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Remote Claims Processor 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 ...

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 ...

CSAA

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 ...

CSAA

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 ...

CSAA

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 ...

CSAA

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 ...

CSAA

$70K - $91K/yr

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Senior Auto Claims Adjuster- Remote Requisition Number R7890 Commercial Senior ...

CSAA

$65K - $85K/yr

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Senior Auto Claims Adjuster- Remote Requisition Number R7890 Commercial Senior ...

CSAA

$58K - $75K/yr

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Senior Auto Claims Adjuster- Remote Requisition Number R7890 Commercial Senior ...

Network Health, Inc

Claims Analyst II

Brookfield, WI · On-site +1

Process payments for claims that are approved. This position plays a vital role in ensuring accurate and efficient claims processing, contributing to the overall success of Network Health. Location:

Network Health, Inc

Claims Analyst II

Menasha, WI · On-site +1

Process payments for claims that are approved. This position plays a vital role in ensuring accurate and efficient claims processing, contributing to the overall success of Network Health. Location:

Network Health

Claims Analyst II

Menasha, WI · On-site +1

Process payments for claims that are approved. This position plays a vital role in ensuring accurate and efficient claims processing, contributing to the overall success of Network Health. Location:

Network Health

Claims Analyst II

Brookfield, WI · On-site +1

Process payments for claims that are approved. This position plays a vital role in ensuring accurate and efficient claims processing, contributing to the overall success of Network Health. Location:

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

Indemnity Claims Specialist

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 ...

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Remote Claims Processor information

See Wisconsin salary details

$12

$19

$26

How much do remote claims processor jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote claims processor 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 does a remote claims processor do?

The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.

What does a remote claims processor do?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

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

To thrive as a Remote Claims Processor, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

What are some common challenges faced by remote claims processors, and how can they be addressed?

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

What is the difference between Remote Claims Processor vs Remote Claims Examiner?

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

More about Remote Claims Processor jobs

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

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

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

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

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

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

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

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

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Wisconsin as of August 2026, with employment types broken down into 93% Full Time, 6% Part Time, and 1% Contract. Highlights an 100% 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 28 days ago

Sanford Health rating

6.8

Company rating: 6.8 out of 10

Based on 551 frontline employees who took The Breakroom Quiz

498th of 891 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

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