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Remote Claims Assistant Jobs in Madison, WI (NOW HIRING)

State of Wisconsin

Disability Claims Reviewer

Madison, WI · On-site +1

$72K/yr

Remote work flexibility will be discussed in more detail during the interview process. * DHS does ... claims of the Social Security Act and Amendments. * Experience independently resolving complex ...

Rural Mutual Insurance

Desk Auto Claims Adjuster

Madison, WI · On-site +1

$49K - $65K/yr

You'll enjoy the flexibility of remote work while serving customers across Wisconsin. Candidates ... Ready to put your claims expertise to work with a trusted Wisconsin company? Join a supportive team ...

Rural Mutual Insurance

Desk Auto Claims Adjuster

Madison, WI · On-site +1

$65K - $75K/yr

You'll enjoy the flexibility of remote work while serving customers across Wisconsin. Candidates ... Ready to put your claims expertise to work with a trusted Wisconsin company? Join a supportive team ...

Auxiant

Claims Examiner

Madison, WI · On-site +1

Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...

Agrace

Benefit & Compensation Analyst (on site)

Madison, WI · Remote

$70K - $87K/yr

Madison, WI Full Time | Day | Monday-Friday | 8am-5pm (option for 1 Day/Week remote) Make a lasting ... Review and evaluate self-funded health insurance claims data with assistance from our benefits ...

ERM

Right of Way (ROW) Agent (Field Based)

Madison, WI · On-site +1

$34.19 - $40.20/hr

Advise and assist in establishing a range of fair market values to be used in the acquisition of ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...

Corvel

Care Advocate Nurse

Madison, WI · Remote

$61K - $98K/yr

... Claims Management department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS ... team to assist in identifying potential red flags from the injury that may require further ...

Lantern

Strategy Analyst

Whitewater, WI · Remote

This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties ... Analyze claims and cost savings data to drive insights for reporting and product improvement

Lantern

Strategy Analyst

Madison, WI · Remote

This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties ... Analyze claims and cost savings data to drive insights for reporting and product improvement

All JobsClaims JobsRemote Claims Assistant JobsRemote Claims Assistant Jobs in Madison, WI

Remote Claims Assistant information

See Madison, WI salary details

$14

$21

$28

How much do remote claims assistant jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for remote claims assistant in Madison, WI is $21.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $23.03 per hour, depending on experience, location, and employer.

What is a remote claims assistant?

Remote Claims Assistants are professionals who help process insurance claims from a remote location, often working from home. Their main duties include reviewing claim documents, verifying information, communicating with clients or claimants, and assisting claims adjusters in resolving cases. Using digital tools and secure platforms, they ensure claims are handled efficiently and in compliance with company policies. This role requires strong organizational skills, attention to detail, and the ability to communicate clearly with both customers and colleagues.

What skills and qualifications are needed to be a remote claims assistant?

To thrive as a Remote Claims Assistant, you need strong organizational abilities, attention to detail, and a background in administrative support or insurance claims processing. Familiarity with claims management software, basic data entry tools, and secure document handling systems is typically required. Outstanding communication, time management, and problem-solving skills help you excel in a virtual team environment. These competencies are crucial for ensuring efficient, accurate claims handling and superior customer service from a remote setting.

What are common challenges faced by remote claims assistants and how can they be managed?

Remote Claims Assistants often face challenges such as staying organized while handling multiple claims, maintaining clear communication with claimants and team members across different time zones, and adapting to various claims management systems. To manage these effectively, it's important to develop strong time management skills, utilize digital tools for tracking tasks, and establish regular check-ins with supervisors or peers. Proactive communication and ongoing training on the company's claims process can also help ensure accuracy and efficiency in claim handling.

What are the most commonly searched types of Remote Claims jobs in Madison, WI?

The most popular types of Remote Claims jobs in Madison, WI are:

What are popular job titles related to Remote Claims Assistant jobs in Madison, WI?

For Remote Claims Assistant jobs in Madison, WI, the most frequently searched job titles are:

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The top searched job categories for Remote Claims Assistant jobs in Madison, WI are:

What cities near Madison, WI are hiring for Remote Claims Assistant jobs?

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Remote Claims Assistant jobs near you

Disability Claims Reviewer

State of Wisconsin

Madison, WI • On-site, Remote

$72K/yr

Full-time

Medical, Retirement, PTO

Posted 6 days ago

State Of Wisconsin rating

7.9

Company rating: 7.9 out of 10

Based on 130 frontline employees who took The Breakroom Quiz

17th of 50 rated states

Job description

Introduction
The Department of Health Services (DHS), Division of Medicaid Services is recruiting for multiple full-time and 2 part-time (32 hours per week) Disability Claims Reviewer in the Disability Determination Bureau.
The DDB consists of approximately 200 employees, including some contractors. The DDB operates on a yearly budget of approximately $30 million funded by the Social Security Administration (SSA) to do medical determinations for SSA disability claims. The DDB also processes a small number of State Medicaid disability claims funded by DHS. The DDB must follow all SSA policies and regulations for safety, security and hiring as well as State of Wisconsin policies and regulations.
As an employee of the State of Wisconsin, you'll have access to an amazing benefits package . Note: Benefits and leave time will be prorated based on the number of hours worked.
  • 3.5 weeks of vacation, 9 paid holidays and ample sick time ; limitations may apply for leave time usage in the first six months.
  • Top rated health plan options starting at $47/month for single plans and $117/month for family plans, after 2 months of state service.
  • Exceptional pension plan with a 7.2% employer match in 2026 with lifetime retirement payment. Plus, a tax advantaged supplemental retirement savings plan which allows you to save money directly from your paycheck for retirement. Use this Total Rewards Calculator to see the total value of our competitive benefits package!
  • Several flex spending accounts: medical, dependent care, commuter, parking and High-Deductible Health Savings.
  • Well Wisconsin Wellness Program.
  • A free and confidential employee assistance program that offers employees and their immediate family dependents a variety of tools, resources, and professional consultation services to support their health, goals, and overall well-being.
  • Public Service Loan Forgiveness Program employer.

These positions offer the option to work remotely up to 4 days per week after the completion of 3 months of training and is headquartered at 1400 E. Washington Avenue office in downtown Madison and offers free on-site parking. This schedule may vary based on training or operational need.
Position Summary
These positions decide and document disability entitlement under the Social Security Disability Act, Amendments, and Regulations in both paper and electronic formats. This requires:
  • Extensive reading of records.
  • Working with electronic medical, vocational, and other records pertaining to disability.
  • Effective caseload management in an electronic environment.
  • High case production and decisional accuracy which requires timeliness of decisions.
Based on Agency workload needs and guided by the Social Security Administration, the Disability Claims Reviewers evaluate a mix of Adult, Child and Continuing Disability Review claims at both the initial and appellate levels under Title II, Title XVI, and Title XIX of the Social Security Act. Workloads may vary over time and by section or work unit. The Disability Claims Reviewers will maintain the capability and flexibility to efficiently process a variety of disability claim types.
Salary Information
The starting pay is between $35.00 and $37.68 per hour (approximately between $72,800 and 78,300 per year), depending on qualifications, plus excellent benefits. A 12-month probationary period is required.
Pay for current or former state employees will be set based on the rules that apply to compensation for the applicable transaction The position is classified as Disability Claims Reviewer and is in pay schedule and range 12/64.
Job Details
  • All applicants who may be appointed to these positions will be required to go through a complete federal background investigation. A suitability determination by the Social Security Administration is necessary prior to hire to determine whether an employee can be issued credentials in order to have access to Social Security disability data, records, and systems.
  • For positions that allow remote working flexibility, working outside of Wisconsin or in bordering cities will not be allowed except in extremely limited circumstances due to the need to report to an office location in Wisconsin on short notice.
  • Employees must have access to both a private workspace and secure high-speed internet for remote work option. Mileage reimbursement to the employee's headquarter location is not provided. Remote work flexibility will be discussed in more detail during the interview process.
  • DHS does not sponsor work visas for these positions, thus, in compliance with federal law, selected candidates will be required to verify eligibility to work in the United States by completing the require d I-9 form upon hire. DHS is not an E-Verify employer nor a STEM-OPT eligible employer.

Qualifications
Minimally qualified applicants will have all of the following:
  • Experience evaluating and adjudicating and making medical determinations on Social Security and Medicaid disability claims using knowledge of initial T-2, T-16 and T-19 disability claims of the Social Security Act and Amendments.
  • Experience independently resolving complex policy questions using a variety of resources including policy resources, business process documents, training manuals or in-house consultants.
  • Experience using medical terminology in a work setting.
  • Experience providing technical assistance to internal and external customers in a professional setting (e.g., answering questions, explaining requirements to customers, etc.)
Well-qualified applicants will also have one or more of the following:
  • 18 or more months of experience adjudicating disability claims in a state disability office.
  • Experience adjudicating Reconsideration or Quick Disability Determination/Compassionate Allowance claims.
Your letter of qualifications is limited to 1 page and your resume is limited to 2 pages. For a guide on developing your resume and letter of qualifications and what should be included in these materials, click here .
How To Apply
Applying is easy! Click "Apply for Job" to start your application process. Sign into your account or create an account before applying for the job. Follow the steps outlined in the application process to submit your application.
Helpful Information:
  • Once your application is submitted, no changes are allowed. Click "Save" to allow changes to your application as needed before submitting by the deadline.
  • You may want to save a copy of the job posting for referencing after the deadline.
  • Submitted materials will be evaluated by a panel of job experts according to the qualifications above.
  • Please monitor your email for communications related to this position.
  • Current or former permanent, classified, state employees must complete the online application process to be considered.
  • If viewing through an external site, please apply directly at Wisc.Jobs .
  • For technical assistance and general information, please see Frequently Asked Questions . For questions about the position, to request a copy of the full position description, or for other employment inquiries, please contact DDB Human Resources at DHSBHRDDB@dhs.wisconsin.gov
DHS is an Equal Opportunity and Affirmative Action employer. Veterans are encouraged to apply. For complete information on Veterans' hiring programs with the WI Department of Veteran's Affairs, click here .
Deadline to Apply
The deadline to apply is September 1, 2026 by 11:59 pm.
Applicants are strongly encouraged to allow ample time to finalize their applications keeping in mind that technical assistance is only available Monday through Friday 7:45 am - 4:30 pm. Late or incomplete applications will not be accepted.

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