Claims Examiner
Madison, WI · On-site
Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...
Madison, WI · On-site
Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...
Madison, WI · On-site
Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...
Madison, WI · On-site +1
Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...
Madison, WI · On-site +1
Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...
Madison, WI · On-site
Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...
Madison, WI · On-site
Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...
Madison, WI · On-site
Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...
Madison, WI · On-site
Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...
JOB SUMMARY Position responsibilities include the adjudication and processing of medical, dental, and vision claims while interpreting coding and medical terminology in relationship to the diagnosis ...
JOB SUMMARY Position responsibilities include the adjudication and processing of medical, dental, and vision claims while interpreting coding and medical terminology in relationship to the diagnosis ...
Waukesha, WI · On-site
... entry-level position pivotal to our operational success. The ideal candidate will demonstrate ... Medical insurance with subsidized premiums for employees and enrollees. * Dental, vision ...
Waukesha, WI · On-site
... entry-level position pivotal to our operational success. The ideal candidate will demonstrate ... Medical insurance with subsidized premiums for employees and enrollees. * Dental, vision ...
Proven judgment in identifying when issues require escalation and how to route them effectively. * 3-5+ years of experience in medical claims processing and/or stop loss claims, including exposure to ...
Proven judgment in identifying when issues require escalation and how to route them effectively. * 3-5+ years of experience in medical claims processing and/or stop loss claims, including exposure to ...
Mauston, WI · On-site
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Familiarity with insurance guidelines, EOBs, and claim adjudication processes. * Proficiency with ...
Mauston, WI · On-site
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Familiarity with insurance guidelines, EOBs, and claim adjudication processes. * Proficiency with ...
Mauston, WI · On-site
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Familiarity with insurance guidelines, EOBs, and claim adjudication processes.Proficiency with ...
Quick apply
Mauston, WI · On-site
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Familiarity with insurance guidelines, EOBs, and claim adjudication processes.Proficiency with ...
Mauston, WI · Remote
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Familiarity with insurance guidelines, EOBs, and claim adjudication processes. * Proficiency with ...
Mauston, WI · Remote
$20.25 - $26/hr
Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers ... Familiarity with insurance guidelines, EOBs, and claim adjudication processes. * Proficiency with ...
Travel Guard is seeking an Entry Level Claims Adjuster in Stevens Point, WI. We ... Provide exceptional customer support to claimants throughout the claims process * Spend 50-75% of ...
Travel Guard is seeking an Entry Level Claims Adjuster in Stevens Point, WI. We ... Provide exceptional customer support to claimants throughout the claims process * Spend 50-75% of ...
Travel Guard is seeking an Entry Level Claims Adjuster in Stevens Point, WI. We're seeking ... Provide exceptional customer support to claimants throughout the claims process * Spend 50-75% of ...
Travel Guard is seeking an Entry Level Claims Adjuster in Stevens Point, WI. We're seeking ... Provide exceptional customer support to claimants throughout the claims process * Spend 50-75% of ...
Travel Guard is seeking an Entry Level Claims Adjuster within a 150-mile radius of Stevens Point ... Provide exceptional customer support to claimants throughout the claims process * Spend 50-75% of ...
Travel Guard is seeking an Entry Level Claims Adjuster within a 150-mile radius of Stevens Point ... Provide exceptional customer support to claimants throughout the claims process * Spend 50-75% of ...
Menasha, WI · Remote
$19.25/hr
... 10). Medical terminology, COB processing, subrogation. Past experience using QNXT™ Claims ... Experience Level Entry Level Job Type & Location This is a Contract to Hire position based out of ...
Menasha, WI · Remote
$19.25/hr
... 10). Medical terminology, COB processing, subrogation. Past experience using QNXT™ Claims ... Experience Level Entry Level Job Type & Location This is a Contract to Hire position based out of ...
Appleton, WI · Remote
$19.25/hr
... 10). Medical terminology, COB processing, subrogation. Past experience using QNXT™ Claims ... Experience Level Entry Level Job Type & Location This is a Contract to Hire position based out of ...
New
Appleton, WI · Remote
$19.25/hr
... 10). Medical terminology, COB processing, subrogation. Past experience using QNXT™ Claims ... Experience Level Entry Level Job Type & Location This is a Contract to Hire position based out of ...
New
Oregon, WI · On-site
$51 - $81/hr
Oversee and assist with review and research of medical and dental claims and determine coverage based on contract, provider status and claims processing guidelines. Investigate and settle claims ...
New
Oregon, WI · On-site
$51 - $81/hr
Oversee and assist with review and research of medical and dental claims and determine coverage based on contract, provider status and claims processing guidelines. Investigate and settle claims ...
New
Provide exceptional customer support to claimants throughout the claims process * Spend 50-75% of your time conversing with stakeholders to ensures claims are efficiently brought to a final ...
Provide exceptional customer support to claimants throughout the claims process * Spend 50-75% of your time conversing with stakeholders to ensures claims are efficiently brought to a final ...
$128K/yr
Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance ... Prior experience with the health care claims process and electronic claims payment systems such as ...
$128K/yr
Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance ... Prior experience with the health care claims process and electronic claims payment systems such as ...
Eau Claire, WI · On-site
$20/hr
... therapists and medical assistants working in concert with laboratory/imaging services to offer ... Responsibilities * Follow up on unpaid claims, process denials, researching payer trends * Review ...
Quick apply
Eau Claire, WI · On-site
$20/hr
... therapists and medical assistants working in concert with laboratory/imaging services to offer ... Responsibilities * Follow up on unpaid claims, process denials, researching payer trends * Review ...
Brookfield, WI · On-site +1
Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while ...
Brookfield, WI · On-site +1
Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while ...
$14.07 - $15.15
6% of jobs
$15.15 - $16.23
6% of jobs
$16.23 - $17.32
11% of jobs
$17.43 is the 25th percentile. Wages below this are outliers.
$17.32 - $18.40
15% of jobs
The median wage is $19.19 / hr.
$18.40 - $19.48
16% of jobs
$19.48 - $20.56
11% of jobs
$21.58 is the 75th percentile. Wages above this are outliers.
$20.56 - $21.64
11% of jobs
$21.64 - $22.72
11% of jobs
$22.72 - $23.80
6% of jobs
$23.80 - $24.88
5% of jobs
$24.88 - $25.96
2% of jobs
$14
$19
$25
An Entry Level Medical Claims Processor is responsible for reviewing and processing medical insurance claims submitted by healthcare providers and patients. They verify accuracy, ensure claims meet policy requirements, and enter data into processing systems. Their role helps facilitate timely payments and resolves issues related to denied or incorrect claims. Strong attention to detail, knowledge of medical billing codes, and basic computer skills are essential for success in this role.
A typical day for an Entry Level Medical Claims Processor involves reviewing medical claims for accuracy and completeness, inputting data into claims management systems, and communicating with healthcare providers or insurance companies to resolve discrepancies. You may also be responsible for verifying patient information, checking eligibility, and ensuring claims comply with current regulations and company policies. Collaboration with other claims processors, supervisors, or billing teams is common to resolve issues and meet processing deadlines. This role usually follows regular business hours in an office or remote work environment and provides structured training to help you learn the systems and processes. Over time, you may have the opportunity to advance to senior processor or specialist roles as you gain experience.
To thrive as an Entry Level Medical Claims Processor, you need attention to detail, basic knowledge of medical terminology or insurance procedures, and a high school diploma or equivalent. Familiarity with claims processing software, electronic health records (EHR) systems, and Microsoft Office tools is often required, while some employers may value a medical billing and coding certification. Strong organizational skills, problem-solving abilities, and clear communication are important soft skills in this position. These competencies ensure that claims are processed accurately and efficiently, which helps prevent errors, speeds up reimbursements, and supports overall workflow in healthcare administration.
The most popular types of Medical Claims Processor jobs in Wisconsin are:
For Entry Level Medical Claims Processor jobs in Wisconsin, the most frequently searched job titles are:
The top searched job categories for Entry Level Medical Claims Processor jobs in Wisconsin are:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 10 days ago
Sourced by ZipRecruiter
201 - 500 Employees
Milwaukee, WI, US
1982