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Epic Claims Analyst Remote Jobs in Wisconsin (NOW HIRING)

Claims Analyst

Brookfield, WI · Remote

$19.25/hr

Claims Analyst II Are you detail-oriented, analytical, and passionate about delivering accurate ... remote position. Application Deadline This position is anticipated to close on Aug 28, 2026. About ...

Claims Analyst

Menasha, WI · Remote

$19.25/hr

We are seeking a Claims Analyst to review and process both paper and electronic claims while ... remote position. Application Deadline This position is anticipated to close on Aug 31, 2026. About ...

... claims submission, and A/R follow-up operations. Leads activities related to operational analysis ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

Job Title Senior Commercial Claims Analytics Consultant - Remote Requisition Number R7770 Senior Commercial Claims Analytics Consultant - Remote (Open) Location California - Home Teleworkers ...

Job Title Senior Commercial Claims Analytics Consultant - Remote Requisition Number R7770 Senior Commercial Claims Analytics Consultant - Remote (Open) Location California - Home Teleworkers ...

Job Title Senior Commercial Claims Analytics Consultant - Remote Requisition Number R7770 Senior Commercial Claims Analytics Consultant - Remote (Open) Location California - Home Teleworkers ...

Job Title Senior Commercial Claims Analytics Consultant - Remote Requisition Number R7770 Senior Commercial Claims Analytics Consultant - Remote (Open) Location California - Home Teleworkers ...

Epic Denials Management Operator

Milwaukee, WI · Remote

$17.75 - $23.75/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

Claims Supervisor

Waukesha, WI · Remote

$73K - $113K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in ... Effective quantitative, analytical and interpretive skills * Strong leadership, management and ...

Desk Auto Claims Adjuster

Madison, WI · On-site +1

$49K - $65K/yr

You'll enjoy the flexibility of remote work while serving customers across Wisconsin. Candidates ... analytical and decision-making abilities. • Effective communication and negotiation skills. • ...

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Epic Claims Analyst Remote information

What is an Epic Claims Analyst remote?

An Epic Claims Analyst (Remote) is a professional who specializes in analyzing, processing, and resolving medical claims within the Epic healthcare software system, while working from a remote location. They review insurance claims for accuracy, compliance, and completeness, ensuring proper billing and reimbursement. These analysts often collaborate with healthcare providers, billing teams, and insurance companies to address claim denials or discrepancies. Proficiency with the Epic system and a strong understanding of healthcare billing and insurance guidelines are essential for this role.

What are the key skills and qualifications needed to thrive as an Epic Claims Analyst remote?

To thrive as an Epic Claims Analyst Remote, you need in-depth knowledge of medical billing, claims processing, and healthcare reimbursement, often supported by experience in revenue cycle management and a relevant degree. Familiarity with the Epic electronic health record (EHR) system, claims adjudication software, and certifications like Certified Professional Coder (CPC) are typically required. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for resolving claim issues and collaborating with cross-functional teams. These abilities ensure accurate processing, compliance, and efficient reimbursement, which are vital for healthcare organizations' financial health.

What are the typical challenges faced by an Epic Claims Analyst remote, and how can they be managed effectively?

Remote Epic Claims Analysts often encounter challenges such as coordinating with cross-functional teams, staying updated on frequent changes in healthcare regulations, and managing complex claim denials without in-person support. Effective communication through virtual meetings, utilizing shared documentation tools, and maintaining regular check-ins with team members can help address these challenges. Staying organized and proactive in seeking clarification when issues arise are also key to success in this remote role.

What is the difference between Epic Claims Analyst Remote vs Epic Billing Specialist?

AspectEpic Claims Analyst RemoteEpic Billing Specialist
CredentialsTypically requires Epic certification, claims processing knowledgeEpic certification, billing and coding knowledge
Work EnvironmentRemote, healthcare or insurance companies using EpicRemote or onsite, healthcare billing departments
Industry UsageInsurance, healthcare, claims processingHealthcare, medical billing
Job FocusAnalyzing and processing insurance claims in EpicManaging patient billing and coding in Epic

The Epic Claims Analyst Remote primarily focuses on analyzing and processing insurance claims within the Epic system, requiring claims processing expertise. In contrast, the Epic Billing Specialist handles patient billing and coding tasks. Both roles often require Epic certification and are common in healthcare and insurance industries, but their core responsibilities differ, with claims analysts focusing on claims and billing specialists on patient invoicing.

What job categories do people searching Epic Claims Analyst Remote jobs in Wisconsin look for?

The top searched job categories for Epic Claims Analyst Remote jobs in Wisconsin are:

What cities in Wisconsin are hiring for Epic Claims Analyst Remote jobs?

Cities in Wisconsin with the most Epic Claims Analyst Remote job openings:

Infographic showing various Epic Claims Analyst Remote job openings in Wisconsin as of August 2026, with employment types broken down into 88% Full Time, 8% Part Time, and 4% Contract. Highlights an 81% Physical, 8% Hybrid, and 11% Remote job distribution.

Disability Insurance (DI) Claims Analyst - Remote.

Northwestern Mutual Life Insurance Company

Franklin, WI • On-site, Remote

Full-time

PTO

Posted 21 days ago


Northwestern Mutual rating

8.0

Company rating: 8.0 out of 10

Based on 76 frontline employees who took The Breakroom Quiz

170th of 315 rated insurance


Job description

Disability Insurance (DI) Claims Analyst
Important Information
  • The recruitment process is expected to take approximately 6 to 8 weeks.
  • This position is scheduled to begin on October 19, 2026.
  • To support successful onboarding, full attendance during remote classroom training is required. PTO will be restricted during this period.

About the Opportunity
Join our Disability Insurance (DI) Claims team as an analyst in a dynamic, client-centered environment. You'll apply critical thinking, empathy, clear communication, and cross-team collaboration to evaluate eligibility, calculate benefits, and guide clients through the claims journey. Through structured training and on-the-job mentoring, you'll learn end-to-end claim management across initial and ongoing phases, build expertise in medical and financial reviews, and deliver timely, high-quality outcomes for clients, field partners, and the enterprise.
Learn More
Northwestern Mutual's Individual Disability Income Insurance products help clients protect one of their most important assets: their ability to earn an income. Learn more about these products and their impacts by visiting: https://www.northwesternmutual.com/disability-insurance/
What to Expect
Classroom Training
Training begins on October 19, 2026, and typically lasts 3 to 4 months. During this period, you will participate in:
  • Virtual instructor-led training
  • Practical exercises and case studies
  • Guided application of claim concepts
  • Foundational claims and policy education
  • Structured coaching and performance feedback

Ongoing Development
As claims are assigned, you will be paired with an experienced mentor who will provide coaching, support, and guidance. Even after formal classroom training concludes, mentorship continues to help strengthen your:
  • Claims decision-making abilities
  • Technical expertise
  • Written communication skills
  • Client interaction skills
  • Overall claim management effectiveness

Success in this role develops over time through continuous learning, feedback, collaboration, and practical experience.
What Success Looks Like
Successful DI Claims Analysts are naturally curious, detail-oriented, and comfortable working through complex situations. They bring structure to ambiguity, exercise sound judgment, and balance analytical rigor with compassion.
The strongest performers:
  • Ask thoughtful questions and seek to understand the complete claim picture
  • Analyze information critically and objectively
  • Communicate clearly and professionally
  • Demonstrate empathy during sensitive conversations
  • Manage competing priorities effectively
  • Take ownership of their development and results
  • Focus on delivering outstanding client experiences

This role is ideal for individuals who enjoy solving problems, learning continuously, and making meaningful contributions through both technical expertise and human connection.
Key Responsibilities
Claim Evaluation & Decision Making
  • Develop knowledge of Northwestern Mutual's claim philosophy, contracts, policy provisions, and claim management practices.
  • Review medical, occupational, and financial information to assess claim eligibility and identify additional information needed.
  • Apply policy language, analytical thinking, and sound judgment to determine eligibility, benefit calculations, and appropriate claim outcomes.

Client & Stakeholder Communication
  • Conduct meaningful conversations with claimants, representatives, employers, field partners, and internal stakeholders.
  • Explain complex claim-related information clearly, professionally, and empathetically.
  • Handle sensitive situations with discretion, patience, and respect.

Documentation & Written Communication
  • Maintain detailed and accurate claim documentation throughout the claim lifecycle.
  • Document key activities, decisions, calculations, and communications.
  • Draft professional correspondence, including requests, updates, decisions, and other claim-related communications.

Caseload Management
  • Manage an evolving caseload across multiple claim stages.
  • Prioritize work effectively while meeting service standards and deadlines.
  • Adhere to operational procedures, regulatory requirements, and quality expectations.

Collaboration & Problem Solving
  • Partner with medical, financial, legal, technical, leadership, and field resources to evaluate claims and support informed decisions.
  • Navigate ambiguity and complex situations while maintaining professionalism and accountability.
  • Contribute to team success through collaboration and knowledge sharing.

Continuous Learning
  • Actively seek feedback and coaching.
  • Build technical expertise and claim management skills over time.
  • Demonstrate a growth mindset and commitment to professional development.

Qualifications
Required Skills & Experience
  • Bachelor's degree is preferred, or an equivalent combination of education and professional experience.
  • Prior disability insurance claims experience is a plus but not required.
  • Strong analytical, critical thinking, and problem-solving capabilities.
  • Ability to organize information, assess risk, and make sound decisions.
  • Excellent written and verbal communication skills.
  • Strong customer service orientation and ability to navigate sensitive conversations with professionalism and empathy.
  • Ability to handle confidential information with discretion.
  • Strong organizational and prioritization skills with the ability to manage multiple responsibilities simultaneously.
  • Self-motivated and able to work effectively in a production-driven environment.
  • Comfortable making independent decisions while knowing when to seek guidance.
  • Adaptable, resilient, and committed to continuous learning and improvement.
  • Proficiency with Microsoft Office and a variety of business technology platforms, including document management systems, communication tools, and virtual collaboration solutions.

Why This Role Matters
As a DI Claims Analyst, you'll help clients navigate important life events while developing expertise in insurance, analysis, communication, and decision-making. Through structured training, ongoing mentorship, and meaningful work, you'll build a rewarding career focused on delivering exceptional outcomes for clients, field partners, and Northwestern Mutual.
This is more than a claims role. It's an opportunity to combine analytical thinking with empathy to make a real difference in people's lives.
Compensation Range:
Pay Range - Start:
$60,880.00
Pay Range - End:
$91,320.00
Geographic Specific Pay Structure:
Structure 110:
$66,960.00 USD - $100,440.00 USD
Structure 115:
$70,000.00 USD - $105,000.00 USD
We believe in fairness and transparency. It's why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you're living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more.
Grow your career with a best-in-class company that puts our clients' interests at the center of all we do. Get started now!
Northwestern Mutual is an equal opportunity employer that welcomes talented individuals of all backgrounds. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.

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About Northwestern Mutual

Sourced by ZipRecruiter

Northwestern Mutual has been helping families and businesses achieve financial security for over 160 years through a distinctive planning approach that integrates risk management with wealth accumulation, preservation, and distribution. With more than $290 billion in assets, $30 billion in revenues and more than $1.9 trillion worth of life insurance protection in force, Northwestern Mutual delivers financial security to more than 4.6 million clients. People are the power behind Northwestern Mutual, and diversity makes us better. We are committed to reflecting and serving the marketplace. We do so by attracting and improving the engagement of those who bring their outstanding perspectives, ideas, and beliefs.

Industry

Finance and insurance

Company size

5,001 - 10,000 Employees

Headquarters location

Milwaukee, WI, US