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Remote Claims Processor Jobs in Sun Prairie, WI (NOW HIRING)

Auxiant

Claims Examiner

Madison, WI · On-site +1

Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...

Rural Mutual Insurance

Desk Auto Claims Adjuster

Madison, WI · On-site +1

$49K - $65K/yr

You'll enjoy the flexibility of remote work while serving customers across Wisconsin. Candidates ... processes, and valuation methods. • Experience evaluating liability and handling minor bodily ...

WPS

Medicare Pricing Analyst

Madison, WI · On-site +1

... Medicare claims processing and coding guidelines. This role supports the implementation and ... We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ...

WPS

Pharmacy Vendor Coordinator

Madison, WI · On-site +1

$19 - $24.75/hr

Understanding of pharmacy claims processing, formulary management, and basic utilization review ... Remote and hybrid work options available * Performance bonus and/or merit increase opportunities ...

WPS Health Solutions

Pharmacy Vendor Coordinator

Madison, WI · On-site +1

$19 - $24.75/hr

Understanding of pharmacy claims processing, formulary management, and basic utilization review ... Remote and hybrid work options available * Performance bonus and/or merit increase opportunities ...

New

AprilAire

Sales Data Analyst-LTE

Madison, WI · Remote

... claims processing function. This temporary part-time opportunity is designed to help manage ... Remote--candidate must live within a 75 mile radius of Madison, WI Responsibilities The primary ...

AprilAire

Sales Data Analyst-LTE

Madison, WI · Remote

... claims processing function. This temporary part-time opportunity is designed to help manage ... Remote--candidate must live within a 75 mile radius of Madison, WI Responsibilities The primary ...

West Bend Insurance Company

Property Adjuster

Madison, WI · On-site +1

$68K - $86K/yr

Job Summary Handle complex property claims in the Madison, WI area with minimal supervision and guidance from the manager. Work Location This is a fully remote/work from home role where you will ...

Saige Partners

IT Business Analyst

Madison, WI · On-site +1

... Claims Center) Location: Madison, WI or Chicago, IL or Atlanta, GA | Hybrid or Remote U.S ... Promote process improvements, reporting automation, and scalable self-service reporting ...

Agrace

Benefit & Compensation Analyst (on site)

Madison, WI · Remote

$70K - $87K/yr

Madison, WI Full Time | Day | Monday-Friday | 8am-5pm (option for 1 Day/Week remote) Make a lasting ... Administer workers' compensation processes and provide input on claims issues. * Oversee Wisconsin ...

Corvel

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 ...

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Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote claims processor in Sun Prairie, WI is $18.65, according to ZipRecruiter salary data. Most workers in this role earn between $15.91 and $20.10 per hour, depending on experience, location, and employer.

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 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 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 Sun Prairie, WI?

For Remote Claims Processor jobs in Sun Prairie, WI, the most frequently searched job titles are:

What cities near Sun Prairie, WI are hiring for Remote Claims Processor jobs?

Cities near Sun Prairie, WI with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Sun Prairie, WI as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 81% Physical, 5% Hybrid, and 14% Remote job distribution, with an average salary of $38,785 per year, or $18.6 per hour.

General Liability Claims Adjuster (Construction Defect)

CBCS

Madison, WI • On-site, Remote

Full-time

Posted 6 days ago

Key responsibilities

  • Manage a caseload of General Liability claims, including construction defect exposures.

  • Investigate claims to determine liability, damages, and coverage implications.

  • Negotiate settlements and work toward timely, cost-effective claim resolutions.

Job description

General Liability Claims Adjuster - Construction Defect

Who says you can't have it all? At Cottingham & Butler Claims Services, you can build your claims career, handle meaningful and challenging work, and enjoy the flexibility of working from home.

We are seeking a General Liability Claims Adjuster with experience handling liability claims and an interest in construction defect exposures. In this role, you'll investigate, evaluate, negotiate, and resolve claims while collaborating with insureds, claimants, attorneys, contractors, and other stakeholders to achieve fair and timely outcomes.

Whether you're looking to expand your expertise in construction defect claims or continue growing your career in liability claims handling, this opportunity offers the support, training, and flexibility to help you succeed.

What You'll Do

  • Manage a caseload of General Liability claims, including construction defect exposures.
  • Investigate claims to determine liability, damages, and coverage implications.
  • Gather and analyze claim documentation, reports, contracts, and supporting evidence.
  • Communicate effectively with insureds, claimants, attorneys, contractors, experts, and clients throughout the claims process.
  • Evaluate claim exposure and develop appropriate resolution strategies.
  • Negotiate settlements and work toward timely, cost-effective claim resolutions.
  • Maintain accurate claim documentation and file management.
  • Ensure compliance with applicable state regulations, licensing requirements, and client service expectations.

Qualifications

  • 1+ years of experience handling General Liability claims; construction defect experience preferred.
  • Familiarity with state-specific claims handling regulations and licensing requirements.
  • Ability to investigate, evaluate, negotiate, and resolve liability claims.
  • Strong analytical and critical thinking skills.
  • Excellent written and verbal communication abilities.
  • Effective negotiation and relationship-building skills.
  • Ability to work independently while contributing to a collaborative team environment.
  • Strong organizational and time-management skills.
  • Proficiency in Microsoft Office and claims management systems.

Why Join Cottingham & Butler Claims Services?

  • 100% remote work environment.
  • Company-provided computer equipment and technology support.
  • Comprehensive onboarding and ongoing training.
  • Opportunity to develop specialized expertise in General Liability and Construction Defect claims.
  • Collaborative team environment backed by experienced claims professionals.
  • Stability, growth opportunities, and a culture focused on delivering exceptional client service.

If you're looking for a position that allows you to stay in claims, expand your expertise, and enjoy the flexibility of working from home, we'd love to connect with you.

Apply today and discover why Cottingham & Butler Claims Services is a great place to build your claims career.

At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day. 

Want to learn more? Follow us on www.CBCSclaims.com | LinkedIn