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

Geico

Multi-Line Adjuster

Milwaukee, WI · On-site +1

$48K - $63K/yr

This position primarily will include servicing boat, motorcycle, RV and other specialty claims ... either remote or in-office work Solid computer, mechanical aptitude, and multi-tasking skills ...

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

Remote Claims Processor information

See Racine, WI salary details

$11

$17

$24

How much do remote claims processor jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for remote claims processor in Racine, WI is $17.97, according to ZipRecruiter salary data. Most workers in this role earn between $15.34 and $19.38 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 Racine, WI? For Remote Claims Processor jobs in Racine, WI, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Racine, WI look for? The top searched job categories for Remote Claims Processor jobs in Racine, WI are:
What cities near Racine, WI are hiring for Remote Claims Processor jobs? Cities near Racine, WI with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Racine, WI as of June 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution, with an average salary of $37,379 per year, or $18 per hour.

Supervisor, Hospital Billing (Remote)

Children's Wisconsin

West Allis, WI • On-site, Remote

Full-time

Posted 12 days ago

Children's Wisconsin rating

7.6

Company rating: 7.6 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

246th of 1,004 rated hospitals

Job description

At Children's Wisconsin, we believe kids deserve the best.
Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.
We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.
Please follow this link for a closer look at what it's like to work at Children's Wisconsin: https://www.instagram.com/lifeatcw/
Job Summary
Supervises the activities of the Hospital Billing Department relating to claims, follow-up, credits, variances, and denials for hospital based services. Primary responsibilities are for staffing plans, schedules, productivity, quality assurance, performance management, and coaching and development of staff. Works collaboratively with staff, peers, and department Manager to achieve goals set forth by Patient Financial Services leadership.
Essential Functions
  • Ensures adequate staffing for the Hospital Billing functions for claims, follow-up, credits, variance, and denials. Ensures adequate staffing by daily review of the PPL calendar and workqueue volumes. Monitors and approves PPL in accordance with organizational and departmental policy.
  • Provides resource support to staff related to department responsibilities and operations as well as computer systems and procedures.
  • In collaboration with the department Manager, the Hospital Billing Supervisor develops productivity targets and reports to measure and assess the productivity of Hospital Billing staff. Reports out productivity measures to include unique accounts worked, account activity scoring, and dollars recovered per staff person. Assesses staff goals and makes adjustments based on business variables. Assesses individual staff performance related to productivity on a regular basis and utilizes action planning tools to help staff achieve productivity goals.
  • In collaboration with the Revenue Cycle Training and Education Services teams, ensures the quality audit process is effective and representative of individual staff performance. Works with the Revenue Cycle Training Team to develop quality markers for audit and assessment, and to develop and maintain the audit tool.
  • Responsible for the monitoring and delivery of performance feedback to Hospital Billing staff. Delivers productivity and quality feedback to staff on a regular (at least monthly) basis. Delivers feedback as well as training, business, and policy updates as needed. Utilizes the performance management tool to document performance throughout the year. Prepares staff reviews according to department practice and in collaboration with the department Manager. Delivers reviews to staff.
  • Prepares corrective action and performance improvement documents for staff when needed. Collaborates with and obtains approval from the department Manager and the Human Resources representative for corrective action and performance improvement documents. Delivers corrective action and performance improvement feedback and documents to staff.
  • Daily monitoring of billing reports and dashboards to ensure debit and credit receivables are worked in a timely and efficient manner. In particular the Hospital Billing Supervisor should on a daily basis review and interpret total candidate for bill, total denials, total credits, claim submissions including claim skips, claim runs, claim edits, and DNB's.
  • Participates in the interview team for all new employees and supplies input to the department Manager on the selection of new employees. Orients new employees to the policies and procedures specific to the Hospital Billing department.
  • Receives, investigates and responds to problems and/or questions from parents, physicians, payers and departments. Determines and initiates appropriate action or refers to appropriate personnel for follow-up.
  • Assists in the development and encourages the adoption of process improvement changes that enhance the billing experience.
  • Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development

People Management Responsibility
  • Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development

Education
  • Bachelor's Degree in Business Administration or a closely related field Preferred

Experience
  • 2+ years of supervisory/lead experience in hospital or large physician office billing leading and working with teams and data collection and analysis, as well as the proven ability to manage multiple projects simultaneously. Required and
  • 2+ years Requires proficiency in hospital patient accounting procedures usually acquired through two years of hospital accounts receivable collection experience. Required and
  • Computer related experience with spreadsheets. Required

Knowledge, Skills and Abilities
  • Requires the ability to analyze problems relating to the efficiency of the billing and collection functions as well as resolve employee relations issues.
  • Requires excellent communication skills in order to direct the work of, advise, and counsel employees.
  • Requires excellent communication skills in order to effectively interact and work with employees from other departments and payer representatives in the resolution of problems.
  • Analytical and critical thinking skills to make independent decisions in a complex fast paced environment.
  • Excellent organizational skills required for prioritizing workload.

Required for All Jobs
  • This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job.
  • Employment is at-will. This document does not create an employment contract, implied or otherwise.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.
Certifications/Licenses:

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