ZipRecruiter

Log In

1

Medical Claims Manager Jobs in Appleton, WI (NOW HIRING)

Oshkosh Corporation

Claims Manager

Oshkosh, WI · On-site

$64K - $103K/yr

Manage claims pertaining to worker's compensation, short term disability, and FMLA in coordination ... Administer the applicable Family Medical Leave Act activities as they relate to both work-related ...

Oshkosh Corporation

Claims Manager

Oshkosh, WI

$64K - $103K/yr

Manage claims pertaining to worker's compensation, short term disability, and FMLA in coordination ... Administer the applicable Family Medical Leave Act activities as they relate to both work-related ...

Progressive

Claims Adjuster Trainee

Appleton, WI · Hybrid

$54K - $57K/yr

Partner with appraisers/estimators to manage vehicle repairs * Negotiate with customers and other ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

Network Health, Inc

SQL/ETL Developer I - Encounter

Menasha, WI · On-site +1

$52.25 - $68.25/hr

Advise management on how to improve application environment and system performance * Maintain ... Experience with medical claims and EDI * High degree of experience with relational database design ...

Network Health

SQL/ETL Developer I - Encounter

Menasha, WI · On-site +1

$52.25 - $68.25/hr

Advise management on how to improve application environment and system performance * Maintain ... Experience with medical claims and EDI * High degree of experience with relational database design ...

Network Health

SQL/ETL Developer I - Encounter

Menasha, WI · On-site

$52.25 - $68.25/hr

Advise management on how to improve application environment and system performance * Maintain ... Experience with medical claims and EDI * High degree of experience with relational database design ...

Network Health WI

SQL/ETL Developer I - Encounter

Menasha, WI · On-site

$52.25 - $68.25/hr

Advise management on how to improve application environment and system performance * Maintain ... Experience with medical claims and EDI * High degree of experience with relational database design ...

Network Health, Inc

Claims Analyst II

Menasha, WI · On-site +1

... Certificate of Coverage, established medical policies and procedures, and plan benefit ... management policies, etc. * Reviews home office claims for payment up to $18,000.00. * Reviews ...

Network Health

Claims Analyst II

Menasha, WI · On-site +1

... Certificate of Coverage, established medical policies and procedures, and plan benefit ... management policies, etc. * Reviews home office claims for payment up to $18,000.00. * Reviews ...

New

Network Health

Claims Analyst II

Menasha, WI · On-site

... Certificate of Coverage, established medical policies and procedures, and plan benefit ... management policies, etc. * Reviews home office claims for payment up to $18,000.00. * Reviews ...

New

Network Health WI

Claims Analyst II

Menasha, WI · On-site

... Certificate of Coverage, established medical policies and procedures, and plan benefit ... management policies, etc. * Reviews home office claims for payment up to $18,000.00. * Reviews ...

Schneider

Lead Claims Systems Analyst

Green Bay, WI · On-site

Schneider is seeking a Lead Claims Systems Analyst in Green Bay to oversee risk management (RM ... Medical, dental and vision insurance. * Company paid life insurance. * 401(k) savings plan with ...

micro1 AI

Medical Writing Manager

Green Bay, WI · Remote

$50 - $80/hr

Medical Writer / Clinical Document Author Role Type: Contractor Location: Remote micro1 is engaging ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

micro1 AI

Medical Billing Specialist

Green Bay, WI · Remote

$50 - $80/hr

... and appendix management. * Evaluate scientific accuracy in narrative sections such as efficacy ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

GB Packaging

Manager Quality

Green Bay, WI · On-site

Lead the Quality Team consisting of an Engineer, Claims Analyst, Specialist, Incoming Inspector ... medical, dental, vision, prescription drug, wellness programs, STD, LTD, life insurance, company ...

Network Health

Associate Medical Director

Menasha, WI · On-site +1

In coordination with the CMO and Directors of Health Management and QI and Disease Management ... claims review * Assist in the training of NHP staff on matters relating to medical guidelines

next page

Showing results 1-20

All JobsMedical Claims JobsMedical Claims Manager JobsMedical Claims Manager Jobs in Appleton, WI

Medical Claims Manager information

See Appleton, WI salary details

$34.1K

$85.7K

$135.6K

How much do medical claims manager jobs pay per year?

As of Aug 9, 2026, the average yearly pay for medical claims manager in Appleton, WI is $85,729.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,300.00 and $102,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a medical claims manager?

To thrive as a Medical Claims Manager, you need a strong background in healthcare administration, claims processing, and knowledge of insurance regulations, typically supported by a bachelor's degree in a related field. Familiarity with claims management systems, billing software, and certification such as Certified Professional Coder (CPC) are often required. Exceptional attention to detail, problem-solving abilities, and effective communication set top performers apart. These skills ensure accurate claims processing, regulatory compliance, and efficient resolution of disputes, which are critical for organizational success.

What are some common challenges medical claims managers face when overseeing claims processing teams?

Medical Claims Managers often encounter challenges such as keeping up with changing healthcare regulations, ensuring accurate and timely claims processing, and managing workflow during periods of high claim volume. They must also address discrepancies or denials efficiently and provide ongoing training to team members to maintain compliance and quality standards. Effective communication with insurance carriers, healthcare providers, and internal teams is crucial to resolving issues and streamlining operations.

What does a medical claims manager do?

A Medical Claims Manager oversees the processing of insurance claims related to healthcare services. They ensure that claims are handled efficiently, accurately, and in compliance with industry regulations. Their responsibilities include supervising claims staff, reviewing and resolving complex claims issues, and coordinating with healthcare providers and insurance companies. Medical Claims Managers also work to identify and prevent fraudulent claims and improve overall claims processing procedures.
What are the most commonly searched types of Medical Claims jobs in Appleton, WI? The most popular types of Medical Claims jobs in Appleton, WI are:
What are popular job titles related to Medical Claims Manager jobs in Appleton, WI? For Medical Claims Manager jobs in Appleton, WI, the most frequently searched job titles are:
What job categories do people searching Medical Claims Manager jobs in Appleton, WI look for? The top searched job categories for Medical Claims Manager jobs in Appleton, WI are:
What cities near Appleton, WI are hiring for Medical Claims Manager jobs? Cities near Appleton, WI with the most Medical Claims Manager job openings:
Medical Claims Manager jobs near you

Claims Manager

Oshkosh Corporation

Oshkosh, WI • On-site

$64K - $103K/yr

Full-time

Posted 23 days ago

Oshkosh Corporation rating

7.4

Company rating: 7.4 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

286th of 487 rated machine equipment manufacturers

Job description

About Oshkosh Defense, an Oshkosh company
Oshkosh Defense stands behind those who dedicate their lives to protecting others. As an industry-leading tactical vehicle manufacturer, every day we strive to meet or exceed our customers' ever-changing needs with next generation defense technologies and advanced systems. We operate with unparalleled commitment to those who depend on our products and services worldwide to perform their missions.
Manage claims pertaining to worker's compensation, short term disability, and FMLA in coordination with internal departments, insurance carriers, and the medical community and ensuring to follow all applicable regulations.
YOUR IMPACT
  • Administer the filing and ongoing maintenance of Worker's Compensation claims for the Oshkosh Corporation location, including facilitation of communication with current and prior insurance adjusting teams, medical community, injured workers, and Oshkosh management. This will also include the coordination of at least 4 claim reviews annually with the insurance carrier
  • Administer the filing and ongoing maintenance of non-work-related short term disability claims for the hourly workforce (Accident & Sickness), including coordination with the Payroll Department as to payment requirements. Communication and coordination must also be maintained with human resources, operations management, the medical community, and the injured employee as to the status and future plan
  • Administer the applicable Family Medical Leave Act activities as they relate to both work-related and non-work-related injury absences from work
  • Maintain OSHA reporting requirements relative to injury reporting, including the OSHA log and related end-of-year summary
  • Publish weekly statistical summaries of claim activity as requested by various levels of management within the organization
  • Facilitate a Return-to-Work program for all injured employees with restrictions that prohibit them from working their regular shift and/or job duties, integrating them back into light or modified-duty transitional jobs in an effort to more quickly get them to full-duty status

MINIMUM QUALIFICATIONS
  • Bachelor's degree in Business Administration or Occupational Health
  • 5-plus years related experience in the insurance or occupational health field

STANDOUT QUALIFICATIONS
  • Must be knowledgeable with Wisconsin Worker's Compensation laws, FMLA and other applicable employment laws
  • Must possess excellent communication and organizational skills
  • Must possess basic computer skills including Microsoft Office Suite products

Pay Range:
$64,500.00 - $103,500.00
The above pay range reflects the minimum and maximum target pay for the position across all U.S. locations. Within this range, individual pay is determined by various factors, including the scope and responsibilities of the role, the candidate's experience, education and skills, as well as the equity of pay among team members in similar positions. Beyond offering a competitive total rewards package, we prioritize a people-first culture and offer various opportunities to support team member growth and success.
Oshkosh is committed to working with and offering reasonable accommodation to job applicants with disabilities. If you need assistance or an accommodation due to disability for any part of the employment process, please contact us at corporatetalentacquisition@oshkoshcorp.com.
Oshkosh Corporation is a merit-based Equal Opportunity Employer. Job opportunities are open for application to all qualified individuals and selection decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, or other protected characteristic. To the extent that information is provided or collected regarding categories as provided by law it will in no way affect the decision regarding an employment application.
Oshkosh Corporation will not discharge or in any manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Oshkosh Corporation's legal duty to furnish information.
Certain positions with Oshkosh Corporation require access to controlled goods and technologies subject to the International Traffic in Arms Regulations or the Export Administration Regulations. Applicants for these positions may need to be "U.S. Persons," as defined in these regulations. Generally, a "U.S. Person" is a U.S. citizen, lawful permanent resident, or an individual who has been admitted as a refugee or granted asylum.

What Oshkosh Corporation employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply