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Remote Claim Processor Jobs in Wisconsin (NOW HIRING)

... cycle management processes and practices. This is a full-time remote opportunity. Open to ... Investigate and resolve claim denials, rejections, and payment discrepancies by working ...

$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 ...

New

$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 ...

New

$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 ...

New

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 ...

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... Communicates claim status with the customer, claimant and client * Adheres to client and carrier ...

As a secondary consideration, we do offer remote work in the following approved states: Colorado ... Conduct claim reviews when appropriate and provide technical assistance on the correct application ...

As a secondary consideration, we do offer remote work in the following approved states: Colorado ... Conduct claim reviews when appropriate and provide technical assistance on the correct application ...

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Showing results 1-20

Remote Claim Processor information

How can I make 2000 a week working from home?

A remote claim processor can potentially earn $2,000 a week by handling a high volume of claims efficiently, often requiring strong attention to detail and familiarity with claims processing software. Increasing earnings may involve working full-time hours, gaining relevant certifications, and improving productivity skills. Compensation varies based on experience, employer, and workload.

What is the highest paid remote job?

Remote claim processors typically earn between $40,000 and $70,000 annually, but high-level remote roles such as remote executive positions, software engineers, and data scientists tend to have higher salaries, often exceeding $100,000. Specialized skills, certifications, and experience can significantly increase earning potential in remote jobs across various industries.

How to become a claim processor?

To become a remote claim processor, candidates typically need a high school diploma or equivalent, strong attention to detail, and good communication skills. Some employers prefer prior experience in insurance or claims processing, and familiarity with claim management software can be beneficial. Certification is not usually required but can enhance job prospects.

What companies hire remote claims adjusters?

Many insurance companies and third-party claims adjusting firms hire remote claims adjusters, including large organizations like State Farm, Allstate, and Progressive. These companies often require knowledge of insurance policies, claims processing software, and relevant certifications such as the AIC or CPCU. Remote claims adjusters typically work from home and may need to pass background checks and demonstrate strong communication skills.

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 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 are the key skills and qualifications needed to thrive as a Remote Claim Processor, and why are they important?

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 some common challenges faced by remote claim processors, and how can they be managed effectively?

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.
Infographic showing various Remote Claim Processor job openings in Wisconsin as of July 2026, with employment types broken down into 78% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Senior Workers Compensation Claims Adjuster

Gallagher

Waukesha, WI • Remote

$66K - $85K/yr

Full-time

Re-posted 16 days ago


Arthur J. Gallagher & Co. rating

7.7

Company rating: 7.7 out of 10

Based on 92 frontline employees who took The Breakroom Quiz

198th of 299 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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