ZipRecruiter

Log In

2

Remote Claims Processor Jobs in Fort Atkinson, WI

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 Corporation

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 ...

Gallagher

Supervisor

Waukesha, WI · Remote

Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... This role is eligible for fully remote work. How you'll make an impact Supervise: Lead and ...

WPS Health Solutions

Medical Director

Madison, WI · On-site +1

As a secondary consideration, we do offer remote work in the following approved states: Colorado ... We process claims and provide customer support for beneficiaries of the Medicare program and manage ...

WPS

Medical Director

Madison, WI · On-site +1

As a secondary consideration, we do offer remote work in the following approved states: Colorado ... We process claims and provide customer support for beneficiaries of the Medicare program and manage ...

next page

Showing results 1-20

All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Fort Atkinson, WI

Remote Claims Processor information

See Fort Atkinson, WI salary details

$10

$17

$24

How much do remote claims processor jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote claims processor in Fort Atkinson, WI is $17.49, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $18.85 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 cities near Fort Atkinson, WI are hiring for Remote Claims Processor jobs? Cities near Fort Atkinson, WI with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you

Payment Records Adjuster (Claims Support Specialist)

WPS Health Solutions

Madison, WI • On-site, Remote

$17.75/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 11 days ago

WPS Health Solutions rating

8.3

Company rating: 8.3 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

127th of 303 rated insurance

Job description

U.S. Citizenship is required for this position due to Department of Defense restrictions.

Correct payment errors on a post-processing basis, including credits, additional payments, statistical adjustments, recoupments, correspondence, and patient or sponsor updates. Must live within 45 miles of WPS Corporate Center Building (1717 W. Broadway) in Madison, WI 53713 
 
Additional Information 

  • Start Date: 8/23/26 
  • Starting Base Salary: At least $17.75 
  • Training Location/Schedule:  
  • On the job Training Monday-Friday core hours between 6:00am CT and 4:00pm CT 
  • Scheduled Shift: Flexible schedule once trained, 8-hours shifts between 6am-10pm  
  • Work Location: Remote and onsite options are available. 

How do I know this opportunity is right for me?  If you:  

  • Have processed adjustments according to TRICARE Policy by making an additional payment, reissue, or statistical adjustment.  
  • Like to identify and credit refunds to correct claim history. Contact beneficiaries, providers, and other agencies as necessary to obtain information to ensure refunds are posted to correct account.  
  • Can request recoupment of payments in accordance with TRICARE Policy and Operational Manual.  
  • Enjoy responding to correspondence from internal and external customers to include departments within MVH Division, attorneys, insurance companies, TRICARE Management Activity (TMA), government agencies, and prime contractors.  
  • Can coordinate benefits with commercial insurance, Medicare, and other plans.  
  • Like to review computer generated and inventory reports to prioritize workflow to ensure claims processing timeline standards are met.  
  • Have reported aging inventory concerns or system issues to supervisor or unit coordinator.  
  • Enjoy processing adjustments and credits with an understanding of TRICARE Encounter Data editing requirements imposed by TMA.  
  • Like to review claims to determine if processing is correct according to automated claims processing system’s methodology for pricing, reimbursement, and cost-sharing.  
  • Have interpreted legal documents for payments involving judgments such as custodial or bankruptcy.  
  • Enjoy making recommendations for process improvements by filing an Improvement Corrective Preventative Action (ICPA) and Potential Non-Conformance (PNC) forms.  
  • Can complete Sponsor Patient Information Updates (SPIU) accordingly. 

Minimum Qualifications  

  • U.S. Citizenship is required for this position due to Department of Defense restrictions. 
  • High school diploma or equivalent. 
  • 1 or more years recent TRICARE claims entry (claims support) or processing OR  
  • 2 or more years office experience involving account reconciliations and customer contact including bookkeeping, billing, or financial services. 
  • Possess data entry and 10-key skills Ability to learn and apply TRICARE benefits, Policy, Operations Manual, and federal regulations. 
  • Ability to learn TRICARE claims processing methodologies and systems in resolution of payment errors.  
  • Ability to interpret legal documents and documents from primary insurance. 

Remote Work Requirements 

  • Wired (ethernet cable) internet connection from your router to your computer.  
  • High speed cable or fiber internet.  
  • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net). 
  • Please review Remote Worker FAQs for additional information. 

Benefits 

  • Bargaining Unit position 
  • Remote and hybrid work options available 
  • Performance bonus and/or merit increase opportunities 
  • 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately) 
  • Competitive paid time off 
  • Health insurance, dental insurance, and telehealth services start DAY 1 
  • Employee Resource Groups 
  • Professional and Leadership Development Programs  
  • Review additional benefits: (https://www.wpshealthsolutions.com/careers/) 

Who We Are 

WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.  

Culture Drives Our Success 

WPS’ culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce—both current and future—to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. 

We are proud of the recognition we have received from local and national organization regarding our culture and workplace:  WPS Newsroom - Awards and Recognition. 

Sign up for Job Alerts 

FOLLOW US! 
Instagram 
LinkedIn 
Facebook 
WPS Health Blog 

TRICARE (MVH) 
This position supports services under U.S. Department of Defense (DoD) Defense Health Agency (DHA) contract(s). As such, the role is subject to all applicable federal regulations, DoD contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. DoD contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services. 

What WPS Health Solutions employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply