Claims Specialist Jobs in Texas
Claims Specialist jobs in Texas are in strong demand, concentrated in insurance carriers, managed care organizations, workers' compensation, and large self-insured employers that are headquartered or regionally anchored in Houston, Dallas, and San Antonio. Major established employers such as USAA, Blue Cross and Blue Shield of Texas, and Texas Farm Bureau Insurance maintain significant claims operations across the state, hiring at levels from entry-level examiner to senior specialist and team lead. The most sought-after specialties in Texas are property and casualty claims, workers' compensation claims, and health and medical claims review. See the openings below and apply to the ones that match your experience.
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Showing 4 of 39+ Claims Specialist jobs
Duties will include telephone contact with insurance carriers as well as their payer portals for claims resolution. Additionally, be able to problem solve on next steps for claim denials. Various collection actions include claims resubmission, rejections, corrected claims, reviewing patient’s eligibility, and appeals. Accounts must be worked accurately in accordance with office standards. Queues need to be worked daily and in a timely manner. Adherence to HIPPA confidentiality is required. The role includes limited travel requirements, typically 1-2 times per year, for team training and departmental meetings.
Essential Functions:
- Understanding of Commercial, Medicare, Medicaid and third-party billing processes.
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other third-party payer requirements and systems.
- Effective communication abilities for phone contacts with insurance payers to resolve claims discrepancies.
- Documents all collection activity on accounts.
- Review explanation of benefits to ensure claims were paid correctly; based on fee schedule for payer.
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with insurers during this process.
- Review claims for possibility of payment before closing out adjustments.
- Familiar with CPT and ICD-10 coding.
- Competent use of EMR and clearinghouse systems.
- Ability to work well in a team environment. Ability to escalate tasks, and handle conflict in a reasonable manner.
- Ability to multi-task.
- Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
- Behavioral Health/ Substance Abuse experience required.
- Frequently sitting at desk or computer while typing, completing paperwork, or meeting patients.
- Occasional extended hours during billing deadlines or high-volume periods.
Duties will include telephone contact with insurance carriers as well as their payer portals for claims resolution. Additionally, be able to problem solve on next steps for claim denials. Various collection actions include claims resubmission, rejections, corrected claims, reviewing patient’s eligibility, and appeals. Accounts must be worked accurately in accordance with office standards. Queues need to be worked daily and in a timely manner. Adherence to HIPPA confidentiality is required. The role includes limited travel requirements, typically 1-2 times per year, for team training and departmental meetings.
Essential Functions:
- Understanding of Commercial, Medicare, Medicaid and third-party billing processes.
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other third-party payer requirements and systems.
- Effective communication abilities for phone contacts with insurance payers to resolve claims discrepancies.
- Documents all collection activity on accounts.
- Review explanation of benefits to ensure claims were paid correctly; based on fee schedule for payer.
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with insurers during this process.
- Review claims for possibility of payment before closing out adjustments.
- Familiar with CPT and ICD-10 coding.
- Competent use of EMR and clearinghouse systems.
- Ability to work well in a team environment. Ability to escalate tasks, and handle conflict in a reasonable manner.
- Ability to multi-task.
- Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
- Behavioral Health/ Substance Abuse experience required.
- Frequently sitting at desk or computer while typing, completing paperwork, or meeting patients.
- Occasional extended hours during billing deadlines or high-volume periods.
See All 39 Claims Specialist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Claims Specialist JobsClaims Specialist Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Claims Specialist Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Insurance
What Texas Employers Look For
The qualifications that appear most often in claims specialist jobs across Texas.
- Active Texas Department of Insurance adjuster license or reciprocal license recognized in Texas
- Experience reviewing and processing insurance claims in property, casualty, or health lines
- Familiarity with Texas workers' compensation statutes and Division of Workers' Compensation rules
- Proficiency with claims management systems such as Guidewire, Xactimate, or comparable platforms
- Strong written and verbal communication skills for working with policyholders and medical providers
- Associate or bachelor's degree in business, healthcare administration, or a related field preferred
Claims Specialist Jobs in Texas: Frequently Asked Questions
How do you become a claims specialist in Texas?
Most claims specialist roles in Texas require a Texas Department of Insurance all-lines adjuster license, which you obtain by passing the state licensing exam administered through Pearson VUE and submitting an application to TDI. Some positions, particularly in health or workers' compensation, may require additional TDI registrations or designated-provider credentials. Entry-level candidates typically hold at least an associate degree, though many employers place heavier weight on the license and relevant coursework in insurance or business.
Which companies hire claims specialists in Texas?
Companies currently hiring claims specialists in Texas include Liberty Mutual Insurance, GEICO, and Gallagher, per current listings on Migrate Mate as of September 2026. Texas's large concentration of insurance carriers, third-party administrators, and self-insured corporations means consistent year-round hiring well beyond the largest brand names.
Which Texas cities have the most claims specialist jobs?
Plano, Houston, and San Antonio account for the largest share of claims specialist openings in Texas. Houston drives volume through its dense concentration of energy-sector self-insured employers, large hospital systems, and regional insurance carrier offices, while Dallas anchors a broad financial and corporate services hub, and San Antonio benefits from USAA's substantial headquarters operations and a growing managed care presence.
Are there remote claims specialist jobs in Texas?
Yes, and more than most fields, because claims review and adjudication are largely desk-based and document-driven. About 79% of claims specialist openings tied to Texas are remote or hybrid as of September 2026, reflecting how readily the core work translates to distributed teams. Roles focused on phone-based customer contact, file review, and system-driven adjudication are the most consistently posted as fully remote.
How can I get hired as a claims specialist in Texas with little or no experience?
The most realistic entry path is obtaining your Texas all-lines adjuster license first, which signals commitment and removes a common screening barrier before you apply. Large Texas carriers and third-party administrators, including regional offices of USAA and Blue Cross and Blue Shield of Texas, run claims trainee and claims examiner programs designed for candidates without prior claims experience. Lateral moves from adjacent roles such as customer service representative, medical billing specialist, or insurance agency assistant are common stepping stones, and those backgrounds transfer directly into health or property claims work.
Where can I find and apply to claims specialist jobs in Texas?
You can find and apply to claims specialist jobs in Texas on Migrate Mate, which lists current Texas openings updated in real time. Search the listings, find the roles that fit your background and preferred location, and apply directly to the ones that match.
See All 39 Claims Specialist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Claims Specialist Jobs