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

Selene Holdings

Insurance Claims Specialist

Dallas, TX · On-site

... 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 ...

PDS Health

Auditor, Insurance Claims

Irving, TX · On-site

$22/hr

Read and analyze EOB's and make proper adjustments according to PDS claims processing criteria * Sends appeals to insurance carriers with justification as to why dental treatment should be paid.

Crow Holdings

Claims Manager

Dallas, TX

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

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

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 ...

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 ...

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 ...

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How much do insurance claims processor jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for insurance claims processor in Dallas, TX is $22.10, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $25.19 per hour, depending on experience, location, and employer.

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.

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.

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 education or relevant certifications. Experience with computer software, attention to detail, and strong organizational skills are important, and familiarity with insurance policies and claims processing systems can improve job prospects.

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 rate similar to the average for all occupations, with opportunities increasing as insurance companies seek skilled workers familiar with claims processing software and regulations.

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 are popular job titles related to Insurance Claims Processor jobs in Dallas, TX?

For Insurance Claims Processor jobs in Dallas, TX, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processor jobs in Dallas, TX look for?

The top searched job categories for Insurance Claims Processor jobs in Dallas, TX are:

What cities near Dallas, TX are hiring for Insurance Claims Processor jobs?

Cities near Dallas, TX with the most Insurance Claims Processor job openings:

Insurance Claims Processor jobs near you
Infographic showing various Insurance Claims Processor job openings in Dallas, TX as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $45,961 per year, or $22.1 per hour.

Insurance Claims Specialist

Dallas, TX • On-site

Selene Holdings
See more jobs at Selene Holdingsexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 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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