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Insurance Claims Processor Jobs in Conroe, TX (NOW HIRING)

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

Claims Specialist - Marine

Houston, TX ยท On-site +1

$62K - $85K/yr

Knowledge of insurance industry or claims handling preferred, * Knowledge of recreational boating ... Should you require any accommodation through the application process, please send an e-mail to ...

AVP, Casualty Claims - Excess

Houston, TX ยท Hybrid

$170K - $195K/yr

Arch Insurance Group Inc., (AIGI), has an opening with the Claims Division as a Assistant Vice ... processes, results and initiatives across the Middle Market Excess claims unit and the E&S and ...

AVP, Casualty Claims - Excess

Houston, TX ยท Hybrid

$170K - $195K/yr

Arch Insurance Group Inc., (AIGI), has an opening with the Claims Division as a Assistant Vice ... processes, results and initiatives across the Middle Market Excess claims unit and the E&S and ...

Warranty Claims Specialist The Warranty Claims Specialist administers product warranty claims from ... process. * Maintain accurate and complete electronic claim files, status notes, financial ...

Warranty Claims Specialist The Warranty Claims Specialist administers product warranty claims from ... process. * Maintain accurate and complete electronic claim files, status notes, financial ...

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Insurance Claims Processor information

See Conroe, TX salary details

$10

$19

$29

How much do insurance claims processor jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for insurance claims processor in Conroe, TX is $19.12, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $21.83 per hour, depending on experience, location, and employer.

Is claims processing a stressful job?

Claims processing as an insurance claims processor can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires attention to detail, communication skills, and the ability to handle sensitive information, which can contribute to job-related stress levels.

What does an insurance claims processor do?

An Insurance Claims Processor reviews and handles insurance claims submitted by policyholders. Their primary responsibilities include verifying information, ensuring all necessary documentation is provided, and assessing claims for accuracy and compliance with policy guidelines. They communicate with policyholders, adjusters, and healthcare providers to gather additional information if needed, and determine how much the insurance company should pay out. The role is essential for ensuring claims are processed efficiently and fairly, maintaining customer satisfaction, and preventing fraud.

Is an insurance claims processor job in demand?

The demand for insurance claims processors remains steady due to the ongoing need for claims management in the insurance industry. Employment is expected to grow at a moderate rate, with skills in data entry, customer service, and familiarity with claims processing software being valuable for job candidates.

What are the key skills and qualifications needed to thrive as an insurance claims processor, and why are they important?

To thrive as an Insurance Claims Processor, you need strong attention to detail, knowledge of insurance policies and regulations, and typically a high school diploma or equivalent. Familiarity with claims management software, electronic databases, and sometimes certifications like the Associate in Claims (AIC) are common requirements. Excellent organizational skills, clear communication, and problem-solving abilities help you stand out in this role. These skills ensure accurate claim processing, effective customer service, and compliance with industry standards.

What are some common challenges faced by insurance claims processors, and how can they be managed effectively?

Insurance Claims Processors often encounter challenges such as managing high volumes of claims, navigating complex policy details, and meeting strict deadlines. Staying organized and detail-oriented is key to ensuring accuracy and timely processing. Effective communication with policyholders, adjusters, and other team members also helps resolve discrepancies quickly and improves overall workflow. Many employers provide ongoing training and support to help processors stay current on regulations and best practices, which can further ease these challenges.

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

AspectInsurance Claims ProcessorInsurance Claims Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are a plusRequires a high school diploma; often holds certifications such as AIC or CPCU
Work EnvironmentOffice setting, processing claims dataField and office work, investigating claims
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusProcessing and data entry of claimsInvestigating, evaluating, and settling claims

While both roles are essential in the insurance industry, Claims Processors focus on handling claim data and documentation, whereas Claims Adjusters investigate and determine claim validity and settlement amounts. Understanding these differences helps job seekers identify the right career path within insurance claims roles.

What are popular job titles related to Insurance Claims Processor jobs in Conroe, TX? For Insurance Claims Processor jobs in Conroe, TX, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processor jobs in Conroe, TX look for? The top searched job categories for Insurance Claims Processor jobs in Conroe, TX are:
What cities near Conroe, TX are hiring for Insurance Claims Processor jobs? Cities near Conroe, TX with the most Insurance Claims Processor job openings:
Infographic showing various Insurance Claims Processor job openings in Conroe, TX as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $39,777 per year, or $19.1 per hour.

Workflow Specialist Claims Processing

Tata Consultancy Service Limited

Cypress, TX โ€ข On-site

$50K - $53K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 28 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:
โ€ข Discretionary Annual Incentive.
โ€ข Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
โ€ข Family Support: Maternal & Parental Leaves.
โ€ข Insurance Options: Auto & Home Insurance, Identity Theft Protection.
โ€ข Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.
โ€ข Time Off: Vacation, Time Off, Sick Leave & Holidays.
โ€ข Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
Salary Ran ge: $50,000 - $53,000 per year