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Medical Claims Jobs in Spring, TX (NOW HIRING)

TEEMA

Workers Compensation Claims Examiner

Houston, TX · On-site

$36 - $41/hr

Senior Workers' Compensation Claims Examiner (Texas Licensed ) We are seeking an experienced ... You will work closely with claimants, employers, medical providers, attorneys, and internal ...

Chubb

ESIS Claims Representative, WC

Houston, TX · On-site

Utilize medical cost containment measures to control loss dollar pay-out. Review status of claims and develop strategies to effectively manage to conclusion. Consistent delivery of superior customer ...

Chubb

ESIS Claims Specialist, AGL

Houston, TX

The AGL Claims Specialist: Under the direction of the Claims Team Leader, investigates and settles ... Reviewing and approving medical bill payments * Managing vocational rehabilitation Chubb is a world ...

Chubb

ESIS Claims Specialist, AGL

Houston, TX · On-site

Reviewing and approving medical bill payments * Managing vocational rehabilitation Qualifications * College degree or 7+ years' experience handling claims in a relevant line of business, including ...

Elementia

Warranty Claims Specialist

Houston, TX · On-site

$50K - $58K/yr

Position Summary The Warranty Claims Specialist administers product warranty claims from initial ... Allura offers medical, dental, and vision plan options; company-paid and voluntary life and ...

Chubb

ESIS Claims Team Leader, WC

Houston, TX · On-site

Supervises and directs the activities of Claims Representatives in the investigation and settlement ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

Chubb

ESIS Claims Team Leader, WC

Houston, TX

... medical condition, genetic information, military and veteran status, age, and pregnancy or any ... Multiple jurisdictional claims handling experience with the requisite Adjuster Licenses desired

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Medical Claims information

See Spring, TX salary details

$4

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How much do medical claims jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for medical claims in Spring, TX is $14.97, according to ZipRecruiter salary data. Most workers in this role earn between $13.70 and $16.25 per hour, depending on experience, location, and employer.

What are medical claims?

Medical claims are formal requests submitted by healthcare providers or patients to insurance companies, asking for payment for medical services rendered. These claims contain detailed information about the patient, the services provided, dates of service, and relevant medical codes. Insurance companies review the claims to determine coverage and reimburse providers or patients accordingly. Accurate and timely submission of medical claims is crucial to ensure proper payment and avoid delays or denials.

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

To thrive as a Medical Claims Specialist, you need knowledge of medical terminology, insurance policies, and claims processing, typically supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health records (EHRs), and billing systems such as ICD-10 and CPT coding is essential. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and resolve claim discrepancies. These skills are crucial for ensuring timely and accurate claims processing, minimizing errors, and maintaining compliance with healthcare regulations.

What are some common challenges faced in a medical claims role, and how can they be effectively managed?

Medical claims professionals often encounter challenges such as handling denied or complex claims, navigating frequent regulatory changes, and communicating with both patients and insurance providers. Staying updated with the latest healthcare regulations and payer requirements is essential to minimize claim rejections. Effective time management, attention to detail, and strong communication skills help resolve issues quickly and ensure accurate processing. Collaborating closely with billing teams and healthcare providers also aids in addressing discrepancies and expediting claim approvals.

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

AspectMedical ClaimsMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies and coding; certifications like CPC or CCS are commonRequires similar certifications; focuses on billing processes and insurance claims
Work EnvironmentHealthcare facilities, insurance companies, billing companiesMedical offices, hospitals, billing companies
Job FocusSubmitting and managing insurance claims for reimbursementPreparing and sending bills to patients and insurers, managing accounts

Medical Claims specialists primarily handle the submission and management of insurance claims to ensure healthcare providers receive payment. Medical Billing Specialists focus on creating and sending bills to patients and insurance companies, managing payments, and maintaining billing records. While both roles require knowledge of insurance processes and coding, Medical Claims roles are more centered on claims submission and follow-up, whereas Medical Billing Specialists handle the overall billing process and patient invoicing.

Is medical claims processing a stressful job?

Medical claims processing can be stressful due to tight deadlines, high accuracy requirements, and the need to handle complex or disputed claims. The job often involves detailed data entry, familiarity with insurance policies, and sometimes dealing with frustrated clients, which can contribute to stress levels. However, workload and stress vary depending on the employer and individual workload management skills.

What are the most commonly searched types of Medical Claims jobs in Spring, TX?

The most popular types of Medical Claims jobs in Spring, TX are:

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

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

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

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

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

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

Medical Claims jobs near you
Infographic showing various Medical Claims 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 $31,146 per year, or $15 per hour.

Workers Compensation Claims Examiner

TEEMA

Houston, TX • On-site

$36 - $41/hr

Full-time

Re-posted 29 days ago

Job description

Senior Workers’ Compensation Claims Examiner (Texas Licensed)

We are seeking an experienced Workers’ Compensation Claims Examiner to join a collaborative claims team handling complex indemnity claims from initial investigation through resolution. This is an excellent opportunity for a detail-oriented professional who thrives in a fast-paced environment and enjoys balancing analytical decision-making with strong client and claimant communication.

In this role, you will independently manage a caseload of approximately 110–150 workers’ compensation claims, including complex files requiring advanced investigation, compensability analysis, reserve management, and ongoing medical oversight. You will work closely with claimants, employers, medical providers, attorneys, and internal stakeholders to ensure timely and compliant claim resolution in accordance with Texas workers’ compensation regulations.

Key Responsibilities:

  • Investigate and manage workers’ compensation claims from inception to closure

  • Determine compensability and administer benefits in accordance with state laws and company guidelines

  • Coordinate medical treatment and manage related billing activity

  • Establish and maintain accurate claim reserves

  • Maintain organized documentation and diary management for all claim activity

  • Communicate effectively with clients regarding claim status, trends, and risk concerns

  • Conduct independent file reviews and proactively drive claims toward resolution

Qualifications:

  • Active Texas Workers’ Compensation Adjuster License required

  • 5+ years of workers’ compensation claims handling experience, including complex indemnity claims

  • Strong understanding of workers’ compensation statutes, medical terminology, and claims investigation

  • Excellent written and verbal communication skills

  • Ability to manage a high-volume caseload independently

  • Proficiency with Microsoft Office applications preferred

This position offers the opportunity to join a professional, team-oriented environment where your expertise and judgment will have a direct impact on claim outcomes and client satisfaction.

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About Teema

Sourced by ZipRecruiter

TEEMA is an award-winning, industry-leading recruitment agency dedicated to building meaningful relationships across North America. We achieve this time after time by consistently sourcing, screening, managing and securing top talent tailored to employers’ specific needs. The team that makes this happen consists of hundreds of experienced professional recruiters backed by exceptional, tenured leadership and back-office support. No matter how unique or challenging your hiring needs may be or how misunderstood or undervalued your in-demand skills may be in your current role, we have you covered. Our primary objective is to provide an exceptional recruitment experience for our clients and candidates and an ecosystem that empowers our team to thrive.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Litchfield Park, AZ, US

Social media

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