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

Agrace

Benefit & Compensation Analyst (on site)

Madison, WI · Remote

$70K - $87K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

WPS

Provider Network Reimbursement Analyst

Madison, WI · On-site +1

  • Medical

  • Dental

  • Retirement

  • PTO

We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... We process claims and provide customer support for beneficiaries of the Medicare program and manage ...

New

Corvel

Care Advocate Nurse

Madison, WI · Remote

$61K - $98K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... 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 ...

micro1 AI

Medical Billing Specialist

Madison, WI · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

Natus Medical Incorporated

Product Manager EMG

Middleton, WI · On-site +1

$120K - $130K/yr

  • Medical

  • Retirement

  • PTO

US Remote Position Overview The Product Manager-EMG owns the positioning and success of assigned ... process from Gate 1 through Gate 6 • Take ownership of marketing design inputs (MDI) for NPI and ...

Afni, Inc.

Remote Customer Service Representative

Madison, WI · On-site +1

$16.25 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

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 Sun Prairie, WI salary details

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How much do remote claims processor jobs pay per hour?

As of Aug 16, 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 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 Sun Prairie, WI?

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

What job categories do people searching Remote Claims Processor jobs in Sun Prairie, WI look for?

The top searched job categories for Remote Claims Processor jobs in Sun Prairie, WI 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 83% Physical, 5% Hybrid, and 12% Remote job distribution, with an average salary of $38,785 per year, or $18.6 per hour.

Sr. Claim Manager, Third Party Litigation (Hybrid: Madison, WI/Waverly, IA)

Trustage

Madison, WI • On-site, Remote

$104K - $156K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

TruStage rating

9.3

Company rating: 9.3 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

16th of 308 rated insurance

Job description

At TruStage, we're on a mission to make a brighter financial future accessible to everyone. We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what's possible. We need you to help us shape what's next. You'll be encouraged to share your experiences, ideas and skills to help others take control of their financial future.

Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition

Job Purpose:

This position is responsible for the day-to-day operations and providing direct leadership and management to front line claims staff. Ensures timely and effective application of TruStage policies and processes and is accountable for team goals related to customer service and compliance with best practices. Provides claim file directions and assistance with complex claim issues resolution. Must maintain effective communication with field staff, home office personnel, outside vendors, and external customers. May participate in quality assurance and reviews and work on special projects to best meet the needs of the department. Contributes to the development of functional/team strategy. Has authority to hire, coach, develop, evaluate, and terminate team members.

Senior Manager Achieves operational objectives by contributing information and recommendations to strategic plans and reviews; prepares and completes action plans; implements productivity, quality, and/or customer-service standards; resolves problems; identifies trends; determines system improvements. Sr. Managers achieve department objectives by managing professional staff. They enforce ethical practices, meet fiscal targets, and manage budgets.

Job Responsibilities:

  • Coordinate operational and leadership responsibilities to ensure consistent achievement of team results, quality, and customer service

  • Drive team results based upon established quality objectives, team, and individual performance metrics; monitor, track, and address team results

  • Review and evaluate customer satisfaction, quality, and financial results to identify risks and mitigate any potential loss

  • Coach, motivate, recognize, and develop professional claim staff.

  • Monitor and document claim processes/guidelines for effectiveness and efficiency, identifying and implementing process improvements

  • Participate in Claim organization strategy initiatives and projects in collaboration with the Claim Operations team

  • Collaborate with Claim Operations leaders regarding the selection and ongoing management of outside vendors

  • Demonstrated ability to lead, coach, and develop others effectively

  • Strong interpersonal, leadership, negotiation, analytical, and critical thinking skills

  • Proven ability to clearly and effectively communicate information to internal/external clients via telecommunications equipment

The above statement of duties is not intended to be all inclusive and other duties will be assigned from time to time.

Job Requirements:

  • Bachelors Degree in Insurance or business or applicable experience.

  • Five or more years of insurance industry experience, including prior experience in claim management.

  • At least two (2) years of leadership/management experience.

  • Demonstrated ability to effectively lead, coach, and develop others.

  • Strong interpersonal, leadership, negotiation, analytical, and critical thinking skills.

  • Proven ability to clearly and effectively communicate information to internal/external clients via telecommunications equipment.

If you're ready to help make a difference, apply today. A resume is required to apply. TruStage may process applicant information using an Artificial Intelligence (AI) tool. This tool automatically generates a screening score based on how well applicant information matches the requirements and qualifications for the position. TruStage recruiters use the screening score as a guide to further evaluate candidates; the score is one component of an application review and does not automatically determine whether a candidate moves forward. Candidates may choose to opt out of this process.

Compensation may vary based on the job level, your geographic work location, position incentive plan and exemption status.

Base Salary Range:

$104,200.00 - $156,300.00

At TruStage, we believe a sound, inclusive benefits program is of vital importance, along with a flexible workplace that allows for work-life balance, career growth and retirement assistance. In addition to your base pay, your position may be eligible for an annual incentive (bonus) plan. Additional benefits available to eligible employees include medical, dental, vision, employee assistance program, life insurance, disability plans, parental leave, paid time off, 401k, and tuition reimbursement, just to name a few. Beyond pay and benefits, we also recognize that flexibility, including working in a place you prefer, is essential to caring for our employees. We will continue to strive to offer flexibility and invest in technology and other tools that will make hybrid working normal rather than an exception, so that when "life happens," you can focus on what's most important.

Accommodation request

TruStage is a place where everyone can bring their best self and thrive. If you need application or interview process accommodations, please contact the accessibility department.

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