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Remote Bcba Insurance Reviewer Jobs in Wisconsin

CSAA

Job Title Senior Data Science Consultant, Insurance - Remote Requisition Number R7828 Senior Data ... Coach and mentor junior consultants and review modeling work for quality and rigor. * Support ...

CSAA

Job Title Senior Data Science Consultant, Insurance - Remote Requisition Number R7828 Senior Data ... Coach and mentor junior consultants and review modeling work for quality and rigor. * Support ...

CSAA

Job Title Senior Data Science Consultant, Insurance - Remote Requisition Number R7828 Senior Data ... Coach and mentor junior consultants and review modeling work for quality and rigor. * Support ...

CSAA

Job Title Senior Data Science Consultant, Insurance - Remote Requisition Number R7828 Senior Data ... Coach and mentor junior consultants and review modeling work for quality and rigor. * Support ...

TEKsystems

Life Insurance Underwriter

Appleton, WI · Remote

$25 - $40/hr

Remote work is acceptable and preference is for full-time flexible work hours. Additional Skills ... and review medical records • Highly productive, most within $250,000 - 500,000 and up to 1 ...

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Remote Bcba Insurance Reviewer information

What is a remote BCBA insurance reviewer?

A Remote BCBA Insurance Reviewer is a Board Certified Behavior Analyst (BCBA) who works remotely to review and assess insurance claims related to applied behavior analysis (ABA) services. Their primary role is to evaluate treatment plans and documentation to ensure they meet insurance requirements for reimbursement. They help facilitate communication between ABA providers and insurance companies, ensuring that clients receive the coverage and services they are entitled to. This position typically requires a current BCBA certification, knowledge of insurance policies, and strong attention to detail.

What are the key skills and qualifications needed to thrive as a remote BCBA insurance reviewer?

To excel as a Remote BCBA Insurance Reviewer, you need board certification as a Behavior Analyst (BCBA), in-depth knowledge of ABA therapy, and experience with insurance review processes. Familiarity with electronic medical records (EMR), insurance billing software, and relevant documentation systems is crucial. Attention to detail, strong written communication, and the ability to interpret clinical data are vital soft skills for this role. These competencies ensure accurate authorization of services, compliance with payer requirements, and timely support for clients and providers in a remote setting.

What are some typical challenges a remote BCBA insurance reviewer may encounter when working with insurance claims?

As a Remote BCBA Insurance Reviewer, you may face challenges such as navigating varying insurance policies and requirements, managing high volumes of documentation, and ensuring timely communication with providers and clients. Each insurance company may have unique criteria for approving ABA services, requiring careful attention to detail and up-to-date knowledge of policy changes. Additionally, working remotely means consistently coordinating with multidisciplinary teams and maintaining secure, accurate records while meeting productivity expectations.

What is the difference between Remote Bcba Insurance Reviewer vs Remote Bcba Case Coordinator?

AspectRemote Bcba Insurance ReviewerRemote Bcba Case Coordinator
CertificationsBCBA, insurance knowledgeBCBA, case management experience
Work EnvironmentReviewing insurance claims remotelyCoordinating client cases remotely
Employer & IndustryInsurance companies, healthcare providersHealthcare organizations, therapy providers

The Remote Bcba Insurance Reviewer primarily evaluates insurance claims related to behavioral therapy, focusing on policy compliance. In contrast, the Remote Bcba Case Coordinator manages client cases, coordinating services and treatment plans. Both roles require BCBA certification and involve remote work, but their core responsibilities differ—one reviews insurance, the other manages client cases.

What are the most commonly searched types of Bcba Insurance Reviewer jobs in Wisconsin?

The most popular types of Bcba Insurance Reviewer jobs in Wisconsin are:

What are popular job titles related to Remote Bcba Insurance Reviewer jobs in Wisconsin?

For Remote Bcba Insurance Reviewer jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Remote Bcba Insurance Reviewer jobs in Wisconsin look for?

The top searched job categories for Remote Bcba Insurance Reviewer jobs in Wisconsin are:

What cities in Wisconsin are hiring for Remote Bcba Insurance Reviewer jobs?

Cities in Wisconsin with the most Remote Bcba Insurance Reviewer job openings:

Remote Bcba Insurance Reviewer jobs near you
Infographic showing various Remote Bcba Insurance Reviewer job openings in Wisconsin as of August 2026, with employment types broken down into 76% Full Time, 15% Part Time, and 9% Contract. Highlights an 24% In-person, and 76% Remote job distribution.

Disability Insurance (DI) Claims Analyst - Remote.

Northwestern Mutual Life Insurance Company

Franklin, WI • On-site, Remote

Full-time

PTO

Posted 8 days ago

Northwestern Mutual rating

8.0

Company rating: 8.0 out of 10

Based on 75 frontline employees who took The Breakroom Quiz

166th of 310 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:
Structure 115:
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

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