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Remote Claims Processor Jobs in Appleton, WI (NOW HIRING)

ThedaCare

Accounts Receivable Specialist - Remote

Neenah, WI · On-site +1

$20.75 - $27.50/hr

Processes claims in a timely manner according to contracts, regulations, department standards, and form requirements. * Generates phone calls to all parties to check status of unprocessed, unpaid, or ...

All JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Appleton, WI

Remote Claims Processor information

See Appleton, WI salary details

$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for remote claims processor in Appleton, WI is $18.70, according to ZipRecruiter salary data. Most workers in this role earn between $15.96 and $20.19 per hour, depending on experience, location, and employer.

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 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 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 popular job titles related to Remote Claims Processor jobs in Appleton, WI? For Remote Claims Processor jobs in Appleton, WI, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Appleton, WI look for? The top searched job categories for Remote Claims Processor jobs in Appleton, WI are:
What cities near Appleton, WI are hiring for Remote Claims Processor jobs? Cities near Appleton, WI with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Appleton, WI as of June 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution, with an average salary of $38,896 per year, or $18.7 per hour.
Property Claims Specialist - Wisconsin

Property Claims Specialist - Wisconsin

Berkley

Appleton, WI • Remote

$85K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

We’re a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers.


This position will be responsible for the investigation, evaluation, and adjustment of claims for a dedicated program handling municipal property claims in the State of Wisconsin. The position will help with the underwriting of new potential insureds on an ad hoc basis which may require the use of a drone.

  • Interview insureds, witnesses, and others as appropriate.
  • Inspect property damage.
  • Review factual information to prepare damage estimates.
  • Investigate assigned losses to determine coverage.
  • Evaluate loss exposure for various property losses.
  • Evaluate and negotiate settlements based upon coverage document language.
  • Determine scope of loss and cost of repairs.
  • Make recommendations regarding resolution of claims including litigation.
  • Work with reinsurance program carriers on large losses.
  • Prepare reports for Client Company.
  • Help with inspection of properties of new potential insureds.
  • Enter reports/file activity into electronic claim processing system.
  • Pursue subrogation as warranted.
  • Attend company and customer events.
  • Accountable for results, customer service, and achieving departmental and unit objectives.

May perform other functions as assigned


  • 2 – 4 years of property claims experience in the field or desk in a related area.
  • Must have a working knowledge of a variety of subjects including, but not limited to, insurance related laws/regulations, general construction, and contractor’s equipment repairs.
  • Must have a valid drone remote pilot certificate or be willing to get certified.
  • Understanding of basis underwriting principles of commercial property.
  • Must possess a high degree of literacy.
  • Ability to work independently and be self-directed.
  • Excellent human relations and customer service skills.
  • Strong PC skills and a working knowledge of Windows environment.
  • Must be proficient in analytical tasks.
  • Must maintain a valid driver’s license and carry vehicle insurance coverage.
  • Must maintain a current licensing as required by state

The Company is an equal employment opportunity employer.
We do not accept unsolicited resumes from third party recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees including:
Base Salary Range: $85k-$120k
Benefits include Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit-sharing plans
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Travel: Required; Company Car Provided
Sponsorship not Offered for this Role

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