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

Care Advocate Nurse

Madison, WI · Remote

$61K - $98K/yr

... Claims Management department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Care Advocate Nurse

Madison, WI · Remote

$61K - $98K/yr

... Claims Management department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Remote Customer Service Representative

Madison, WI · On-site +1

$16.25 - $22/hr

Those calls will require processing of orders, updating accounts, updating records, effective ... What You Need to Thrive in Our Remote Environment: * Cable or Fiber Internet Service only (no dial ...

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Remote Claims Processor information

See Madison, WI salary details

$12

$19

$26

How much do remote claims processor jobs pay per hour?

As of Jul 24, 2026, the average hourly pay for remote claims processor in Madison, WI is $19.31, according to ZipRecruiter salary data. Most workers in this role earn between $16.49 and $20.82 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.

What are popular job titles related to Remote Claims Processor jobs in Madison, WI? For Remote Claims Processor jobs in Madison, WI, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Madison, WI look for? The top searched job categories for Remote Claims Processor jobs in Madison, WI are:
What cities near Madison, WI are hiring for Remote Claims Processor jobs? Cities near Madison, WI with the most Remote Claims Processor job openings:
Financial Specialist III

Financial Specialist III

University of Wisconsin-Madison

Madison, WI • On-site, Remote

$65K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago


University Of Wisconsin-Madison rating

8.3

Company rating: 8.3 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

103rd of 560 rated colleges and universities


Job description

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process.
Job Category:
Academic Staff
Employment Type:
Regular
Job Profile:
Financial Specialist III
Job Summary:
The Financial Specialist III position with UW-Madison's Division of Facilities Planning & Management (FP&M) offers an exciting opportunity for someone who enjoys tackling complex financial challenges and contributing meaningfully to a dynamic campus division. This role reports to FP&M's Director of Business Operations.
The Financial Specialist III will need working knowledge of generally accepted accounting principles, procedures, and standards, as well as the ability to correctly interpret, apply, and communicate financial information to university administrators. In this position, it is essential to interpret applicable institutional, state, and federal policies and procedures, while also providing excellent customer service to internal and external stakeholders.
Included below is a list of some of the tasks that the incumbent in this role would be responsible for:
  • Prepare and initiate accounting journals
  • Prepare and send customer statements and reports
  • Prepare and post multiple accounts receivable/billing files
  • Prepare and submit supplier invoice payment files (EIB) and customer invoice inbound payment files
  • Audit accounts payable invoices
  • Maintain and update customer billing information
  • Set up, maintain, and report on insurance claims in the ancillary system
  • Setup, maintain account details, investigate variances, and process bills for utilities

Ongoing/Renewable
Full-Time: 100% FTE
This position is eligible for remote work. Remote work requires an approved flexible work arrangement (FWA), which is reviewed and approved annually. A FWA requires successful candidates to possess their own high-speed internet and phone to perform the work on a university provided computer. Per University policy, transportation between home and assigned work location is not payable/reimbursable and will be at the expense of the employee.
Key Job Responsibilities:
  • Drafts communications and reports and maintains organization of varied records to provide administrative support within a specified work unit
  • Answers complex fiscal questions and provides information based on set materials and standards to various audiences
  • Reviews transaction processing internal controls and recommends policies and procedures
  • Serve as a unit liaison to leadership providing financial advice, recommendations, and financial status updates
  • May train staff on financial processes and best practices
  • Monitors financial transactions and fund balances and generates and reconciles complex reports and statements in accordance with established rules and regulations
  • Reviews and approves complex transactions and assigns funding codes in accordance with established rules, regulations, and policies
  • Reallocates expenses to appropriate funding strings

Department:
Division of Facilities Planning & Management (FP&M), Office of the Associate Vice Chancellor (OAVC)
FP&M is a full-spectrum service organization that builds, maintains, and operates the physical environment of UW-Madison in the university's education, research, and outreach activities. Find out more about our Division: https://inside.fpm.wisc.edu/about-fpm/.
Compensation:
$65,000 annual salary minimum
Salary is negotiable based on experience and qualifications. This position offers a comprehensive benefits package, including generous paid time off, competitively priced health/dental/vision/life insurance, tax-advantaged savings accounts, and participation in the nationally recognized Wisconsin Retirement System (WRS) pension fund. Please review the summary of benefits for more information.
Required Qualifications:
  • A minimum of two (2) years' of experience in accounting, finance, or a related field
  • Experience establishing and maintaining working relationships with individuals at all organizational levels
  • Excellent interpersonal skills, including listening, written, and oral communication skills
  • Working knowledge of Generally Accepted Accounting Principles (GAAP)
  • Ability to prepare financial reports and spreadsheets
  • Proficiency with Microsoft Excel, Microsoft Word, database systems, financial accounting systems, and various database query tools
  • Strong mathematical ability and strong attention to detail to ensure accuracy in data entry and in reconciliation of various accounting figures
  • Strong organizational skills
  • Strong critical thinking and problem-solving skills
  • Ability to prioritize and effectively manage multiple projects under competing deadlines
  • Ability and willingness to adapt to change

Preferred Qualifications:
  • Prior Higher Education experience
  • Prior Governmental experience
  • Experience with financial software packages (e.g., PeopleSoft, Workday)
  • Experience with AssetWorks

Education:
Required Minimum Associate's Degree; focus in business, finance, accounting, or a closely related field required
How to Apply:
To begin the application process, go to the "Apply Now" section of the job posting.
The following is required for your application to be considered complete
  • A cover letter describing how your experience relates to the listed required and preferred job qualifications.
  • A resume detailing your educational and professional background.

Please note there is only one attachment field. You must upload all of your documents in the attachment field, either as one combined document or separate documents, for your application to be considered complete.
The search committee will review all application materials after the posted deadline. Selected applicants will be notified to participate further in the recruitment process directly. All applicants will be notified after the search is complete and a candidate has been selected. References will be requested of final candidates.
Please note that successful applicants are responsible for ensuring their eligibility to work in the United States (i.e. a citizen or national of the United States, a lawful permanent resident, a foreign national authorized to work in the United States without need of employer sponsorship) on or before the effective date of appointment.
Contact Information:
Emma DeGan, emma.degan@wisc.edu, 608-497-4469
Relay Access (WTRS): 7-1-1. See RELAY_SERVICE for further information.
Institutional Statement on Diversity:
Diversity is a source of strength, creativity, and innovation for UW-Madison. We value the contributions of each person and respect the profound ways their identity, culture, background, experience, status, abilities, and opinion enrich the university community. We commit ourselves to the pursuit of excellence in teaching, research, outreach, and diversity as inextricably linked goals.
The University of Wisconsin-Madison fulfills its public mission by creating a welcoming and inclusive community for people from every background - people who as students, faculty, and staff serve Wisconsin and the world.
The University of Wisconsin-Madison is an Equal Opportunity Employer.
Qualified applicants will receive consideration for employment without regard to, including but not limited to, race, color, religion, sex, sexual orientation, national origin, age, pregnancy, disability, or status as a protected veteran and other bases as defined by federal regulations and UW System policies. We promote excellence by acknowledging skills and expertise from all backgrounds and encourage all qualified individuals to apply. For more information regarding applicant and employee rights and to view federal and state required postings, visit the Human Resources Workplace Poster website.
To request a disability or pregnancy-related accommodation for any step in the hiring process (e.g., application, interview, pre-employment testing, etc.), please contact the Divisional Disability Representative (DDR) in the division you are applying to. Please make your request as soon as possible to help the university respond most effectively to you.
Employment may require a criminal background check. It may also require your references to answer questions regarding misconduct, including sexual violence and sexual harassment.
The University of Wisconsin System will not reveal the identities of applicants who request confidentiality in writing, except that the identity of the successful candidate will be released. See Wis. Stat. sec. 19.36(7).
The Annual Security and Fire Safety Report contains current campus safety and disciplinary policies, crime statistics for the previous 3 calendar years, and on-campus student housing fire safety policies and fire statistics for the previous 3 calendar years. UW-Madison will provide a paper copy upon request; please contact the University of Wisconsin Police Department.

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About University of Wisconsin

Sourced by ZipRecruiter

The University of Wisconsin, based in Madison, WI, US, functions in the educational industry and is a renowned and respected institution for higher education. Its official website is wisc.edu. Established in 1848, this public research university is recognized globally for its innovative approach to education, research, creativity, and public service. It embodies a strong commitment to academic freedom and academic excellence. As a major contributor to the Wisconsin Idea, it aims to accomplish its mission of generating well-rounded individuals who will contribute substantially to society, the local community, and the global economy.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Madison, WI, US

Year founded

2005