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Medical Insurance Claims Processor Jobs in Texas

Crow Holdings

Claims Manager

Dallas, TX · On-site

$110 - $190/hr

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

... insurance claims process from start to finish. This position will work heavily within carrier ... Medical, Dental, Vision Insurance * Paid Time Off + Sick Leave * 401K with Company Matching

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 ...

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 ...

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All JobsMedical Insurance Claims Processor JobsMedical Insurance Claims Processor Jobs in Texas

Medical Insurance Claims Processor information

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$12

$19

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How much do medical insurance claims processor jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for medical insurance claims processor in Texas is $19.60, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $22.16 per hour, depending on experience, location, and employer.

What does a medical insurance claims processor do?

A Medical Insurance Claims Processor reviews and processes insurance claims submitted by healthcare providers or patients. They verify the accuracy of claim information, ensure services are covered by the patient’s insurance policy, and calculate the payment amounts. Claims processors also communicate with providers and policyholders to resolve discrepancies or request additional information when necessary. Their work helps ensure timely and accurate reimbursement for medical services.

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

To thrive as a Medical Insurance Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims processing procedures, typically supported by a high school diploma or associate degree. Familiarity with claims management software, coding systems like ICD-10 and CPT, and electronic health record (EHR) platforms is essential. Attention to detail, analytical thinking, and strong communication skills help ensure accuracy and efficiency when handling sensitive information and resolving claim issues. These skills are crucial for minimizing errors, expediting claims resolution, and maintaining compliance with industry regulations.

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

Medical Insurance Claims Processors often encounter challenges such as navigating complex insurance policies, dealing with frequent policy changes, and communicating with both providers and patients to resolve discrepancies. Staying organized and detail-oriented is crucial, as missing documentation or incorrect coding can delay claim approvals. Regularly attending training sessions on insurance regulations and collaborating closely with billing teams can help manage these challenges and ensure accurate, timely claim processing.

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

AspectMedical Insurance Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certifications like CPC or CPC-HHigh school diploma; certifications like CPC or CPC-H
Work EnvironmentHealthcare offices, insurance companiesHealthcare offices, billing departments
Primary ResponsibilitiesReview and process insurance claims, ensure accuracyGenerate bills, follow up on payments, manage accounts

While both roles involve healthcare billing and insurance, Medical Insurance Claims Processors focus on reviewing and submitting insurance claims, ensuring they are correctly processed. Medical Billing Specialists handle the entire billing cycle, including generating invoices and managing payments. Both roles require similar certifications and often work in healthcare or insurance settings, but their core functions differ in scope and daily tasks.

How to become a medical insurance claims processor?

To become a medical insurance claims processor, typically one needs a high school diploma or equivalent, along with training in healthcare billing and coding. Many employers prefer candidates with knowledge of medical terminology, insurance policies, and experience with claims processing software; certifications such as Certified Professional Coder (CPC) can also enhance job prospects.

Is a medical insurance claims processor job in demand?

The demand for medical insurance claims processors remains steady due to ongoing healthcare industry needs and the increasing complexity of insurance claims. Employment in this field is expected to grow as healthcare providers and insurers seek skilled workers familiar with claims processing software and regulations. Certification and experience can enhance job prospects in this role.

What are popular job titles related to Medical Insurance Claims Processor jobs in Texas?

For Medical Insurance Claims Processor jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Medical Insurance Claims Processor jobs in Texas look for?

The top searched job categories for Medical Insurance Claims Processor jobs in Texas are:

What cities in Texas are hiring for Medical Insurance Claims Processor jobs?

Cities in Texas with the most Medical Insurance Claims Processor job openings:

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Medical Insurance Claims Processor jobs near you
Infographic showing various Medical Insurance Claims Processor job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $40,772 per year, or $19.6 per hour.

Insurance Claims Manager

ManhattanLife Insurance & Annuity Company

Houston, TX • On-site

Full-time

Medical, Dental, Vision

Re-posted 19 days ago

Key responsibilities

  • Oversee the daily operations of the claims processing team to ensure claims are reviewed accurately, promptly, and thoroughly.

  • Assign claims to appropriate examiners based on workload, claim volume, type, and experience, and analyze reports to improve claim handling functions.

  • Evaluate complex claim benefits, communicate with customers, and respond to escalated inquiries, claims appeals, and complaints.

Job description

Who we are: 

ManhattanLife Insurance and Annuity Company was founded in 1850, the Company’s longevity makes it one of the oldest and most reliable health and life insurance companies in the country. Operating successfully for over 175 years is a testimony to ManhattanLife’s enduring history, and an indicator of the reliability of our future. ManhattanLife’s headquarters are in Houston, TX and the company is continually growing with multiple office locations nation-wide. ManhattanLife offers attractive employee benefits starting day one, including immediate coverage under our health, dental and vision plans. We offer flexible schedules, including shortened hours on Fridays, free parking, company-wide events, professional development (LOMA testing) and a company-wide wellness program.

Scope and Purpose:

ManhattanLife is seeking a Claims Manager. As an Insurance Claims Manager, you will oversee the daily operations of a team that processes benefits payable under several of our insurance policies. Your objective will be to ensure this department reviews all claims accurately, promptly, and thoroughly while providing an industry leading customer experience for our claimants.

Duties and Responsibilities:

  • Establish and maintain exceptional recruiting standards to acquire a high caliber of people with diverse skills and background.
  • Work with leadership to establish and implement a strategic staffing strategy.
  • Organize and improve the documentation and procedures provided in the onboarding process for new employees and training refreshers to tenured employees.
  • Effectively apply and enforce ManhattanLife HR policies and practices, i.e., FML, Attendance, Code of Conduct, Disciplinary Guidelines.
  • Conduct daily and weekly analysis of reports to identify trends, coordinate work activity, maximize productivity, and ensure the highest level of customer service is achieved.
  • Ensure all claims are assigned in a timely manner to the appropriate claim examiner based on workload, claim volume, type of claim and examiner's level of experience.
  • Analyze key metrics, customer communications, and direct "on the floor" observations to make informed decisions toward the improvement of all claim handling functions.
  • Foster an inclusive and positive team environment within the department and demonstrate strong leadership skills.
  • Utilize a reward system to recognize all factors of performance, business results, and personal effectiveness.
  • Accurately determine complex claim benefits payable based on medical records, contract language and any additional information needed to reach the appropriate decision in a timely manner.  This includes both payment and denial of benefits.
  • Evaluate high dollar claims and present information for approval to upper management as required.
  • Communicate with external and internal customers to obtain specific claim information to finalize claims and to explain claim handling.
  • Review and respond to escalated claim inquiries, claim appeals, and complaints in a timely manner.
  • Coach staff to address customer needs with empathy and provide effective communication verbally and in writing.
  • Provide strong support and development to all staff members to achieve metrics within their role and advancement opportunities.
  • Complete performance appraisals for all direct reports monthly, quarterly, and annually.

Minimum Qualifications: 

Bachelor’s degree or equivalent relevant work experience in the insurance or finance industries. 

Knowledge, Skills and Abilities:

  • At least 3 years of financial transaction and/or claims handling experience in progressively responsible roles, including supervisory functions.
  • Effective time management and organizational skills with an attention to detail and strong analytical and decision-making abilities.
  • Ability to build strong working relationships across all levels and functions of the organization, including Agent relations.
  • Excellent written and oral communication skills.

Travel Requirements:

This position may require light travel within a ten-mile radius from one office location to another as needed.   

Professional Development:
  • Establish annual objectives for professional growth.
  • Keep pace with developments in the discipline.
  • Learn and apply technologies that support professional and personal growth.
  • Participate in the evaluation process.
Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle or feel objects, type, and use mouse; reach with hands and arms and talk and/or hear. The employee is required to sit for extended periods of time. The position may require lifting, pulling or moving items weighing upwards of 10 pounds as it relates to office or desk supplies.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee regularly works in an office environment. This role routinely uses standard office equipment such as computers, phones via WebEx, physical phone while in office, and photocopiers when necessary.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to the job at any time without notice.

AAP/EEO Statement:

ManhattanLife prohibits discrimination based on race, religion, gender, national origin, age, disability, veteran status, marital status, pregnancy, gender expression or identity, sexual orientation, or any other legally protected status. EOE Employer/Vet/Disabled. ManhattanLife values differences. We are committed to fostering an environment that attracts and retains a diverse workforce. With individuals from a variety of backgrounds, ManhattanLife will be better equipped to service our customers, increase innovation, and reduce risks. We encourage the unique perspectives of individuals and are dedicated to creating a respectful and inclusive work environment.