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Medical Claims Processor Jobs in Milwaukee, WI (NOW HIRING)

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Medical Claims Processor information

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$13

$19

$25

How much do medical claims processor jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for medical claims processor in Milwaukee, WI is $19.18, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $21.30 per hour, depending on experience, location, and employer.

What is a medical claims processor?

Medical claims processors work for a health care office or insurance company. Their job is to check medical insurance claims for proper billing codes, update the doctor or insurer about changes to the claim, and clarify concerns about patient benefits. It is essential that the billing codes match the medical services provided. As a medical claims processor, you also follow up with the insurer to discuss discrepancies and find out the status of claims. Current procedural terminology (CPT) and data entry are central parts of a medical claims processor’s job, as they often use Microsoft Office applications or a secure database to enter billing codes for services rendered.

What does a medical claims processor do?

A Medical Claims Processor is responsible for reviewing, evaluating, and processing health insurance claims submitted by policyholders or healthcare providers. Their main tasks include verifying patient and insurance information, examining medical codes, ensuring compliance with insurance policies, and determining the amount payable for each claim. They play a crucial role in making sure that claims are handled efficiently and accurately, helping both providers and patients navigate insurance benefits. Attention to detail, knowledge of medical terminology, and understanding insurance guidelines are essential skills for this role.

What are the key skills and qualifications needed to thrive as a medical claims processor, and why are they important?

To thrive as a Medical Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims adjudication processes, often supported by a high school diploma or associate degree. Proficiency with claims management software, ICD and CPT coding systems, and electronic health record systems is typically required. Attention to detail, organizational skills, and the ability to communicate clearly with providers and patients are essential soft skills. These competencies ensure accurate claim processing, minimize errors, and help maintain efficient workflow within healthcare administration.

What are some common challenges faced by medical claims processors, and how can they be managed?

Medical Claims Processors often encounter challenges such as handling complex insurance policies, keeping up with changing regulations, and resolving claim discrepancies. To manage these issues, strong attention to detail, continuous learning, and effective communication with providers and insurance representatives are essential. Many processors also rely on updated software and regular training to stay current with industry standards and maintain accuracy in claim adjudication.

What is the difference between Medical Claims Processor vs Medical Billing Specialist?

AspectMedical Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary FocusReviewing and processing insurance claimsCreating and sending bills to patients and insurers
Common TasksVerifying claim accuracy, data entryCoding procedures, invoicing patients

While both roles involve handling healthcare financial data, Medical Claims Processors focus on reviewing and submitting insurance claims, whereas Medical Billing Specialists handle invoicing and billing patients. Both roles require attention to detail and knowledge of healthcare billing processes, but their daily tasks and focus areas differ.

Do you need a degree to be a medical claims processor?

A degree is not typically required to become a medical claims processor, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include knowledge of medical billing, coding, and claims processing software, and some positions may offer on-the-job training or certification programs.
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What are the most commonly searched types of Medical Claims Processor jobs in Milwaukee, WI?

The most popular types of Medical Claims Processor jobs in Milwaukee, WI are:

What are popular job titles related to Medical Claims Processor jobs in Milwaukee, WI?

For Medical Claims Processor jobs in Milwaukee, WI, the most frequently searched job titles are:

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The top searched job categories for Medical Claims Processor jobs in Milwaukee, WI are:

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Milwaukee, WI as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $39,895 per year, or $19.2 per hour.

Claims Assistant Temp (Workers' compensation)

TRISTAR RISK MANAGEMENT

Waukesha, WI

$18 - $22/hr

Temporary

Posted 3 days ago

New

Key responsibilities

  • Sets up new claims in the system and paper files, ensuring all documentation is present and correct.

  • Prepares, schedules, and processes benefit and medical payments on claim files as directed by the Claims Examiner.

  • Documents all work products and claim activity in the electronic claim file.

Job description

POSITION SUMMARY: Under close supervision, performs clerical and data entry tasks that assist in administering workers’ compensation claims. This position requires considerable interaction with claimants on the phone and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work on time is an inherently required position.

DUTIES AND RESPONSIBILITIES:
  • Sets up new claims in system and paper files, ensuring all documentation is present and correct.
  • Prepares, schedules, and processes benefit and medical payments on claim files as the Claims Examiner directs.
  • Document all work products and claim activity in the electronic claim file.
  • Prepares and prints letters, benefit notices, and labels.
  • Provides clerical support, including filing, faxing, sorting, photocopying, and alphabetizing.
  • Communicates pertinent claim information to the client, legal counsel, medical and rehab providers, and internal claims staff.
  • Answers phone calls, take messages, and responds appropriately.
  • Other duties as assigned.

*Essential job function.

EQUIPMENT OPERATED/USED: Computer, telephone, 10-key, fax machine, printers, and other essential office equipment.

QUALIFICATIONS REQUIRED:

Education/Experience: High school diploma or GED, and one (1) year of experience in the workers’ compensation claims industry (preferred).

Knowledge, Skills, and Abilities:
  • Proficient keyboarding skills (type 45 wpm).
 
  • Working knowledge of medical/legal terminology.
  • Ability to alphabetize and collate.
  • Proficient in Word.
  • Ability to follow written and spoken instructions from several individuals.
  • Ability to produce accurate and detailed work.
  • Excellent verbal and written communication skills.
  • Courteous telephone skills.
  • Ability to effectively prioritize multiple projects and due dates.
  • Ability to work independently and in cooperation with a workgroup.

MENTAL AND PHYSICAL REQUIREMENTS

  1. MENTAL EFFORT
    1. Reasoning development::

        Follow one- or two-step instructions; routine, repetitive task.

        Carry out detail but uninvolved written or verbal instructions; deal with a few concrete variables.

        Follow written, verbal, or diagrammatic instructions; several concrete variables.

 X      Solve practical problems; variety of variables with limited standardization; interpret instructions.

        Logical or scientific thinking to solve problems; several abstract and concrete variables.

        Wide range of intellectual and practical problems; comprehend most obscure concepts.

b.      Mathematical development:

        Simple additional and subtraction; copying figures, counting, and recording.

        Add, subtract, multiply, and divide whole numbers.

 X      Arithmetic calculations involving fractions, decimals, and percentages.

        Arithmetic, algebraic, and geometric calculations.

        Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination.

        Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination; requires theoretical application.

c.      Language development:

        Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing.

        Ability to file, post, and mail materials; copy data from one record to another; interview to obtain

basic information such as age, occupation, and number of children; guide people and provide basic direction.

 X     Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants.

        Ability to compose original correspondence, follow technical manuals, and have increased contact with people.

        Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data.

  1. PHYSICAL EFFORT
    1. Physical activity required to perform the job:

        Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

 X      Light work:

      1. Exerting up to 20 pounds of force occasionally
      2. Exerting up to 10 pounds frequently
      3. Exerting a negligible amount of force constantly to move objects

(If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work).

        Medium work:

  1. Exerting up to 50 pounds of force occasionally
  2. Exerting up to 20 pounds of force frequently
  3. Exerting up to 10 pounds of force constantly to move objects

        Heavy work:

  1. Exerting up to 100 pounds of force occasionally
  2. Exerting up to 50 pounds of force frequently
  3. Exerting up to 20 pounds of force constantly to move objects

        Very heavy work:

  1. Exerting in excess of 100 pounds of force occasionally
  2. Exerting in excess of 50 pounds of force constantly to move objects
  3. Exerting in excess of 20 pounds of force constantly to move objects

b.       Visual requirements necessary to perform the job:

        Far vision: clarity of vision at 20 feet or more

 X      Near vision: clarity of vision at 20 inches or less

 X      Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feet

        Depth perception: the ability to judge distance and space relationships, so as to see objects where and as they actually are

        Color vision: ability to identify and distinguish colors

        Field of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point

2. PHYSICAL EFFORT (cont.)

FREQUENCY

c.        Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally):

  Climbing:     Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion.

  Balancing:     Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.

 X Stooping:        Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.

 X  Kneeling:        Bending legs at knee to come to a rest on knee or knees.

 X  Crouching:     Bending the body downward and forward by bending legs and spine.

  Crawling:        Moving about on hands and knees or hands and feet.

 X  Reaching:       Extending hand(s) and arm(s) in any direction.

 X  Standing:       Particularly for sustained periods of time.

 X  Walking:         Moving about on foot to accomplish tasks, particularly for long distances.

 X Pushing:          Using upper extremities top press against something with steady force in order to thrust forward, downward, or outward.

 X Pulling:            Using upper extremities to extent force in order to drag, haul, or tug objects in a sustained motion.

  Foot

Motion:          Using feet to push pedals.

 X Lifting:            Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles.

 X Fingering:        Picking, pinching, typing, or otherwise working with fingers rather than with the whole hand or arm as in handling.

Occasionally

Occasionally Occasionally

Occasionally Occasionally Occasionally Occasionally

Occasionally

Occasionally

Frequently

 

 X  Grasping:       Applying pressure to an object with the fingers and palm.

Occasionally

2. PHYSICAL EFFORT (cont.)

FREQUENCY

 X Talking:  Expressing or exchanging ideas by means of the spoken word. Those activities in which workers must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.

 X Hearing:          Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication, and to make fine discriminations in sound, such as when making find adjustments on machined parts.

  Feeling:         Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips.

 X Repetitive        Substantial movements (motions) of the wrists, hands, Motion:     and/or fingers.

Frequently

Frequently

Frequently

3. WORKING CONDITIONS

Disagreeable job conditions to which the employee may be exposed and the frequency (e.g., continually, frequently, or occasionally) of this exposure.

WORKING CONDITION ENVIRONMENTAL FACTOR

NATURE/REASON OF EXPOSURE

FREQUENCY

Dirt/Dust

Noise

Temperature extremes

Dampness

Vibrations

Equipment movement hazard

Chemicals/solvents

Electrical shock

Significant work pace/pressure

Odors/Fumes

Other (specify):                                          

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