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

Mercer France

Claims Representative

Houston, TX · On-site

Respond to customers regarding status of claims. * Assist producers and claims team with claims ... Considerable knowledge of basic company computer programs for word processing, accounting and ...

New

Oliver Wyman

Claims Representative

Houston, TX · On-site

Respond to customers regarding status of claims. * Assist producers and claims team with claims ... Considerable knowledge of basic company computer programs for word processing, accounting and ...

New

Elementia

Warranty Claims Specialist

Houston, TX · On-site

$50K - $58K/yr

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

Next Insurance

Express Claims Advocate

Houston, TX · On-site +1

$55K - $72K/yr

You will join a team of experienced claims professionals and will investigate and resolve general ... subsidized medical plan, fully subsidized vision/dental options, life insurance, disability ...

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All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Conroe, TX

Medical Claims Processor information

See Conroe, TX salary details

$11

$16

$22

How much do medical claims processor jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for medical claims processor in Conroe, TX is $16.67, according to ZipRecruiter salary data. Most workers in this role earn between $14.81 and $18.51 per hour, depending on experience, location, and employer.

What is a medical claims processor?

Medical claims processors work for a health care office or insurance company. Their job is to check medical insurance claims for proper billing codes, update the doctor or insurer about changes to the claim, and clarify concerns about patient benefits. It is essential that the billing codes match the medical services provided. As a medical claims processor, you also follow up with the insurer to discuss discrepancies and find out the status of claims. Current procedural terminology (CPT) and data entry are central parts of a medical claims processor’s job, as they often use Microsoft Office applications or a secure database to enter billing codes for services rendered.

What does a medical claims processor do?

A Medical Claims Processor is responsible for reviewing, evaluating, and processing health insurance claims submitted by policyholders or healthcare providers. Their main tasks include verifying patient and insurance information, examining medical codes, ensuring compliance with insurance policies, and determining the amount payable for each claim. They play a crucial role in making sure that claims are handled efficiently and accurately, helping both providers and patients navigate insurance benefits. Attention to detail, knowledge of medical terminology, and understanding insurance guidelines are essential skills for this role.

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

To thrive as a Medical Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims adjudication processes, often supported by a high school diploma or associate degree. Proficiency with claims management software, ICD and CPT coding systems, and electronic health record systems is typically required. Attention to detail, organizational skills, and the ability to communicate clearly with providers and patients are essential soft skills. These competencies ensure accurate claim processing, minimize errors, and help maintain efficient workflow within healthcare administration.

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

Medical Claims Processors often encounter challenges such as handling complex insurance policies, keeping up with changing regulations, and resolving claim discrepancies. To manage these issues, strong attention to detail, continuous learning, and effective communication with providers and insurance representatives are essential. Many processors also rely on updated software and regular training to stay current with industry standards and maintain accuracy in claim adjudication.

What is the difference between Medical Claims Processor vs Medical Billing Specialist?

AspectMedical Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary FocusReviewing and processing insurance claimsCreating and sending bills to patients and insurers
Common TasksVerifying claim accuracy, data entryCoding procedures, invoicing patients

While both roles involve handling healthcare financial data, Medical Claims Processors focus on reviewing and submitting insurance claims, whereas Medical Billing Specialists handle invoicing and billing patients. Both roles require attention to detail and knowledge of healthcare billing processes, but their daily tasks and focus areas differ.

Do you need a degree to be a medical claims processor?

A degree is not typically required to become a medical claims processor, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include knowledge of medical billing, coding, and claims processing software, and some positions may offer on-the-job training or certification programs.
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Cities near Conroe, TX with the most Medical Claims Processor job openings:

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Conroe, TX as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 100% In-person job distribution, with an average salary of $34,667 per year, or $16.7 per hour.

Claims Representative

Mercer France

Houston, TX • On-site

Other

Medical, Retirement

Posted 3 days ago

New

Job description

Claim Representative

Our not-so-secret sauce.

Award winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. The industry's brightest talent drives our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as a Claim Representative at McGriff Specialty, a division of Marsh McLennan Agency (MMA).

Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh (NYSE: MRSH).

A day in the life.

As our Claim Representative on the McGriff Specialty Team, you will:

  • Obtain specific information regarding loss/claim to report to the company, as necessary.
  • Advise customers what information is necessary for claims filing.
  • Respond to customers regarding status of claims.
  • Assist producers and claims team with claims status and special projects.
  • Respond to company requests for policy information, as necessary.
  • Maintain own diary system for use in periodic follow up on selected claims.

Our future colleague.

We'd love to meet you if your professional track record includes these skills:

  • High School graduate
  • Operates under the direction of the claims team
  • Utilizes client relation skills to build and maintain positive business relationships with clients and market contacts; including excellent communication skills and service orientation, cooperative nature, and tactfulness to resolve client and company problems
  • Considerable knowledge of basic company computer programs for word processing, accounting and applications

Preferred Qualifications:

  • College degree
  • Prior brokerage experience
  • Knowledge of McGriff's claim management / agency management system or ability to learn quickly

We know there are excellent candidates who might not check all of these boxes. Don't be shy. If you're close, we'd be very interested in meeting you.

Valuable benefits.

We value and respect the impact our colleagues make every day both inside and outside our organization. We've built a culture that promotes colleague well-being through robust benefit programs and resources, encourages professional and personal development, and celebrates opportunities to pursue the projects and causes that give colleagues fulfilment outside of work.

Some benefits included in this role are:

  • Generous time off, including personal and volunteering
  • Tuition reimbursement and professional development opportunities
  • Hybrid Work
  • Charitable contribution match programs
  • Stock purchase opportunities

Who you are is who we are.

We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams.

Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.

McGriff specializes in business and personal insurance, employee benefit solutions, risk management services, specialized industry expertise and more.

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