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Medical Claims Adjuster Jobs in Spring, TX (NOW HIRING)

Orion180

Field Claims Adjuster

Houston, TX · On-site

Join our team as a Field Claims Adjuster in Houston TX! The Field Claims Adjuster is responsible ... Medical, dental, vision, 401k, paid holidays, PTO, and more. The office environment is fast-paced ...

The Friedkin Group

Mechanical Claims Adjuster

Houston, TX

$45K - $59K/yr

Our comprehensive benefits package includes medical, dental, and vision insurance, wellness ... Adjust/process claims from dealers, repair facilities, and customers accurately and expeditiously.

Elite

Sr. Work Comp Claims Adjuster (Texas)

Houston, TX · On-site +1

$63K - $81K/yr

Manages medical treatment and medical billing, authorizing as appropriate.* * Communicates with claimants, providers and vendors regarding claims issues.* * Computes and set reserves within Company ...

Elite

Senior Claims Adjuster_TEXAS WC License

Houston, TX · On-site +1

$63K - $81K/yr

Manages medical treatment and medical billing, authorizing as appropriate.* * Communicates with claimants, providers and vendors regarding claims issues.* * Computes and set reserves within Company ...

Elite

Sr. Work Comp Claims Adjuster (Texas)

Houston, TX · On-site

$63K - $81K/yr

Manages medical treatment and medical billing, authorizing as appropriate.* * Communicates with claimants, providers and vendors regarding claims issues.* * Computes and set reserves within Company ...

Elite

Senior Claims Adjuster_TEXAS WC License

Houston, TX

$63K - $81K/yr

Manages medical treatment and medical billing, authorizing as appropriate.* * Communicates with claimants, providers and vendors regarding claims issues.* * Computes and set reserves within Company ...

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All JobsMedical Claims Adjuster JobsMedical Claims Adjuster Jobs in Spring, TX

Medical Claims Adjuster information

See Spring, TX salary details

$27.1K

$57.5K

$80.1K

How much do medical claims adjuster jobs pay per year?

As of Sep 5, 2026, the average yearly pay for medical claims adjuster in Spring, TX is $57,495.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,400.00 and $67,200.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a medical claims adjuster?

To thrive as a Medical Claims Adjuster, you need a strong understanding of medical terminology, insurance policies, and claims processing, often supported by relevant experience or a degree in a related field. Familiarity with claims management software, billing systems, and regulatory compliance tools is typically required. Analytical thinking, attention to detail, and effective communication are essential soft skills to excel in this role. These skills ensure accurate claim evaluations, minimize errors, and support fair and timely resolutions for policyholders and insurers.

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

Medical Claims Adjusters often encounter challenges such as navigating complex healthcare policies, managing large caseloads, and communicating with multiple stakeholders, including providers and policyholders. Staying organized and up-to-date on changing regulations is crucial. Effective adjusters develop strong analytical skills and leverage claims management software to streamline their workflow. Collaborating closely with other team members and seeking clarification from supervisors or legal experts also helps address difficult cases and ensure accurate claim resolutions.

What is the difference between Medical Claims Adjuster vs Medical Claims Examiner?

AspectMedical Claims AdjusterMedical Claims Examiner
CredentialsTypically requires insurance licensing and knowledge of claims processingOften requires similar insurance certifications and detailed medical billing knowledge
Work EnvironmentInsurance companies, third-party administrators, or healthcare organizationsInsurance companies, government agencies, or third-party payers
Job FocusInvestigating, evaluating, and settling insurance claimsReviewing and verifying medical claims for accuracy and compliance
Common Search IntentUnderstanding claims processing and settlementVerifying medical billing and claim accuracy

Both roles involve working with insurance claims, but Medical Claims Adjusters focus on settling claims and negotiating payouts, while Medical Claims Examiners verify the accuracy and compliance of medical claims. They often work in similar environments and require comparable certifications, making them closely related in the insurance and healthcare industries.

How to become a medical claims adjuster?

To become a medical claims adjuster, typically you need a high school diploma or equivalent, and some states require a license which involves passing a state exam. Relevant skills include knowledge of insurance policies, medical terminology, and claims processing software. Gaining experience through entry-level insurance or claims positions can also be beneficial.

Is it worth becoming a medical claims adjuster?

Medical claims adjusters evaluate insurance claims related to healthcare expenses, requiring knowledge of medical terminology and insurance policies. The role offers steady employment, typically with a standard schedule, and may require certification or training. It can be a stable career path for those interested in healthcare and insurance industries.

What does a medical claims adjuster do?

A medical claims adjuster reviews insurance claims related to healthcare services to determine coverage and appropriate payment. They analyze medical bills, verify policy details, and communicate with healthcare providers and policyholders to resolve claims efficiently, often using claims processing software. Strong attention to detail and knowledge of insurance policies are essential for this role.

What are popular job titles related to Medical Claims Adjuster jobs in Spring, TX?

For Medical Claims Adjuster jobs in Spring, TX, the most frequently searched job titles are:

What job categories do people searching Medical Claims Adjuster jobs in Spring, TX look for?

The top searched job categories for Medical Claims Adjuster jobs in Spring, TX are:

What cities near Spring, TX are hiring for Medical Claims Adjuster jobs?

Cities near Spring, TX with the most Medical Claims Adjuster job openings:

Medical Claims Adjuster jobs near you
Infographic showing various Medical Claims Adjuster job openings in Spring, TX as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $57,495 per year, or $27.6 per hour.

Field Claims Adjuster

Orion180

Houston, TX • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 23 days ago

Job description

CITON Claims Solutions, LLC is a premier provider of claim management and administration services for insurance companies, specializing in efficient and innovative solutions tailored to meet each client's unique needs. With a dedicated team of experts and cutting-edge technology, CITON Claims Solutions, LLC ensures seamless processes, accurate assessments, and prompt resolutions, delivering unparalleled value and peace of mind to our clients.
CITON is located on the beautiful space coast of Melbourne, one of the best places to live in Florida. Melbourne offers affordable housing, transportation, and other amenities, and is in close proximity to major cities such as Orlando, Tampa, and Miami.
CITON Claims Solutions LLC is a subsidiary of Orion180 Insurance Group Inc., and handles Claims Administration, Management, and Investigation.
Join our team as a Field Claims Adjuster in Houston TX!
The Field Claims Adjuster is responsible for investigating, evaluating, and resolving insurance claims in the field. This role requires direct interaction with policyholders, witnesses, and third parties to gather relevant information and assess damage. The adjuster ensures claims are processed efficiently and fairly, in accordance with policy terms and company guidelines.
ROLE AND RESPONSIBILITIES
To perform the job successfully, the individual must be able to perform each essential duty satisfactorily and should demonstrate the following competencies to consistently perform the essential functions of this position. All employees are expected to adhere to and be knowledgeable of Orion180 operations standards, established security/safety rules and requirements for attendance. The requirements listed below are representative of the fundamental knowledge, skill, and/or ability required to perform the job successfully:
  • Conduct on-site inspections and investigations to assess property damage and loss.
  • Interview policyholders, witnesses, and other parties involved.
  • Document findings through photographs, reports, and detailed notes.
  • Analyze insurance policies to determine coverage and liability.
  • Prepare and submit detailed reports on findings and recommendations for claim settlement.
  • Negotiate settlements with policyholders and third parties.
  • Handle dispute resolution.
  • Maintain clear and professional communication with policyholders and other stakeholders.
  • Collaborate with internal teams, such as underwriters and legal advisors, to resolve complex claims.
  • Ensure compliance with state and federal regulations, as well as company policies.
  • Respond to catastrophe locations and markets when needed.

WHAT WE'RE LOOKING FOR:
  • Experience: Minimum of 5+ years in field claims adjusting, with experience dealing with public adjusters.
  • Technical Skills: Proficiency with Xactimate and other Xactware products; strong analytical and problem-solving abilities; familiarity with local building codes and repair processes.
  • Licensing and Certifications: Valid adjuster's license in Georgia; certification or advanced training in claims adjusting (e.g., CPCU, AIC).
  • Insurance Knowledge: Strong understanding of insurance policies and claims processes.
  • Negotiation Skills: Excellent negotiation skills and experience in dispute resolution.

Education:
• College degree preferred but combination of experience, education, and industry certifications will be considered
Required Experience:
• Minimum 5 years of field adjusting experience
Preferred Experience
• 7+ years of field adjusting experience
CITON Claims Solutions LLC is a subsidiary of Orion180 Group Inc., and handles Claims Administration, Management, and
Investigation.
WHAT'S IN IT FOR YOU:
• Dynamic Environment: Thrive in a dynamic, on-site environment where your expertise drives real results.
  • Competitive Pay: Enjoy a competitive base salary plus performance-based bonuses that reward your contributions when you go above and beyond.
  • Growth Potential: Join a supportive team with a path for growth.
  • Benefits: Medical, dental, vision, 401k, paid holidays, PTO, and more.

The office environment is fast-paced and collaborative. An employee must be willing and able to work their regularly assigned work schedule onsite, and in times of need, be able to work an extended schedule depending on company or departmental needs, project requirements, or customer demands.
While performing general duties for this position, the employee is regularly required to sit, stand, and/or walk around (including the use of stairs). Other demands include the ability to openly communicate with others by talking, listening, comprehending, and reading; being able to lift light objects (<25 lbs); and using standard office equipment such as computers, printers, and phones. In addition, there is an occasional need to bend, twist, or squat down to open/close cabinets and reach for files or other standard office-type objects.
Orion180 is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Reasonable accommodations are available for qualified individuals with disabilities during the application process. Applicants who need accommodations may email hr@orion180.com to request assistance.

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