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Remote Claims Processor Jobs in Humble, TX (NOW HIRING)

PFS Group

Remote Insurance Rep

Houston, TX · Remote

$53K - $67K/yr

Monitors accounts for updates on claims processing, taking care to resolve balances with single interventions whenever possible * Request appropriate claim corrections and rebill as needed * Informs ...

USAA

Sr. TLE Auto Appraiser (Texas and Colorado)

Houston, TX · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...

Lancesoft - Viren

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Healthcare - Appeals Specialist I

The Woodlands, TX · Remote

$19.92 - $21.92/hr

Remote, CANDIDATES MUST LIVE IN ONE OF THE PREFFERED 15 STATES (AZ, FL, GA, ID, IA, KY, MI, MS, NE ... · Research claims processing guidelines, provider contracts, fee schedules and system ...

North American Risk Services, Inc. (NARS)

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Sr. Residential Property Claims Adjuster

Houston, TX · Remote

$70K - $90K/yr

Senior Residential Property Claims Adjuster Location: Work-From-Home What You'll Do: * Maintain claim metrics. * Handle a case load commensurate with the complexity level of claims assigned.

New

Elite

Senior Claims Adjuster_TEXAS WC License

Houston, TX · 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 ...

Elite

Sr. Work Comp Claims Adjuster (Texas)

Houston, TX · 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:

Evonik

Contract and Claims Manager

Houston, TX · On-site +1

Change order and claims negotiation management experience Procurement phase experience reviewing RFPs, certs and reps compliance, contract terms and risk assessment support * Ability to build and ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Humble, TX

Remote Claims Processor information

See Humble, TX salary details

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How much do remote claims processor jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for remote claims processor in Humble, TX is $16.55, according to ZipRecruiter salary data. Most workers in this role earn between $14.13 and $17.84 per hour, depending on experience, location, and employer.

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 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 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 popular job titles related to Remote Claims Processor jobs in Humble, TX?

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

What job categories do people searching Remote Claims Processor jobs in Humble, TX look for?

The top searched job categories for Remote Claims Processor jobs in Humble, TX are:

What cities near Humble, TX are hiring for Remote Claims Processor jobs?

Cities near Humble, TX with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Humble, TX as of August 2026, with employment types broken down into 1% Internship, 88% Full Time, 9% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $34,422 per year, or $16.5 per hour.

Remote Insurance Rep

PFS Group

Houston, TX • Remote

$53K - $67K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 8 days ago

Job description

Job Purpose:

The Insurance Representative at PFS Group, under the supervision of the Insurance Supervisor, manages insurance claims to ensure timely and accurate reimbursement. The role involves researching unpaid balances, correcting billing issues, submitting appeals, and communicating with insurers, patients, and internal teams to resolve discrepancies. Strong knowledge of insurance guidelines, billing systems, and effective accounts receivable management is essential, with responsibility for managing assigned inventories based on client needs.
Key Responsibilities:

  • Initiates contact with insurance payers to collect contracted rates on outstanding claims
  • Reviews, monitors and effectively reduces aged inventory
  • Successfully identifies root causes for denials or non-payment, prioritizing collection metrics in all work efforts
  • Ensures timely filing deadlines are achieved according to payer guidelines
  • Monitors accounts for updates on claims processing, taking care to resolve balances with single interventions whenever possible
  • Request appropriate claim corrections and rebill as needed
  • Informs supervisor of trends noticed when working insurance inventory
  • Interpret payment variances and payer guidelines to monitor for underpayment opportunities
  • Contacts guarantors as needed to resolve coverage discrepancies
  • Corrects adjustments as needed to ensure balances are accurately documented

Education and Experience:

  • High school diploma or equivalent is required
  • At least one year experience in revenue cycle, with emphasis on Insurance Follow-Up, Denials, Billing, or Cash Posting
  • Experience with EPIC HB or PB Resolute


Required Skills and Abilities:

  • Strong understanding of insurance policies, coverage, claims processes, and reimbursement, with the ability to research payer billing policies and medical bulletins to accurately troubleshoot denials and unpaid balances
  • Excellent communication skills, both verbal and written, with the ability to explain complex information clearly
  • Proficient in using insurance-related software and Microsoft Office Suite, including Word, Excel, and Outlook
  • Strong analytical and problem-solving skills, with attention to detail
  • Ability to work independently and manage time effectively in a fast-paced environment

PFS Group

Nationwide Patient Account Management Firm.

Based in Houston, Texas, we currently work with 32+ clients who operate more than 100 hospital facilities from small, rural community medical centers to metro population center health systems. Leaders in their respective markets and nationwide, our clients rely on our services to support their accounts receivable departments.

PFS Group offers a friendly, caring work environment, with competitive benefits and compensation, (medical, dental, vision, short and long-term disability, life insurance, hospital indemnity, critical illness, accident insurance and a matching 401(k) and Zayzoon!

If you are looking for a position in a dynamic, fast-paced organization with career growth opportunities, come grow with us! www.pfsgroup.org

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