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Remote Claims Processor Work From Home Jobs in Wisconsin

Sanford Health

Manager, Claims

Marshfield, WI · Remote

No Department Details This position allows some work from home options as well as a flexible ... The process includes the review and/or testing of claims, benefits and fee schedules to ensure ...

HMG Careers

Work From Home Sales Specialist

Catawba, WI · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Knapp, WI · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Omro, WI · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Hixton, WI · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Fremont, WI · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Tony, WI · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Gresham, WI · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

HMG Careers

Work From Home Sales Specialist

Tustin, WI · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

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Remote Claims Processor Work From Home information

What is the difference between Remote Claims Processor Work From Home vs Remote Claims Adjuster?

AspectRemote Claims Processor Work From HomeRemote Claims Adjuster
Required CredentialsBasic insurance knowledge, sometimes certificationInsurance license, adjuster certification
Work EnvironmentHome office, computer-based tasksHome office, field inspections sometimes involved
Employer & Industry UsageInsurance companies, third-party administratorsInsurance carriers, claims management firms
Common Search & Comparison IntentUnderstanding job duties, qualifications, remote optionsDifferences in roles, certifications, responsibilities

Remote Claims Processor Work From Home and Remote Claims Adjuster roles both operate within the insurance industry and often require similar computer-based skills. However, claims processors typically handle administrative tasks and initial claim processing, while claims adjusters evaluate damages and may require licensing. Understanding these differences helps job seekers find the right remote position aligned with their credentials and career goals.

What are popular job titles related to Remote Claims Processor Work From Home jobs in Wisconsin? For Remote Claims Processor Work From Home jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor Work From Home jobs in Wisconsin look for? The top searched job categories for Remote Claims Processor Work From Home jobs in Wisconsin are:
Remote Claims Processor Work From Home jobs near you
Infographic showing various Remote Claims Processor Work From Home job openings in Wisconsin as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Manager, Claims

Sanford Health

Marshfield, WI • Remote

Full-time

Medical

Re-posted 13 days ago

Sanford Health rating

6.8

Company rating: 6.8 out of 10

Based on 541 frontline employees who took The Breakroom Quiz

492nd of 887 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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