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

LeafHome

Remote Customer Care

Kaukauna, WI

$16/hr

May process change orders. Required Education and Experience: * High school diploma or equivalent. Required Years of Experience 1+ years of customer service and administrative experience. Additional ...

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All JobsClaims Processor 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 Sep 2, 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 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

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

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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 August 2026, with employment types broken down into 1% Internship, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $38,896 per year, or $18.7 per hour.

Remote Customer Service Representative

SolvOne

Appleton, WI • On-site, Remote

$18/hr

Full-time

Medical, Dental, Life, Retirement, PTO

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

SolvOne is looking to add the right candidate to our growing Remote Customer Service Representative Dispatch Team! At SolvOne, we provide 24/7/365 service for our clients in the Petroleum Industry. When a gas station has a maintenance issue, they call SolvOne and our CSRs dispatch a technician to their location to fix the issue. For more information about SolvOne and the services we offer to the Petroleum Industry, please visit our website at www.solvone.com
Why apply for a Remote SolvOne Customer Service job?
  • Work from the comfort of your home
  • Save time and money without a commute
  • Pay starts at $18.00 per hour
  • Equipment provided by SolvOne
  • Paid training begins Late September

Set schedules available:
Early Morning: Sunday to Thursday 6:30 AM - 3:00 PM CT
Early Morning: Friday to Monday 7:00 AM - 5:30 PM CT
Swing Shift: Thursday to Monday 1:30 PM - 10:00 PM CT
  • Comprehensive individualized remote training
  • Positive work environment: we work hard to appreciate our people
  • We promote from within and encourage growth

Here's what you need:
  • 1 year of customer service-related experience
  • A strong internet connection and the ability to setup a home office with company provided equipment
  • Must be a resident of Appleton Wisconsin area
  • Have a positive attitude, great work ethic and a passion for helping others
  • Be dependable and committed to be at work on time and ready to do your best each day
  • Dedicate your full attention to your work by not providing care for others during work hours
  • Commit to superior service for our customers, and support them through both phone and computer interactions
  • Ability to learn new information, policies and skills including software and petroleum industry knowledge
  • Demonstrate an organized and accurate approach, have strong problem solving and prioritization skills
  • Know your way around a computer, including Microsoft Office, Outlook, and general internet navigation
  • Work at a desk and effectively utilize a phone and computer for the length of your shift
  • Successfully pass a computer skills assessment, training evaluations, and the trial service period
  • Successfully pass a pre-employment drug screen and background check
  • Bilingual is a plus but not a requirement

Here's some of what we have to offer to those that join our team:
  • Work from home
  • Pay rate of $18.00 an hour starting. Internal growth and wage increase opportunities for those that excel
  • We are a growing company with internal promotion opportunities for Technical Support, Project Management, Leadership, and Training Departments when available
  • A fun and rewarding environment with giveaways and employee recognition programs
  • Training classes are small, so each new hire gets the individual training needed to succeed
  • Regular coaching sessions, review of your quality and performance metrics, and recognition for a job well done
  • Benefits include: medical and dental insurance, long-term disability and life insurance, paid vacation and sick time, holiday pay, 401k savings plan, referral bonuses, wellness programs, and more

If this sounds intriguing, don't miss this great opportunity. Apply today!https://jobs.crelate.com/portal/solvone

Apply