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

ASCENSUS

Call Center Representative

Houston, TX · Remote

$19/hr

These positions are 100% fully remote**** The first 4 weeks consist of training from 10:00 am to 6 ... Examine, review, process, calculate and (a) pay claims based on information, plan design, insurance ...

ASCENSUS

Bilingual Call Center Representative

Houston, TX · Remote

$19/hr

These positions are 100% fully remote**** The first 4 weeks consist of training from 10:00 am to 6 ... Examine, review, process, calculate and (a) pay claims based on information, plan design, insurance ...

Medix

Certified Medical Coder

Bellaire, TX · On-site +1

$27 - $35.50/hr

Hybrid (3 days onsite, 2 days remote) Pay: $27.00-$35.50/hour DOE Position Overview: We are seeking ... Recommend improvements to claims processing and reimbursement workflows. * Assist with accounting ...

New

Lifeworks

Disability Assistant

Houston, TX · Remote

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 ...

Qcells

Director of EPC Warranties

Houston, TX · On-site +1

... of processes to track warranty claims and related KPIs Designs strategies to minimize the overall ... Hybrid/Remote DIRECTOR OF EPC WARRANTIES Hanwha Qcells USA Corp (Qcells USA), headquartered in ...

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All JobsRemote Claims Processing JobsRemote Claims Processing Jobs in Spring, TX

Remote Claims Processing information

See Spring, TX salary details

$10

$17

$23

How much do remote claims processing jobs pay per hour?

As of Jun 27, 2026, the average hourly pay for remote claims processing in Spring, TX is $17.05, according to ZipRecruiter salary data. Most workers in this role earn between $14.57 and $18.41 per hour, depending on experience, location, and employer.

What are some common challenges faced in remote claims processing roles, and how can they be effectively managed?

Remote claims processing professionals often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Effective time management and strong organizational skills are key to handling large workloads efficiently. Regular check-ins with supervisors and using secure, company-approved communication tools can help maintain collaboration and protect sensitive information. Many organizations also provide training and support to help remote processors stay up-to-date with changing regulations and best practices.

What are the key skills and qualifications needed to thrive as a Remote Claims Processor, and why are they important?

To thrive as a Remote Claims Processor, you need a strong understanding of insurance policies, attention to detail, and relevant experience or education in insurance or finance. Familiarity with claims management software, electronic document systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, time management, and problem-solving abilities help you stand out, especially when working independently. These skills ensure accurate, timely claims resolutions and effective collaboration with clients and colleagues in a remote environment.

What is remote claims processing?

Remote claims processing is the evaluation and handling of insurance claims by professionals who work from locations outside of a traditional office, often from home. These processors review claim submissions, verify information, assess coverage, and authorize payments or request additional information. Remote claims processors use secure online systems and communication tools to collaborate with colleagues and clients. This role requires strong attention to detail, confidentiality, and proficiency with digital platforms. Many insurance companies now offer remote claims processing positions to increase flexibility and efficiency.

What is the difference between Remote Claims Processing vs Remote Claims Adjuster?

AspectRemote Claims ProcessingRemote Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires insurance licenses and adjuster certifications
Work EnvironmentHome-based, administrative settingHome-based or field, investigative and evaluative tasks
Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms
Job FocusProcessing claims, data entry, customer serviceInvestigating claims, assessing damages, settlement negotiations

Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.

What are popular job titles related to Remote Claims Processing jobs in Spring, TX? For Remote Claims Processing jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processing jobs in Spring, TX look for? The top searched job categories for Remote Claims Processing jobs in Spring, TX are:
What cities near Spring, TX are hiring for Remote Claims Processing jobs? Cities near Spring, TX with the most Remote Claims Processing job openings:
Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in Spring, TX as of June 2026, with employment types broken down into 58% Full Time, 36% Part Time, and 6% Contract. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution, with an average salary of $35,474 per year, or $17.1 per hour.

Workers Compensation Claims Examiner (TEXAS Jurisdiction)

Elite

Houston, TX • Remote

$31.25 - $42.50/hr

Full-time

Medical

Posted 21 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.