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

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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.

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:
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.
Licensed Customer Service Rep - Remote Nationwide (Series 6/63 or 7/63)

Licensed Customer Service Rep - Remote Nationwide (Series 6/63 or 7/63)

Northwestern Mutual Life Insurance Company

Milwaukee, WI • On-site, Remote

$32.66/hr

Full-time

Posted 27 days ago


Key responsibilities

  • Deliver a personalized client experience by answering questions, providing servicing options, and supporting products or services in a call center environment.

  • Resolve basic and intermediate inquiries and transactions from Financial Representatives and clients, including researching and evaluating potential solutions to complex problems.

  • Handle phone-based and transactional work while adhering to confidentiality standards and adapting to changing business and customer demands.


Northwestern Mutual rating

8.0

Company rating: 8.0 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

143rd of 277 rated insurance


Job description

Role Summary

This role is part of the Client Services Operations organization and supports the day-to-day servicing needs of clients and Financial Representatives. The position is responsible for delivering high-quality client service through accurate transaction processing, issue resolution, and clear communication across a range of investment-related inquiries. Associates in this role handle phone-based and transactional work, navigate multiple systems, and follow established processes while applying sound judgment to resolve more complex scenarios. The focus is on operational excellence, risk awareness, and providing a consistent, professional client experience.

Primary Duties and Responsibilities
  • Delivers a personalized and exceptional experience for clients by answering questions, providing servicing options, and supporting products or services in a call center environment.

  • Proficient in resolving basic and intermediate (semi-complex) inquiries and transactions from Financial Representatives and clients within a registered area, while continuing to develop proficiency in more complex work.

  • Researches and evaluates potential solutions to complex problems, which may require identifying root causes and navigating deviations from standard procedures.

  • Takes ownership of calls and anticipates future issues to avoid repeat calls and unnecessary transfers.

  • Effectively de-escalates challenging client situations while guiding clients through complex or unique inquiries.

  • Serves as a trusted advocate for Financial Representatives and partners with them to meet client needs.

  • Embraces new technology and promotes website and self-service capabilities by educating clients and field partners, while understanding the risks and impacts transactions may have on clients or policies.

  • Understands how systems connect to processes and outcomes.

  • Drives change and supports continuous improvement by helping develop processes and provisions to accommodate evolving business needs.

  • Fosters professional relationships with clients to enhance brand loyalty.

  • Handles phone and transactional responsibilities while adhering to strict confidentiality and privacy standards.

  • Adapts work priorities to meet changing business and customer demands.

Qualifications
  • Associate degree in business or a related field, or an equivalent combination of education and experience.

  • Minimum of two years of related customer service experience with demonstrated customer service skills.

  • Advanced understanding of investment or income products or markets (e.g., VA, VL, VUL, Retirement, or Business markets).

  • Basic understanding of tax implications.

  • Strong written and verbal communication skills.

  • Ability to multitask and manage a high volume of calls or caseloads with a high degree of accuracy.

  • Strong organizational skills with the ability to prioritize tasks effectively.

  • Demonstrated desire to continuously learn and improve.

  • Strong problem-solving skills with the ability to provide effective options and solutions.

  • Demonstrated computer proficiency with solid keyboarding skills and experience using common software applications.

This position has been classified as a Registered Representative under NMIS guidelines and requires fingerprinting.Series 63 - FINRA, Series 6 - FINRA, SIE - FINRA

Compensation Range:

Pay Range - Start:

$21.77

Pay Range - End:

$32.66

Geographic Specific Pay Structure:

Structure 110:

Structure 115:

We believe in fairness and transparency. It's why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you're living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more.

Grow your career with a best-in-class company that puts our clients' interests at the center of all we do. Get started now!

Northwestern Mutual is an equal opportunity employer who welcomes and encourages diversity in the workforce. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.


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About Northwestern Mutual

Sourced by ZipRecruiter

Northwestern Mutual has been helping families and businesses achieve financial security for over 160 years through a distinctive planning approach that integrates risk management with wealth accumulation, preservation, and distribution. With more than $290 billion in assets, $30 billion in revenues and more than $1.9 trillion worth of life insurance protection in force, Northwestern Mutual delivers financial security to more than 4.6 million clients. People are the power behind Northwestern Mutual, and diversity makes us better. We are committed to reflecting and serving the marketplace. We do so by attracting and improving the engagement of those who bring their outstanding perspectives, ideas, and beliefs.

Industry

Finance and insurance

Company size

5,001 - 10,000 Employees

Headquarters location

Milwaukee, WI, US