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Remote Claims Assistant Jobs in Spring, TX (NOW HIRING)

Risk Claims Manager

Houston, TX ยท Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves. * Identify claims ...

Risk Claims Manager

Houston, TX ยท Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and manage the company's claims. Work with insurance companies to set claim reserves. * Identify claims ...

Claims Major Case Director

Houston, TX ยท On-site +1

$92K - $130K/yr

... remote arrangements for the ideal candidate. This role is a true complex claims handling role that ... All Time Limit Demands to be escalated to management. * Assist Sr. Claim specialists with analysis ...

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Auto PD Claims Adjusters

Houston, TX ยท Remote

$55K - $75K/yr

... assist management as requested. ยท All file handling must be within state statutes, Client Claims Handling Guidelines and NARS Best Practices. ยท Other miscellaneous duties as assigned, which may ...

Senior Claims Adjuster_TEXAS WC License

Houston, TX ยท On-site +1

$63K - $81K/yr

Claims Examiner III Must have TEXAS workers' compensation license and seeking 5 years experience in lost time work comp claims for TEXAS jurisdiction. POSITION SUMMARY: Under minimal supervision ...

Sr. Work Comp Claims Adjuster (Texas)

Houston, TX ยท On-site +1

$63K - $81K/yr

Under minimal supervision manages all aspects of indemnity (lost time) claims handling from inception to conclusion within established authority and guidelines. DUTIES AND RESPONSIBILITIES:

Informs claimants of documentation required to process claims, required timeframes, and claims ... Associate's Degree. #Remote #telushealthjobs #FMLA #LI-JG1 A bit about us We're a people-focused ...

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Remote Claims Assistant information

See Spring, TX salary details

$12

$18

$25

How much do remote claims assistant jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote claims assistant in Spring, TX is $18.73, according to ZipRecruiter salary data. Most workers in this role earn between $16.06 and $20.34 per hour, depending on experience, location, and employer.

What is a remote claims assistant?

Remote Claims Assistants are professionals who help process insurance claims from a remote location, often working from home. Their main duties include reviewing claim documents, verifying information, communicating with clients or claimants, and assisting claims adjusters in resolving cases. Using digital tools and secure platforms, they ensure claims are handled efficiently and in compliance with company policies. This role requires strong organizational skills, attention to detail, and the ability to communicate clearly with both customers and colleagues.

What skills and qualifications are needed to be a remote claims assistant?

To thrive as a Remote Claims Assistant, you need strong organizational abilities, attention to detail, and a background in administrative support or insurance claims processing. Familiarity with claims management software, basic data entry tools, and secure document handling systems is typically required. Outstanding communication, time management, and problem-solving skills help you excel in a virtual team environment. These competencies are crucial for ensuring efficient, accurate claims handling and superior customer service from a remote setting.

What are common challenges faced by remote claims assistants and how can they be managed?

Remote Claims Assistants often face challenges such as staying organized while handling multiple claims, maintaining clear communication with claimants and team members across different time zones, and adapting to various claims management systems. To manage these effectively, it's important to develop strong time management skills, utilize digital tools for tracking tasks, and establish regular check-ins with supervisors or peers. Proactive communication and ongoing training on the company's claims process can also help ensure accuracy and efficiency in claim handling.
What are the most commonly searched types of Remote Claims jobs in Spring, TX? The most popular types of Remote Claims jobs in Spring, TX are:
What are popular job titles related to Remote Claims Assistant jobs in Spring, TX? For Remote Claims Assistant jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Remote Claims Assistant jobs in Spring, TX look for? The top searched job categories for Remote Claims Assistant jobs in Spring, TX are:
What cities near Spring, TX are hiring for Remote Claims Assistant jobs? Cities near Spring, TX with the most Remote Claims Assistant job openings:
Infographic showing various Remote Claims Assistant job openings in Spring, TX as of August 2026, with employment types broken down into 84% Full Time, 8% Part Time, and 8% Contract. Highlights an 8% In-person, and 92% Remote job distribution, with an average salary of $38,962 per year, or $18.7 per hour.

Workers Compensation Claims Examiner (TEXAS Jurisdiction)

Elite

Houston, TX โ€ข On-site, Remote

$31.25 - $42.50/hr

Full-time

Medical

Re-posted 3 days ago


Job description

POSITION DETAILS
POSITION SUMMARY
COMPANY has an immediate need for a full-time Senior Claims Examiner to support our workers compensation department.This position is offered as a fully remote work from home opportunity and the schedule for this position is Monday-Friday at 37.5 hours a week.The Senior Claims Examiner will adjust workers' compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements.
PRIMARY RESPONSIBILITIES
Candidates should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation.Additional duties may be assigned:
  • Process new claims in compliance with client's Service Agreement
  • Establish contact with employer to review issues
  • Respond to inquiries from the employer, employee, doctors, and attorneys
  • Establish and maintain appropriate reserves
  • Review legal correspondence and medical reports
  • Evaluate and approve medical procedures and treatment
  • Administer benefits and ensure appropriateness of all payments
  • Investigate coverage, liability, and monetary value of claim
  • Review medical and legal bills for appropriateness
  • Discuss appropriateness of medical treatment with medical case manager
  • Determine compensability
  • Monitor and assist litigation
  • Negotiate settlement of claim, liens, rehabilitation plans, etc.
  • Prepare and present reports to clients
  • Appropriately close claims
  • Help resolve client billing and payment inquiries
  • Investigate complaints from injured workers
  • Document and code the claim files and claims system with all relevant information
  • Maintain and update action plans within specified time frames
  • Provide direction to Claims Assistants and Claims Technicians and assist with training, coaching, and mentoring as needed for them to support daily claims tasks
  • Contact with employers, employees, attorneys, doctors, vendors and other parties
  • Provide customer service and support to clients and claimants
  • Work collaboratively with attorneys to draft settlements and assist with litigation strategies
  • Negotiate settlements
  • Authorize and negotiate cost of medical treatment and supplies
  • Internal communication with staff
  • Prepare professional, well written correspondence and other communications

ESSENTIAL POSITION REQUIREMENTS
The requirements listed below are representative of the knowledge, skill, and/or ability required.While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations.
  • High School Diploma or equivalent (GED) required for all positions
    • AA/AS or BA/BS preferred but not required
  • The Texas 03 Workers' Compensation license is required
    • The 08 All Lines License is preferred
  • 3+ years recent workers compensation claims handling experience required
  • At least 5 years of workers compensation claims experience preferred
  • Solid knowledge of workers compensation laws, policies, and procedures'
  • Completion of IEA or equivalent courses
  • Proficiency in determining case value and negotiating settlements
  • Understanding of medical and legal terminology
  • Mathematical calculating skills
  • Well-developed verbal and written communication skills with strong attention to detail
  • Excellent organizational skills and ability to multi-task
  • Ability to type quickly, accurately and for prolonged periods
  • Proficient in Microsoft Office Suite
    • Ability to learn additional computer programs
  • Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution
  • Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization
  • Seeks to include innovative strategies and methods to provide a high level of commitment to service and results
  • Ability to demonstrate care and concern for fellow team members and clients in a professional and friendly manner
  • Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor.
  • COMPANYs' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company.
  • Must be able to reliably commute to meetings and events as required by this position

This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training.
COMPANY is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.
COMPANY is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc.