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Medical Insurance Claims Processor Jobs in Houston, TX

Chubb

ESIS Claims Specialist, AGL

Houston, TX

Maintains control of claim's resolution process to minimize current exposure and future risks ... medical bill payments * Managing vocational rehabilitation Chubb is a world leader in insurance.

Chubb

ESIS Claims Specialist, AGL

Houston, TX · On-site

Evaluates facts supplied by investigation to determine extent of liability of the insured, if any ... Maintains control of claim's resolution process to minimize current exposure and future risks

Archgroup

AVP, Casualty Claims - Excess

Houston, TX · Hybrid

$170K - $195K/yr

Arch Insurance Group Inc., (AIGI), has an opening with the Claims Division as a Assistant Vice ... processes, results and initiatives across the Middle Market Excess claims unit and the E&S and ...

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All JobsMedical Insurance Claims Processor JobsMedical Insurance Claims Processor Jobs in Houston, TX

Medical Insurance Claims Processor information

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

As of Aug 10, 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 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.

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 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 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, 82% Full Time, 12% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $41,792 per year, or $20.1 per hour.

Field Claims Representative

Texas Farm Bureau

Liberty, TX • On-site

Other

Re-posted 23 days ago

Job description

The Voice of Texas Agriculture.
Company Name: Texas Farm Bureau Casualty Insurance Company | Department: Claims
This position is responsible for investigating and resolving claims in a fair, prompt, and efficient manner, according to company and Claims department policies and procedures.
MAJOR RESPONSIBILITIES AND AUTHORITY
Confirm status of policy and coverage.
Investigate, evaluate, and settle claims while applying technical knowledge and human relations skills to effect fair and prompt settlement of claims.
Answer calls and complaints promptly.
Investigate and submit coverage questions and Agents' error and omission claims to the District Claims Manager.
Submit required reports on each assigned claim to the District Claims Manager in a timely manner.
Recognize the need for experts, including those from within or outside the company, and report that to the District Claims Manager.
Advise the District Claims Manager of new lawsuits, counseling with the insured, exploring the possibility of settlement, and assist in the preparation of each case for defense as necessary.
Recognize and thoroughly investigate Subrogation claims and make referrals to the Subrogation unit.
Recognize potentially fraudulent claims and report to District Claims Manager and Special Investigations Unit in accordance with company guidelines.
Evaluate, set, and recommend reserves consistent with company policies.
Investigate and report accidental death claims, property protection claims, and payment to fire departments within established procedures.
Assist in other areas as needed due to business necessity.
Pay and process claims within designated authority level.
Enter claim payments, reserves, and new claims into the computer system, using concise yet sufficient file documentation.
Resolve complex, severe exposure claims using high service-oriented file handling.
Complete and forward Claims department report to Underwriting.
Present cases and participate in their discussion at claim committee meetings.
Recommend and use structured settlement programs where appropriate.
Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
Submit monthly expense reports, monthly telephone bills, and other reports as requested.
Contact or interview claimants, doctors, medical specialists, or employees to get additional information regarding claims.
Participate in the training process as given in the Texas Claims Representative Training Process, so that the recommended schedule is followed, except when changes are made specifically at the request of the assigned District Claims Manager.
Properly care for and maintain company equipment including car, cell phone, computer, etc.
Achieve and maintain company standards and procedures.
Comply with the Certified Fleet Operator requirements of the Company Driving and Safety Policy.
Other duties as assigned.
MINIMUM POSITION QUALIFICATIONS
Four-year degree from an accredited college or university.
All Lines Adjuster license from the Texas Department of Insurance, maintained according to the licensing requirements set forth by the state of Texas or the ability to obtain.
Acceptable credit rating.
Effective knowledge of basic computer applications, especially Microsoft Office Suite.
Effective interpersonal verbal skills, both face-to-face and over the phone.
Ability to plan, organize, and complete detailed work independently or in a team environment.
Valid Texas driver's license and driving record at the time of hire which would not place the employee on probation, or disqualify the employee from Certified Fleet Operator Status, under the company Driving and Safety Policy.
PHYSICAL REQUIREMENTS
Use of PC, telephone, copy machine, fax, and other office equipment over six (6) hours per day.
Extended periods of sitting and concentrating.
Regular bending, twisting, crouching, pulling, pushing, and reaching in an office or field environment.
Regular physical activities, including lifting, carrying, and using a 35-pound ladder, as well as climbing on roofs.
WORKING CONDITIONS
Subject to relocation.
Occasional long, irregular work hours.
Travel, including overnight travel, as required.
Work to be conducted in an office environment owned or leased by company.
Texas Farm Bureau is an Equal Opportunity Employer (M/F/D/V).

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