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Remote Claim Processor Jobs in Wisconsin (NOW HIRING)

AprilAire

Sales Data Analyst-LTE

Madison, WI · Remote

Remote--candidate must live within a 75 mile radius of Madison, WI Responsibilities The primary focus of this role will be supporting sales claim back processing and related operational activities ...

AprilAire

Sales Data Analyst-LTE

Madison, WI · Remote

Remote--candidate must live within a 75 mile radius of Madison, WI Responsibilities The primary focus of this role will be supporting sales claim back processing and related operational activities ...

CSAA

$58K - $75K/yr

In order for your application to be correctly processed please sign-in before you apply Internal ... Document claim files, send correspondence, and communicate with all parties involved. * Work from a ...

CSAA

$70K - $91K/yr

In order for your application to be correctly processed please sign-in before you apply Internal ... Document claim files, send correspondence, and communicate with all parties involved. * Work from a ...

CSAA

$65K - $85K/yr

In order for your application to be correctly processed please sign-in before you apply Internal ... Document claim files, send correspondence, and communicate with all parties involved. * Work from a ...

Great American Insurance Group

$20 - $27/hr

This is a remote, work-from-home position for candidates located within the Mountain or Central ... Verify coverage, process claim-related transactions, and support payment and financial processing ...

Corvel

Care Advocate Nurse

Madison, WI · Remote

$61K - $98K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Responsible for detailed documentation within the claim system focusing on medical condition ...

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Remote Claim Processor information

What is a remote claim processor?

A Remote Claim Processor is a professional who reviews, evaluates, and processes insurance claims from a remote location, often from home. They verify the accuracy of submitted information, ensure policy guidelines are met, and decide whether claims should be approved, denied, or require further investigation. This role typically involves working with health, auto, or property insurance claims and requires strong attention to detail, analytical skills, and familiarity with relevant software systems. Working remotely allows claim processors to handle their duties outside of a traditional office environment while maintaining communication with their team and clients through digital platforms.

What skills and qualifications are needed to thrive as a remote claim processor?

To thrive as a Remote Claim Processor, you need strong analytical skills, attention to detail, and a background in insurance or healthcare administration, typically supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health record (EHR) systems, and Microsoft Office is crucial for daily tasks. Excellent communication, problem-solving abilities, and self-motivation help remote claim processors efficiently resolve issues and work independently. These skills ensure accurate claims processing, timely resolution, and high customer satisfaction in a remote environment.

What are common challenges faced by remote claim processors, and how can they be managed?

Remote claim processors often encounter challenges such as maintaining effective communication with team members and staying up-to-date with changing insurance policies and procedures. To manage these challenges, it's important to leverage collaboration tools like instant messaging and video conferencing, and to participate actively in virtual training sessions. Additionally, setting up a dedicated workspace and following a structured daily routine can help ensure productivity and accuracy when processing claims remotely.

What is the difference between Remote Claim Processor vs Remote Claims Examiner?

AspectRemote Claim ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma or equivalent; often requires insurance or healthcare-related certifications
Work EnvironmentHome-based, independent work settingHome-based, independent work setting
Industry UsageInsurance, healthcare, government agenciesInsurance, healthcare, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing and adjudicating insurance claims, ensuring compliance

Both roles are remote positions within the insurance and healthcare industries, requiring similar credentials and work environments. The main difference lies in their focus: Remote Claim Processors handle initial claim processing and data entry, while Remote Claims Examiners review and make decisions on claims to ensure accuracy and compliance.

What are popular job titles related to Remote Claim Processor jobs in Wisconsin?

For Remote Claim Processor jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Remote Claim Processor jobs in Wisconsin look for?

The top searched job categories for Remote Claim Processor jobs in Wisconsin are:

Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in Wisconsin as of August 2026, with employment types broken down into 81% Full Time, 17% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution.

Senior Workers Compensation Claims Adjuster - WI/IA

Gallagher

Waukesha, WI • Remote

$66K - $85K/yr

Full-time

Re-posted 9 days ago

Arthur J. Gallagher & Co. rating

7.6

Company rating: 7.6 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

211th of 310 rated insurance

Job description

Introduction
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Overview

Role specifics: 

  • Claims Background: Workers Compensation
  • Jurisdictional Experience: WI
  • Active Adjusters' licenses: Applicable licensure
  • Location: This role is eligible for fully remote work 

How you'll make an impact
  • Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
  • Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.
  • Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process
  • Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.
  • Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. 

About You

As a key member of our experienced Claims Adjuster team, you will: 

  • Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
  • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process
  • Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants

Required Qualifications: 

  • High School Diploma.
  • Minimum of 5 years related claims experience.
  • Appropriately licensed and/or certified in all states in which claims are being handled.
  • Knowledge of accepted industry standards and practices.
  • Computer experience with related claims and business software. 

Desired: 

  • Bachelor's Degree

#LI-KD1

#LI-Remote

#WorkersComp


Compensation and benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

  • Competitive compensation
  • Comprehensive benefits programs designed to support your well-being 
  • Career development opportunities and ongoing learning 
  • A collaborative, people-first culture with accessible leadership 
  • The opportunity to do meaningful work with global reach and local impact 

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)

Qualifications:

As a key member of our experienced Claims Adjuster team, you will: 

  • Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
  • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process
  • Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants

Required Qualifications: 

  • High School Diploma.
  • Minimum of 5 years related claims experience.
  • Appropriately licensed and/or certified in all states in which claims are being handled.
  • Knowledge of accepted industry standards and practices.
  • Computer experience with related claims and business software. 

Desired: 

  • Bachelor's Degree

#LI-KD1

#LI-Remote

#WorkersComp

Education:UNAVAILABLEEmployment Type: FULL_TIME

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