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Claim Analyst Jobs in Wisconsin (NOW HIRING)

Medical Coding Systems Analyst

Madison, WI ยท Remote

$72K - $90K/yr

Are you a problem-solver that enjoys working with claim edit systems? If so, come join Quartz as a Medical Coding Systems Analyst. The Medical Coding Systems Analyst will be responsible for oversight ...

Medical Coding Systems Analyst

Madison, WI ยท On-site

$72K - $90K/yr

Coding Systems Analyst Come Find your Spark at Quartz! Do you have a strong background in medical ... Work with two separate claim edit systems and vendors to help Quartz achieve maximum savings * Work ...

Medical Coding Systems Analyst

Madison, WI ยท On-site

$72K - $90K/yr

Are you a problem-solver that enjoys working with claim edit systems? If so, come join Quartz as a Medical Coding Systems Analyst. The Medical Coding Systems Analyst will be responsible for oversight ...

New

Medical Coding Systems Analyst

Madison, WI ยท On-site

$72K - $90K/yr

The Coding Systems Analyst will be responsible for oversight and maintenance of the code edit ... Work with two separate claim edit systems and vendors to help Quartz achieve maximum savings * Work ...

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Claim Analyst information

See Wisconsin salary details

$14

$27

$52

How much do claim analyst jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for claim analyst in Wisconsin is $27.65, according to ZipRecruiter salary data. Most workers in this role earn between $20.38 and $31.78 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a claim analyst?

To thrive as a Claim Analyst, you need strong analytical skills, attention to detail, and a background in finance, insurance, or a related field, often supported by a relevant degree or certificate. Familiarity with claims management software, data entry systems, and sometimes industry-specific regulations or certifications like AIC is typical. Strong communication, problem-solving abilities, and customer service skills help you resolve issues efficiently and build trust with clients. These competencies are crucial for ensuring accurate claim evaluations, minimizing errors, and providing excellent service in a fast-paced environment.

What is a claim analyst?

A claims analyst works for an insurance company, government agency, or medical billing department. As a claims analyst, your responsibilities include reviewing insurance claims filed by policyholders to ensure they are accurate and complete, that the individual understands their benefits, and that the policies cover the claims. Your duties include monitoring each claim throughout the process, determining reimbursement eligibility, negotiating payments to each party, and following up to ensure the parties make their payments. You then provide documentation and report the necessary information to each party. You are the primary contact for groups and members to answer questions and solve any issues. You may work in a variety of medical and insurance subsets in the claims industry, like dental or vision health, disability, and even construction.

How does a claim analyst typically collaborate with other departments during the claims review process?

Claim Analysts frequently work closely with teams such as underwriting, customer service, and legal to ensure accurate and timely resolution of claims. They often need to clarify policy details with underwriters, gather additional information from customer service representatives, and consult with legal advisors on complex or disputed cases. Effective communication and teamwork are essential, as these collaborations help ensure that claims are processed in compliance with company policies and regulatory requirements. This cross-functional interaction also provides valuable learning opportunities and can support career advancement within the insurance industry.

How much do claim analysts make in the US?

Claim analysts in the US typically earn a median annual salary of around $50,000 to $70,000, depending on experience, location, and industry. Entry-level positions may start lower, while experienced analysts or those with specialized skills can earn higher salaries and bonuses.

What does a claim analyst do?

A claim analyst reviews insurance claims to determine their validity and ensure accurate processing. They analyze documentation, assess coverage, and identify discrepancies, often using specialized software and industry knowledge to make informed decisions. Strong attention to detail and understanding of policy terms are essential for this role.

Is being a claim analyst hard?

Claim analysts review insurance claims to determine coverage and payout amounts, which requires attention to detail, analytical skills, and knowledge of insurance policies. The job can involve repetitive tasks and working under deadlines, but it generally depends on the complexity of claims and the individual's experience. Training and familiarity with claims processing software are also important factors in job difficulty.
What are popular job titles related to Claim Analyst jobs in WI? For Claim Analyst jobs in WI, the most frequently searched job titles are:
Infographic showing various Claim Analyst job openings in Wisconsin as of August 2026, with employment types broken down into 96% Full Time, and 4% Contract. Highlights an 88% In-person, and 12% Remote job distribution, with an average salary of $57,507 per year, or $27.6 per hour.

Application Analyst | HB & PB Claims

Bellin

Green Bay, WI โ€ข On-site

Full-time

Medical, Life, Retirement, PTO

Re-posted yesterday


Job description

We are seeking an experienced Application Analyst - PB/HB Claims to support and optimize our Epic Resolute Professional Billing and Hospital Billing applications. This role partners with revenue cycle, finance, and clinical operations teams to ensure accurate charge capture, billing workflows, and system integrity. The ideal candidate has strong analytical skills, Epic claims experience, and a passion for supporting efficient and compliant revenue cycle operations.
Job Specifics:
Location: 1920 Libal St, Green Bay, WI 54301
FTE Status: Full-Time 1.0 FTE (40 hours/week)
Work Schedule: Days. Monday - Friday. No weekends or holidays
Want to learn more: Chat with Marissa Zorzin at marissa.zorzin@emplifyhealth.org
Responsibilities:
  • Troubleshoots and resolves basic application issues and provides end user support.
  • Collaborate with IT, and clinical teams to ensure optimal system performance and workflow efficiency.
  • Monitors applications for issues in connection with maintenance, upgrades and implementations.
  • Monitor performance and assist with auditing processes to ensure data integrity
  • Participate in projects related to system enhancements, integrations, and new implementations
Qualifications:
  • Education: Bachelor's degree or a related field or equivalent years of experience and education
  • Experience: At least 2-4 years of relevant work experience
  • Certifications: Epic Resolute PB or HB Billing Claims certification required
  • Strong analytical and problem-solving experience
  • Strong understanding of revenue cycle workflows including charge capture, coding, billing, claims, and follow-up
  • Experience working with finance, revenue cycle, and operational stakeholders
  • Strong analytical, problem-solving, and troubleshooting skills
  • Ability to clearly communicate technical concepts to non-technical users
  • Experience working in a healthcare IT environment

Why Emplify Health by Bellin?
With so many amazing healthcare organizations in this area, why Emplify?
Emplify Health offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!
Additional perks include:
  • Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more
  • Preventative care focused medical coverage that includes free visits to: Emplify Health by Bellin primary care providers, Urgent Care & Fast Care facilities, physical therapy sessions and any labs required during these visits
  • Professional Development: Access to online continuing education for career growth
  • Empowerment: Shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth.
  • Self-Care Culture: Encourages self-care and provides you with opportunities to be your best self at work and at home

Be a member of a passionate workforce, that feels like family and is driven to provide exceptional patient care with a strong focus on community. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork, and humility - our pillars set our foundation and our future.
Emplify Health is an Equal Opportunity Employer.