ZipRecruiter

Log In

2

Remote Claims Processor Jobs in Menomonee Falls, WI

Deloitte

Epic Denials Management Operator

Milwaukee, WI · Remote

$17.75 - $23.75/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

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 ...

previous pagenext page

Showing results 21-40

All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Menomonee Falls, WI

Remote Claims Processor information

See Menomonee Falls, WI salary details

$12

$19

$26

How much do remote claims processor jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for remote claims processor in Menomonee Falls, WI is $19.24, according to ZipRecruiter salary data. Most workers in this role earn between $16.39 and $20.77 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 Menomonee Falls, WI? For Remote Claims Processor jobs in Menomonee Falls, WI, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Menomonee Falls, WI look for? The top searched job categories for Remote Claims Processor jobs in Menomonee Falls, WI are:
What cities near Menomonee Falls, WI are hiring for Remote Claims Processor jobs? Cities near Menomonee Falls, WI with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Menomonee Falls, WI as of August 2026, with employment types broken down into 1% Internship, 91% Full Time, 6% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $40,020 per year, or $19.2 per hour.

Workers Compensation Claims Examiner II (Remote)

Tristar Insurance

Waukesha, WI • On-site, Remote

$50K - $70K/yr

Full-time

Re-posted 4 days ago

Job description

The position requires an adjuster's license in MN, MI, or an adjuster's license in TX, FL or IN due to reciprocity.
POSITION SUMMARY: Under general supervision, manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.
This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work on time is inherently required of this position.
DUTIES AND RESPONSIBILITIES:
  • Effectively manages a caseload of 150 or fewer workers' compensation files, including reasonably complex claims.
  • Initiates and investigates promptly*
  • Determines compensability of claims and administers benefits based upon state law and following established Company guidelines*
  • Manages medical treatment and medical billing, authorizing as appropriate*
  • Communicates with claimants, providers, and vendors regarding claims issues.
  • Computes and sets reserves within Company guidelines.
  • Maintains diary system for case review and documents file to reflect the status and work performed on the file.
  • Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety-related concerns.
  • Adheres to all Company policies and procedures.
  • Conducts file reviews as scheduled by the client and management.
  • Other duties as assigned.

* Essential job function.
EQUIPMENT OPERATED/USED: Computer, 10-key, fax machine, copier, printer, and other office equipment.
SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire
QUALIFICATIONS REQUIRED:
Education/Experience: High school diploma or GED required; Bachelor's degree in a related field (preferred); three (3) or more years of related experience; or equivalent combination of education and experience.
Knowledge, Skills, and Abilities:
  • Technical knowledge of statutory regulations and medical terminology.
  • Analytical skills.
  • Excellent written and verbal communication skills, including conveying technical details to claimants, clients, and staff.
  • Ability to interact with persons at all levels in the business environment.
  • Ability to independently and effectively manage fairly complex claims.
  • Proficient in Word and Excel (preferred).

Other Qualifications:
None

Apply