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Remote Claims Processor Jobs in Texas (NOW HIRING)

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient SupportMedicalBillingRepresentative Contract Remote Role - Location (Open to Remote US) At ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

Great American Insurance Group

$20 - $27/hr

... and processed accurately and efficiently. This role serves as a key partner to adjusters by ... This is a remote, work-from-home position for candidates located within the Mountain or Central ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Senior Commercial Claims Analytics Consultant - Remote Requisition Number R7770 Senior ...

TEEMA GROUP

Staff Accountant - 100% Remote

Houston, TX · Remote

$30 - $35/hr

Coordinate with external claims processors regarding patient medical expenses * Reconcile monthly government capitation payments against member eligibility records * Verify financial information in ...

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How much do remote claims processor jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for remote claims processor in Texas is $17.86, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $19.28 per hour, depending on experience, location, and employer.

What does a remote claims processor do?

The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.

What does a remote claims processor do?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

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 strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

What are some common challenges faced by remote claims processors, and how can they be addressed?

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

What is the difference between Remote Claims Processor vs Remote Claims Examiner?

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

More about Remote Claims Processor jobs

What are the most commonly searched types of Claims Processor jobs in Texas?

The most popular types of Claims Processor jobs in Texas are:

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

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

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

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

What cities in Texas are hiring for Remote Claims Processor jobs?

Cities in Texas with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Texas as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $37,139 per year, or $17.9 per hour.

Claims Quality Assurance

CorVel Enterprise Claims, Inc.

Dallas, TX • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary responsibility is evaluating claim handling quality, accuracy, and timeliness in categories including but not limited to: coverage analysis, investigation, valuation, reserving, compliance and accurate disposition of claims. This role has the ability to interpret results and trends in order to deliver operational reporting and participate in the development and presentation of training. 

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Model ethical behavior and executes job responsibilities in accordance with CorVel’s core values, ethics, and information protection policies
  • Serve as technical QA lead to assigned offices or departments
  • Lead QA projects and serve as primary coordinator for senior leadership of assigned offices
  • Support the Claims Quality Assurance Program and the EC Operations Team in developing and implementing quality improvement strategies
  • Lead the creation, presentation, execution, and calibration of Quality Assurance Training sessions, including integration and delivery of claims training programs in the context of Quality Assurance calibration exercises (e.g. policy, systems, workflows, statutes), taking steps toward target results and the acquisition of target skills-sets, creation, maintenance, and adjustment of quality assurance training materials as needed for use in quality assurance training sessions
  • Report on pending payments, reserves, Adjuster POA/Supervisor review compliance, leakage, and various reports to assess operational performance and compliance to CorVel standards
  • Monitor claim financials; perform routine follow ups for audits identifying reserve deficiencies or pending aspects of claim liability or compensability; Ensure carrier reporting deficiencies have also been corrected
  • Maintain and update in real time quality, quantity, and turn-time standards
  • Conduct testing on software, websites, and other technical products to identify and resolve defects, and other potential claims processing issues
  • Review claim process specifications to understand the scope, requirements, and function of each product
  • Identify appropriate parameters, functions, and data to test and validate; parameters may include general function, validity of results, accuracy, reliability, and compliance with industry standards
  • Conduct testing to ensure products perform according to user requirements and within established guidelines; if a product does not perform within specifications, report defects to EC Operations and the BOT teams identifying and recommending solutions, improvements, and updates
  • Submit operational QA reporting to EC Ops at durations outlined; operational reporting to include written corrective action plans for areas of deficiency identified during the QA review process
  • Participate in strategic operational calls with EC Operations and claims leadership when the QA process has identified a significant operational deficiency
  • Work with EC Operations to insert QA corrective action plans required by a carrier or client

KNOWLEDGE & SKILLS: 

  • Excellent written and verbal communication; demonstrated ability to provide superior service to internal and external stakeholders 
  • Effective quantitative, analytical and interpretive skills
  • Excellent leadership and mentorship skills, with a demonstrated ability to motivate staff and obtain results through teamwork and education
  • Ability to identify priorities, execute and handle multiple responsibilities in a dynamic, fast paced environment
  • Strong proficiency with Microsoft Office applications
  • Strong interpersonal, time management, project management, and organizational skills
  • Ability to maintain a high level of professionalism
  • Knowledge of the entire claims administration processes including ancillary services
  • Ability to remain poised in stressful situations and communicate with diplomacy, using written and verbal communication
  • Ability to work independently or in a team environment while functioning as an educator rather than an auditor

EDUCATION & EXPERIENCE: 

  • Bachelor’s Degree with course concentration in Business Administration, or related field; or 5+ years of equivalent combination of education and experience in a complex healthcare, insurance, or third-party claim organization with significant claim management expertise
  • Must have significant industry experience and a thorough understanding of CorVel’s proprietary systems and solutions
  • Certified Trainer and/or Quality Assurance experience a plus

PAY RANGE: 

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time. 

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process. 

Pay Range:  $70,276 – $116,942 

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management 

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.   CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.  We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.  Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). 

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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