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Medical Insurance Claims Processor Jobs in Houston, TX

Socket.dev

Risk & Claims Manager

Houston, TX · On-site

$95 - $135/hr

... medical care, work status, defense counsel reports, reserves, claim files, Stowers demands and ... Advising on coverage and claims processes, maintaining familiarity with all insurance coverage.

PFS Group

Follow up Insurance Representative

Houston, TX · On-site

$37K - $45K/yr

This role involves evaluating and processing insurance claims, providing expert advice to clients ... medical bills with clarity and care. We deliver exceptional customer service on behalf of health ...

RemX

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Medical Claims Eligibility Specialist - Billing & Collections

Houston, TX · On-site

$22/hr

Perform insurance collections and follow up on outstanding claim payments. * Process billing for in-network and out-of-network medical claims . * Review and resubmit claims under the No Surprises Act ...

PFS Group

Remote Senior Insurance Rep

Houston, TX · On-site +1

Key Responsibilities: - Manage and process insurance claims, ensuring accuracy and timeliness in accordance with company policies and industry regulations. - Serve as a primary point of contact for ...

PFS Group

Remote Senior Insurance Rep

Houston, TX · On-site +1

Key Responsibilities: - Manage and process insurance claims, ensuring accuracy and timeliness in accordance with company policies and industry regulations. - Serve as a primary point of contact for ...

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Medical Insurance Claims Processor information

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

As of Aug 25, 2026, the average hourly pay for medical insurance claims processor in Houston, TX is $20.09, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $22.74 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 Houston, TX?

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

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

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

Medical Insurance Claims Processor jobs near you
Infographic showing various Medical Insurance Claims Processor job openings in Houston, TX as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $41,792 per year, or $20.1 per hour.

Commercial Transportation Claims Processor

Staff Solve

Spring, TX • Remote

$15.25 - $19.25/hr

Full-time

Posted 11 days ago

Job description

Commercial Transportation Claims Processor – Remote
(3PL, Heavy Haul & Rail)
Location: Remote (Must live within 30 mins of Spring, TX)
Job Type: Full-Time, Direct Hire
Salary Range: 70-80k
Reports To: General Counsel
Job Summary
We are seeking an analytical and detail-oriented Commercial Transportation Claims Processor to manage freight loss and damage claims for our heavy-haul, rail, barge and third-party logistics operations. This role specializes in handling claims specifically related to breakbulk cargo (non-containerized, oversized, or bundled commodities) transported via commercial trucking, rail and barge networks, including loading, unloading and storage. You will be responsible for reviewing cargo incident reports, verifying complex transit documentation, managing filed claims, and processing standard cargo payouts. Your expertise ensures financial loss mitigation while maintaining strong relationships with our logistics partners.
Key Responsibilities
  • Claim Intake & Triage: Efficiently log initial notifications of freight loss, damage, or transit delays into our claims system.
  • Documentation Verification: Collect and analyze cargo shipping documents, including Bills of Lading (BOL), rail waybills, delivery receipts, interchange reports, contracts and freight release forms.
  • Breakbulk Analysis: Gather and evaluate damage reports, surveyors' reports, rigging logs, and photographs, video and other relevant evidence.
  • Liability & Coverage Review: Work with insurance carriers to determine liability and coverage under commercial transit policies, transport contracts and carrier tariffs.
  • Claims Processing & Settlement: Validate and process cargo claims, ensuring accurate calculations of actual cash value or contractual limits.
  • Multimodal Coordination: Communicate clearly and professionally with motor carriers, class I railroads, port authorities, and third-party adjusters to gather missing details.
Qualifications & Skills
  • Education: Bachelor's degree required, preferably in Logistics, Supply Chain Management, Risk Management or Business.
  • Experience: 1–3 years of experience in cargo claims processing, freight auditing, freight forwarding, or transportation operations.
  • Industry Knowledge: Basic understanding of commercial trucking operations, rail freight mechanics, and the physical characteristics of breakbulk / project cargo.
  • Technical Proficiency: Strong typing speed and familiarity with logistics management platforms, transportation management systems (TMS), or specialized claims auditing software.
  • Critical Thinking: Strong ability to cross-reference conflicting transit logs, verify timelines, and identify potential fraud.
  • Communication: Excellent written and verbal communication skills to successfully negotiate with rigid carrier dispute departments.
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About Staff Solve

Sourced by ZipRecruiter

Staff Solve, Inc is a customer-driven, full-service employment agency that provides the community with superior customer service in placing skilled professionals for direct hire and temporary positions. We offer personal attention to detail and total commitment to excellence to serve the business and individual needs of our clients and community. Based on our knowledge of the workforce and accomplished staff, Staff Solve has helped thousands of people and organizations for over 27 years. Our mission pushes us to respond in a prompt, effective manner while maintaining the utmost professional standards for excellence and respect in our industry.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Houston, TX, US

Year founded

1994

Social media

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