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 ...
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 ...
Remote Claims Processing information
See Marshfield, WI salary details
$12.02 - $13.33
2% of jobs
$13.33 - $14.64
6% of jobs
$14.64 - $15.95
9% of jobs
$16.63 is the 25th percentile. Wages below this are outliers.
$15.95 - $17.26
14% of jobs
$17.26 - $18.57
18% of jobs
The median wage is $18.61 / hr.
$18.57 - $19.88
17% of jobs
$20.61 is the 75th percentile. Wages above this are outliers.
$19.88 - $21.20
16% of jobs
$21.20 - $22.51
7% of jobs
$22.51 - $23.82
4% of jobs
$23.82 - $25.13
4% of jobs
$25.13 - $26.44
2% of jobs
$12
$19
$26
How much do remote claims processing jobs pay per hour?
As of Aug 29, 2026, the average hourly pay for remote claims processing in Marshfield, WI is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 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?
| 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.
What are popular job titles related to Remote Claims Processing jobs in Marshfield, WI?
For Remote Claims Processing jobs in Marshfield, WI, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processing jobs in Marshfield, WI look for?
The top searched job categories for Remote Claims Processing jobs in Marshfield, WI are:
What cities near Marshfield, WI are hiring for Remote Claims Processing jobs?
Cities near Marshfield, WI with the most Remote Claims Processing job openings:
Manager, Claims
Marshfield, WI • Remote
Sanford Health •
Health Care and Social Assistance • 10K+ employees10,000+ employees
6.8
Based on 556 frontline employees who took The Breakroom Quiz
500th of 895 rated healthcare providers
People enjoy working here
Recommended by students
Recommended by parents
Respectful managers
Good training
Full-time
Medical
Re-posted 6 days ago
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:
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.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.
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
Website
What Sanford Health employees say
Pay
Benefits
Hours and flexibility
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