Manager, Claims
Marshfield, WI · Remote
The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as ...
Marshfield, WI · Remote
The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as ...
Marshfield, WI · Remote
The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as ...
Milwaukee, WI · On-site +1
$68K - $102K/yr
Oversee execution of data intake, data management, claims processing, reporting, and related operational functions supporting Stop Loss & Health Claims Services. * Apply working knowledge of stop ...
Milwaukee, WI · On-site +1
$68K - $102K/yr
Oversee execution of data intake, data management, claims processing, reporting, and related operational functions supporting Stop Loss & Health Claims Services. * Apply working knowledge of stop ...
Milwaukee, WI · On-site +1
$68K - $102K/yr
Oversee execution of data intake, data management, claims processing, reporting, and related operational functions supporting Stop Loss & Health Claims Services. * Apply working knowledge of stop ...
Milwaukee, WI · On-site +1
$68K - $102K/yr
Oversee execution of data intake, data management, claims processing, reporting, and related operational functions supporting Stop Loss & Health Claims Services. * Apply working knowledge of stop ...
$15.50 - $21/hr
Remote Client Representative Location: 100% Remote | Schedule: Flexible We have proudly served ... Support policyholders with inquiries, policy updates, and claims processing. * Foster Relationship ...
$15.50 - $21/hr
Remote Client Representative Location: 100% Remote | Schedule: Flexible We have proudly served ... Support policyholders with inquiries, policy updates, and claims processing. * Foster Relationship ...
Waukesha, WI · Remote
$73K - $113K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
Quick apply
Waukesha, WI · Remote
$73K - $113K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...
Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...
Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...
Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...
Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...
Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...
Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...
Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...
Waukesha, WI · Remote
$66K - $85K/yr
Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... This role is eligible for fully remote work How you'll make an impact * Apply claims management ...
Waukesha, WI · Remote
$66K - $85K/yr
Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... This role is eligible for fully remote work How you'll make an impact * Apply claims management ...
Madison, WI · Remote
$51K - $83K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
Quick apply
Madison, WI · Remote
$51K - $83K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
Milwaukee, WI · Remote
$65K - $84K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
Milwaukee, WI · Remote
$65K - $84K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
Milwaukee, WI · Remote
$65K - $84K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
Milwaukee, WI · Remote
$65K - $84K/yr
The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and ... Identify opportunities for process improvements, enhanced job aids, or clearer communication ...
In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...
In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...
In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...
In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...
In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...
In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...
In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...
In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...
Waukesha, WI · Remote
$66K - $85K/yr
This role is eligible for fully remote work How you'll make an impact * Apply claims management ... Interact extensively with various parties involved in the claim process to ensure effective ...
Waukesha, WI · Remote
$66K - $85K/yr
This role is eligible for fully remote work How you'll make an impact * Apply claims management ... Interact extensively with various parties involved in the claim process to ensure effective ...
Waukesha, WI · On-site +1
$68K - $98K/yr
This role is eligible for fully remote work How you'll make an impact * Apply claims management ... Interact extensively with various parties involved in the claim process to ensure effective ...
Waukesha, WI · On-site +1
$68K - $98K/yr
This role is eligible for fully remote work How you'll make an impact * Apply claims management ... Interact extensively with various parties involved in the claim process to ensure effective ...
Madison, WI · On-site +1
... remote, hybrid or onsite at our Madison, Wis. office. We support virtual working arrangements in certain states outside of WI. A Day in the Life: The Claims Adjudicator is responsible for processing ...
Madison, WI · On-site +1
... remote, hybrid or onsite at our Madison, Wis. office. We support virtual working arrangements in certain states outside of WI. A Day in the Life: The Claims Adjudicator is responsible for processing ...
$12.13 - $13.46
2% of jobs
$13.46 - $14.78
6% of jobs
$14.78 - $16.10
9% of jobs
$16.79 is the 25th percentile. Wages below this are outliers.
$16.10 - $17.43
14% of jobs
$17.43 - $18.75
18% of jobs
The median wage is $18.79 / hr.
$18.75 - $20.07
17% of jobs
$20.80 is the 75th percentile. Wages above this are outliers.
$20.07 - $21.40
16% of jobs
$21.40 - $22.72
7% of jobs
$22.72 - $24.04
4% of jobs
$24.04 - $25.37
4% of jobs
$25.37 - $26.69
2% of jobs
$12
$19
$26
| Aspect | Remote Claims Processing | Remote Claims Adjuster |
|---|---|---|
| Credentials | Typically requires insurance or claims processing certifications | Requires insurance licenses and adjuster certifications |
| Work Environment | Home-based, administrative setting | Home-based or field, investigative and evaluative tasks |
| Industry Usage | Insurance companies, third-party administrators | Insurance companies, public adjusting firms |
| Job Focus | Processing claims, data entry, customer service | Investigating claims, assessing damages, settlement negotiations |
Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.

6.8
Based on 538 frontline employees who took The Breakroom Quiz
494th of 890 rated healthcare providers
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.
Work Shift:
8 Hours - Day Shifts (United States of America)Scheduled Weekly Hours:
40Compensation:
Union Position:
NoDepartment Details
This position allows some work from home options as well as a flexible scheduleSummary
The Claims Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the areas of health insurance claims submitted by providers and patients for processing.Job Description
Responsible for the implementation and day-to-day performance of process activities related to claims research and resolution. The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as other departments in the organization. Responsible for the interviewing, hiring, discipline of employees and any other personnel issues that arise. Completes performance appraisals. Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that the Sanford Health Plan services and how to differentiate services. Understands the details of professional and institutional claim processing which includes how benefits are assigned and pricing is calculated. Works to help develop and maintain claims policies and procedures. Must communicate effectively with a high level of diplomacy. Demonstrates analytical ability and a good awareness of pertinent details. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgement in determining the best method for handling a variety of situations. Maintains good working relationships with staff, physicians, and enrollees. Handles pressure effectively. Maintains confidentiality. Other duties as assigned.Qualifications
Bachelor's degree preferred.Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.
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Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Health care and social assistance and hospitals
10,000+ Employees
Sioux Falls, SD, US