, medical providers and other third party representatives throughout the claims process.

Timely initial contacts and investigation of new claims.

Verify coverage.

Take recorded statements as needed.

Document files daily on every conversation and action taken.

Identify and address subrogation issues.

Start and stop indemnity benefits timely and accurately.

Complete jurisdictional forms timely and accurately.

Monitor ongoing medical treatment.

Request second medical opinions as needed.

Request surveillance appropriately.

Work mail and diary on a daily basis.

Client visits as required.

Preparation and handling of hearings

Additional Functions & Responsibilities

Communicates directly with client.

Prepares reports and other analytical data as requested by the management team.

Required Qualifications

Must hold a valid Workers’ Compensation Adjuster license.

Must have at least 2-3 years of experience handling indemnity workers’ compensation claims.

High school diploma.

Ability to follow instructions, procedures and rules.

Must have strong attention to detail.

Must have good written and oral communication skills.

Must be well organized and the ability to multi-task.

Basic computer skills in MS Word, Excel and Outlook.

Fast, accurate data entry

Preferred Qualifications

College degree in business or other related discipline.

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