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Remote Claims Processing Jobs in Wisconsin (NOW HIRING)

Sanford Health

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 ...

TEKsystems

Claims Analyst

Menasha, WI · Remote

$19.25/hr

Process payments for claims that are approved. Job Responsibilities: Processes Professional and ... remote position. Application Deadline This position is anticipated to close on Sep 11, 2026. About ...

TEKsystems

Claims Analyst

Appleton, WI · Remote

$19.25/hr

Process payments for claims that are approved. Job Responsibilities: * Processes Professional and ... remote position. Application Deadline This position is anticipated to close on Sep 7, 2026. About ...

New

TEKsystems

Claims Analyst

Brookfield, WI · Remote

$19.25/hr

Process approved claims for payment while maintaining confidentiality and data integrity ... remote position. Application Deadline This position is anticipated to close on Aug 28, 2026. About ...

TEKsystems

Claims Analyst

Menasha, WI · Remote

$19.25/hr

Process approved claims for payment while maintaining confidentiality and data integrity ... remote position. Application Deadline This position is anticipated to close on Aug 31, 2026. About ...

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 ...

Great American Insurance Group

$20 - $27/hr

... and processed accurately and efficiently. This role serves as a key partner to adjusters by ... This is a remote, work-from-home position for candidates located within the Mountain or Central ...

WPS

Medicare Pricing Analyst

Madison, WI · On-site +1

... Medicare claims processing and coding guidelines. This role supports the implementation and ... We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ...

Corvel

Claims Supervisor

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 ...

Corvel

Claims Supervisor

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 ...

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 ... processes, and valuation methods. • Experience evaluating liability and handling minor bodily ...

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All JobsClaims Processing JobsRemote Claims Processing JobsRemote Claims Processing Jobs in Wisconsin

Remote Claims Processing information

See Wisconsin salary details

$12

$19

$26

How much do remote claims processing jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote claims processing in Wisconsin is $19.34, according to ZipRecruiter salary data. Most workers in this role earn between $16.49 and $20.87 per hour, depending on experience, location, and employer.

What is remote claims processing?

Remote claims processing is the evaluation and handling of insurance claims by professionals who work from locations outside of a traditional office, often from home. These processors review claim submissions, verify information, assess coverage, and authorize payments or request additional information. Remote claims processors use secure online systems and communication tools to collaborate with colleagues and clients. This role requires strong attention to detail, confidentiality, and proficiency with digital platforms. Many insurance companies now offer remote claims processing positions to increase flexibility and efficiency.

What are the key skills and qualifications needed to thrive as a remote claims processor?

To thrive as a Remote Claims Processor, you need a strong understanding of insurance policies, attention to detail, and relevant experience or education in insurance or finance. Familiarity with claims management software, electronic document systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, time management, and problem-solving abilities help you stand out, especially when working independently. These skills ensure accurate, timely claims resolutions and effective collaboration with clients and colleagues in a remote environment.

What are some common challenges faced in remote claims processing roles, and how can they be effectively managed?

Remote claims processing professionals often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Effective time management and strong organizational skills are key to handling large workloads efficiently. Regular check-ins with supervisors and using secure, company-approved communication tools can help maintain collaboration and protect sensitive information. Many organizations also provide training and support to help remote processors stay up-to-date with changing regulations and best practices.

What is the difference between Remote Claims Processing vs Remote Claims Adjuster?

AspectRemote Claims ProcessingRemote Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires insurance licenses and adjuster certifications
Work EnvironmentHome-based, administrative settingHome-based or field, investigative and evaluative tasks
Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms
Job FocusProcessing claims, data entry, customer serviceInvestigating 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.

What are the most commonly searched types of Claims Processing jobs in Wisconsin?

The most popular types of Claims Processing jobs in Wisconsin are:

What are popular job titles related to Remote Claims Processing jobs in Wisconsin?

For Remote Claims Processing jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processing jobs in Wisconsin look for?

The top searched job categories for Remote Claims Processing jobs in Wisconsin are:

What cities in Wisconsin are hiring for Remote Claims Processing jobs?

Cities in Wisconsin with the most Remote Claims Processing job openings:

Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $40,236 per year, or $19.3 per hour.

Manager, Claims

Sanford Health

Marshfield, WI • Remote

Full-time

Medical

Re-posted 14 days ago

Sanford Health rating

6.8

Company rating: 6.8 out of 10

Based on 557 frontline employees who took The Breakroom Quiz

498th of 898 rated healthcare providers

Job description

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:

40

Compensation:

Union Position:

No

Department Details

This position allows some work from home options as well as a flexible schedule

Summary

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.
Three years in a team lead or management role in claims processing or similar environment required.

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.

What Sanford Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Sanford Health

Sourced by ZipRecruiter

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.

Industry

Health care and social assistance and hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

Social media

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