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Senior Claims Examiner Jobs in Decatur, TX (NOW HIRING)

Senior Claims Examiner information

See Decatur, TX salary details

$33.1K

$77K

$114.9K

How much do senior claims examiner jobs pay per year?

As of Aug 20, 2026, the average yearly pay for senior claims examiner in Decatur, TX is $77,023.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $93,000.00 per year, depending on experience, location, and employer.

What does a senior claims examiner do?

A Senior Claims Examiner is responsible for reviewing, analyzing, and processing complex insurance claims to determine their validity and ensure compliance with policy terms. They handle escalated or high-value claims, investigate details, evaluate evidence, and communicate with policyholders, medical professionals, or legal teams as necessary. Senior Claims Examiners also mentor junior staff, recommend claim settlements, and contribute to improving claims processing procedures. Their expertise helps minimize company risk and maintain customer satisfaction.

What are the key skills and qualifications needed to thrive as a senior claims examiner, and why are they important?

To thrive as a Senior Claims Examiner, you need strong analytical skills, in-depth knowledge of insurance policies, and significant experience in claims processing, usually supported by a relevant degree or professional certification. Familiarity with claims management systems, regulatory compliance tools, and advanced Excel functions is typically required. Exceptional attention to detail, critical thinking, and effective communication skills set top performers apart in this role. These skills are essential for ensuring accurate claims assessment, minimizing risk, and maintaining regulatory compliance within the organization.

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

Senior Claims Examiners often face challenges such as handling complex or high-value claims, staying updated on evolving regulations, and managing a high volume of detailed casework. To address these, it's important to maintain strong organizational skills, leverage technology for efficiency, and participate in ongoing training. Collaboration with legal teams, underwriters, and other examiners is also key to resolving difficult cases and ensuring accurate claim assessments.

What is the difference between Senior Claims Examiner vs Claims Adjuster?

AspectSenior Claims ExaminerClaims Adjuster
Required CredentialsClaims licensing, insurance certifications, experience in claims processingInsurance licenses, certifications vary by state, claims handling experience
Work EnvironmentInsurance companies, government agencies, claims departmentsInsurance companies, third-party administrators, independent agencies
Employer & Industry UsageCommonly employed in insurance firms and government programsWidely used across insurance sectors, including auto, health, and property claims

While both roles involve handling insurance claims, Senior Claims Examiners typically focus on reviewing complex claims and ensuring compliance, often working within insurance companies or government agencies. Claims Adjusters generally handle a broader range of claims, including initial assessments and settlements, and may work independently or for third-party firms. The roles overlap in credentials and work environment but differ in scope and responsibilities.

What are the most commonly searched types of Claims Examiner jobs in Decatur, TX?

The most popular types of Claims Examiner jobs in Decatur, TX are:

What job categories do people searching Senior Claims Examiner jobs in Decatur, TX look for?

The top searched job categories for Senior Claims Examiner jobs in Decatur, TX are:

What cities near Decatur, TX are hiring for Senior Claims Examiner jobs?

Cities near Decatur, TX with the most Senior Claims Examiner job openings:

Infographic showing various Senior Claims Examiner job openings in Decatur, TX as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $77,023 per year, or $37 per hour.

Supervisory Tax Law Specialist

US Department of the Treasury

Fort Worth, TX • On-site

$125K/yr

Full-time

Posted 2 days ago

New


U.S. Department Of The Treasury rating

8.2

Company rating: 8.2 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

308th of 848 rated public administrative organizations


Job description

WHAT IS TAX EXEMPT/GOVERNMENT ENTITIES?
A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
  • Position(s) are to be filled in following area(s):
    • TEGE - Employee Plans
  • This job (or announcement) is open to current permanent IRS competitive service employees in TEGE - Tax Exempt/Government Entities business units.

REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILSQualifications:

Federal experience is not required. Experience may have been gained in the public sector, private sector or through Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/day/year, and indicate number of hours worked per week, on your resume.
You must meet the following requirements by the closing date of this announcement.
QUALIFICATION REQUIREMENTS: To qualify for this position you must meet the qualification requirements outlined below:
Specialized Experience IR-04:
Specialized experience for this position must include: Experience with Legal, tax accounting, or other experience that required knowledge of Federal tax laws, regulations, precedent decisions, or other areas related to the position to be filled. Examples of qualifying specialized experience include:

  • Preparing, reviewing, or applying rulings, advisory letters, memoranda, etc. related to Federal taxation.
  • Analyzing and adjudicating tax claims, appeals, settlement offers, or similar work related to Federal tax operations.
  • Work as an attorney that required legal research, analysis, and preparation of briefs or similar documents interpreting laws and regulations.
  • Work as an accountant, auditor, or investigator that required application of Federal tax accounting principles and/or the Internal Revenue Code and related laws.
In addition, Specialized experience for this position must include:
SPECIALIZED EXPERIENCE: You must have one (1) year of specialized experience at a level of difficulty and responsibility equivalent to the next lower level within the payband or GS grade in the normal line of progression in the Federal service that demonstrates the required managerial skills and technical competence required to perform the job. To be qualifying for this position your experience must include:
  • Demonstrated management/leadership experience such as applying management techniques, methods, theories, principles, or labor relations concepts for the accomplishment of all program objectives with combined technical and administrative oversight. This experience may have been gained through work experience as a project/program manager, team lead or project/program lead, technical advisor, or senior specialist/analyst that included managing resources, providing support to managers, mentoring team members, providing day to day guidance training and/or oversight of peers or others.
  • Applying regulations, other official guidance, and principles, including the latest procedures and techniques sufficient to oversee the planning, development, and implementation of the technical aspects of programs specific to the position being filled.
  • Applying communicative techniques to effectively and diplomatically interact with internal and external customers.
  • Demonstrated in-depth knowledge of the pension and profit-sharing area of federal tax law relative to employee plans, including the Internal Revenue code and regulations, Internal Revenue Manual (IRM), and other rulings, court decisions and precedents relating to the examination and determination of the tax qualification of employee benefit plans.


AND
You must also meet the following requirement(s):

  • TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. For this requirement, a competitive appointment is one where you applied to and were appointed from an announcement open to "All US Citizens".

For more information on qualifications please refer to OPM's Qualifications Standards.
Go to Understanding the IRS Paybands for GS/IR conversion.

Education:A college or university degree generally must be from an accredited (or pre-accredited) college or university recognized by the U.S. Department of Education. For a list of schools which meet these criteria, please refer to Department of Education Accreditation page.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying. Click here (Section 3, Explanation of Terms) or here for Foreign Education Credentialing instructions.
We recommend choosing an evaluator from a member organization of one of the following national associations of credential evaluation services: National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER

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