1

Insurance Medical Examiner Jobs in Wisconsin (NOW HIRING)

Profit Sharing Safe Driving Bonus Store Discount Insurance - Medical and Dental 401(k) Paid ... Class A CDL Proof of valid driver's license Current Medical Examiner's Certificate (DOT Medical ...

Profit Sharing Safe Driving Bonus Store Discount Insurance - Medical and Dental 401(k) Paid ... Class A CDL Proof of valid driver's license Current Medical Examiner's Certificate (DOT Medical ...

Insurance - Medical (Full-Time) and Dental * 401(k) * Paid Time Off (Full-Time) * Paid Holidays ... Current Medical Examiner's Certificate (DOT Medical Card) • Excellent driving record • ...

Medical Assistant

Brookfield, WI · On-site

$20 - $24/hr

Prepare examination rooms and assist with medical procedures as directed. * Perform administrative tasks such as scheduling appointments, verifying insurance information, and managing patient records.

Medical Assistant

Brookfield, WI · On-site

$20 - $24/hr

Prepare examination rooms and assist with medical procedures as directed. * Perform administrative tasks such as scheduling appointments, verifying insurance information, and managing patient records.

Prepare examination rooms and assist with medical procedures as directed. * Perform administrative tasks such as scheduling appointments, verifying insurance information, and managing patient records.

Benefits: medical, dental, vision, HSA/FSA, life & AD&D insurance, short-term and long-term ... Prepares search/examination sheet, title commitments, policies and report of title received from ...

Benefits: medical, dental, vision, HSA/FSA, life & AD&D insurance, short-term and long-term ... Prepares search/examination sheet, title commitments, policies and report of title received from ...

Benefits: medical, dental, vision, HSA/FSA, life & AD&D insurance, short-term and long-term ... Prepares search/examination sheet, title commitments, policies and report of title received from ...

Benefits: medical, dental, vision, HSA/FSA, life & AD&D insurance, short-term and long-term ... Prepares search/examination sheet, title commitments, policies and report of title received from ...

Forensic Chemist

Milwaukee, WI · On-site

$33.92 - $50.88/hr

The Milwaukee County Medical Examiner's Office is charged with investigating and determining the ... Current Wisconsin Driver's License and access to a reliable insured vehicle; both maintained ...

New

The Milwaukee County Medical Examiner's Office is charged with investigating and determining the ... Current Wisconsin Driver's License and access to a reliable insured vehicle; both maintained ...

New

next page

Showing results 1-20

Insurance Medical Examiner information

See Wisconsin salary details

$36.8K

$166.3K

$340.2K

How much do insurance medical examiner jobs pay per year?

As of Aug 22, 2026, the average yearly pay for insurance medical examiner in Wisconsin is $166,272.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,600.00 and $271,000.00 per year, depending on experience, location, and employer.

What does an insurance medical examiner do?

An Insurance Medical Examiner is a healthcare professional, often a physician or paramedic, responsible for conducting medical evaluations for life or health insurance applicants. They perform physical exams, collect medical histories, and obtain specimens like blood and urine for laboratory testing. Their findings help insurance companies assess an applicant's health risk and determine policy eligibility and premium rates.

What are the key skills and qualifications needed to thrive as an insurance medical examiner?

Succeeding as an Insurance Medical Examiner requires a medical degree, licensure, thorough knowledge of clinical assessment, and experience in performing detailed physical examinations. Familiarity with electronic medical record (EMR) systems, diagnostic tools, and industry-standard reporting formats is essential. Strong attention to detail, objective judgment, and excellent written and verbal communication skills distinguish top professionals in this field. These abilities ensure accurate evaluations, clear documentation, and effective communication with insurance companies, all vital for fair and efficient risk assessment.

Is there a demand for insurance medical examiners?

The demand for insurance medical examiners is steady and expected to grow as insurance companies require medical assessments for policy underwriting and claims. This role often requires medical licensing and certification, with employment opportunities available in insurance companies, third-party exam services, and healthcare facilities.

What qualifications do you need to be an insurance medical examiner?

To become an insurance medical examiner, candidates typically need a medical degree such as an MD or DO, along with a valid medical license. Experience in clinical practice, strong communication skills, and knowledge of medical record review are also important; some positions may require certification or training in insurance or forensic medicine. The role often involves working independently in a flexible schedule and using medical assessment tools.

What are popular job titles related to Insurance Medical Examiner jobs in Wisconsin?

For Insurance Medical Examiner jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Insurance Medical Examiner jobs in Wisconsin look for?

The top searched job categories for Insurance Medical Examiner jobs in Wisconsin are:

Infographic showing various Insurance Medical Examiner job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $166,272 per year, or $79.9 per hour.

Insurance Claims Examiner II

Forest County Potawatomi Community

Crandon, WI • On-site

Full-time

Re-posted 5 hours ago


Job description

Here’s what you’ll be doing:

Level II

Level III

1

Analyzes and processes minimum of 200 claims daily to determine plan liability; reviews payment Purchased Referred Care, medical, dental and vision claims

Analyzes and processes minimum of 400 claims to determine plan liability; reviews payment Purchased Referred Care, medical, dental and vision claims

2

Compiles, submits documents, and tracks claims for CHEF, (Catastrophic Health Emergency Fund), for reimbursement, to Bemidji Area Contract Health for high-cost cases, following current IHS guidelines and regulations

Compiles, submits documents, and tracks claims for CHEF, (Catastrophic Health Emergency Fund), for reimbursement, to Bemidji Area Contract Health for high-cost cases, following current IHS guidelines and regulations

3

Collaborates with the Eligibility team to ensure payer of last resort stance is utilized when handling Purchased Referred Care claims and payments

Collaborates with the Eligibility team to ensure payer of last resort stance is utilized when handling Purchased Referred Care claims and payments

4

Assists with other research and development projects as directed by Management; obtains and maintains necessary certification for Health Insurance Marketplace CAC

Provides training and guidance through expert knowledge of claims administration and adjudication to Insurance Department staff; responsible for the timely response to formal appeals from members, employees, clients and providers

5

Reviews, resolves and/or escalates Level 2 claims appeals; releases claims up to the designated draft authority for Level 2 Claims Examiner

Works with the Customer Service Coordinator to manage and provide direction to the utilization review and case management vendor; identifies and manages claims with potential subrogated recovery

6

Ensures that claims adjudication complies with all FCPID standards and protocols; reviews claims for possible abuses and/or fraud and bring to the attention of management

Oversees the repricing processes to ensure the integrity of the product; investigates claims referred by staff for possible abuse and fraud

What you’ll need to be successful:

Level II

Level III

1

High School Diploma or GED

High School Diploma or GED

2

Five (5) years of experience in medical claims processing

Five (5) years of experience in medical claims processing

3

Three (3) years in customer service

Three (3) years in customer service

4

Knowledge of Indian Health Service guidelines as it pertains to payment of medical providers and health benefits claims processing standards

Two (2) years in a lead or supervisory capacity

5

Knowledge of NCCI and CMS coding/billing standards, CPT-4, ICD-9, ICD-10, DRG and HCPS and medical terminology

Knowledge of Indian Health Service guidelines as it pertains to payment of medical providers and health benefits claims processing standards

6

Knowledge of insurance principles and/or procedures

Knowledge of NCCI and CMS coding/billing standards, CPT-4, ICD-9, ICD-10, DRG and HCPS and medical terminology

7

Skill in operating various word-processing, spreadsheets, and database software programs in a Windows environment

Knowledge of insurance principles and/or procedures

8

Must successfully pass all applicable background checks and drug screens

Skill in operating various word-processing, spreadsheets, and database software programs in a Windows environment

9

Must successfully pass all applicable background checks and drug screens

Benefits you’ll love:

  • Approximately 5 weeks of paid time off annually
  • 3 weeks of paid holidays
  • Premium free health insurance
  • Flexible spending accounts
  • Short term disability
  • Life insurance
  • 401k with match