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Remote Fsa Claims Processor Jobs in Appleton, WI

ThedaCare

Accounts Receivable Specialist - Remote

Neenah, WI · On-site +1

$20.75 - $27.50/hr

Processes claims in a timely manner according to contracts, regulations, department standards, and form requirements. * Generates phone calls to all parties to check status of unprocessed, unpaid, or ...

Bellin

Biller | Patient Financial Services

Green Bay, WI · On-site +1

$17.75 - $22.75/hr

Job Specifics Location: 2020 S Webster Ave, Green Bay, WI 54301, can be remote after training FTE ... Ensures all paper and electronic claims are submitted in a timely and accurate manner in compliance ...

All JobsRemote Fsa Claims Processor JobsRemote Fsa Claims Processor Jobs in Appleton, WI

Remote Fsa Claims Processor information

See Appleton, WI salary details

$11

$18

$25

How much do remote fsa claims processor jobs pay per hour?

As of Jun 21, 2026, the average hourly pay for remote fsa claims processor in Appleton, WI is $18.70, according to ZipRecruiter salary data. Most workers in this role earn between $15.96 and $20.19 per hour, depending on experience, location, and employer.

What is the difference between Remote Fsa Claims Processor vs Remote Health Insurance Claims Processor?

AspectRemote Fsa Claims ProcessorRemote Health Insurance Claims Processor
CertificationsTypically requires knowledge of FSA regulations, basic insurance processing certificationsRequires understanding of health insurance policies, claims processing certifications
Work EnvironmentRemote, administrative setting handling FSA claimsRemote, administrative setting handling health insurance claims
Industry UsageCommon in benefits administration, HR departmentsCommon in insurance companies, healthcare providers

While both roles involve processing insurance-related claims remotely, the Remote Fsa Claims Processor specializes in flexible spending account claims, focusing on FSA-specific regulations. The Remote Health Insurance Claims Processor handles broader health insurance claims, often requiring more extensive knowledge of health policies. Both roles are remote, administrative, and industry-related, but they differ in scope and certification requirements.

What are the key skills and qualifications needed to thrive as a Remote FSA Claims Processor, and why are they important?

To thrive as a Remote FSA Claims Processor, you need a thorough understanding of healthcare reimbursement, insurance terminology, and claims adjudication, usually supported by a high school diploma or equivalent experience. Familiarity with claims processing software, HIPAA compliance standards, and document management systems is typically required. Strong attention to detail, excellent organizational skills, and effective written communication help you excel in this remote role. These skills and qualifications are crucial to accurately processing claims, ensuring regulatory compliance, and delivering timely customer service.

What are Remote FSA Claims Processors?

Remote FSA Claims Processors are professionals who review, verify, and process Flexible Spending Account (FSA) claims submitted by employees. Working from a remote location, they ensure that claims meet eligibility requirements, comply with IRS guidelines, and are supported by appropriate documentation. They communicate with clients or participants to resolve discrepancies and may use specialized software to manage claims efficiently. Their role is essential in facilitating timely reimbursements for healthcare and dependent care expenses.

How does a Remote FSA Claims Processor typically collaborate with other departments while working virtually?

As a Remote FSA Claims Processor, you'll regularly interact with colleagues in customer service, compliance, and IT departments through digital channels such as email, instant messaging, and video conferencing. Collaboration is essential for resolving complex claims, clarifying policy details, and ensuring data accuracy. Remote processors often participate in virtual team meetings and may use shared platforms to track claim statuses and updates. Strong communication skills and responsiveness are key to maintaining seamless workflow and meeting processing deadlines.
What are popular job titles related to Remote Fsa Claims Processor jobs in Appleton, WI? For Remote Fsa Claims Processor jobs in Appleton, WI, the most frequently searched job titles are:
What job categories do people searching Remote Fsa Claims Processor jobs in Appleton, WI look for? The top searched job categories for Remote Fsa Claims Processor jobs in Appleton, WI are:
What cities near Appleton, WI are hiring for Remote Fsa Claims Processor jobs? Cities near Appleton, WI with the most Remote Fsa Claims Processor job openings:
Remote Fsa Claims Processor jobs near you
Workers Compensation Sr. Claims Examiner

Workers Compensation Sr. Claims Examiner

Berkley

Appleton, WI • On-site, Remote

$75K - $88K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Job description

Company Details

We're a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers.

Responsibilities

Responsible for managing a caseload consisting of incoming and more complex workers' compensation cases including extended disability cases, litigation, employer's liability claims, and assigned claims.  Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines.

  • Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files.
  • Document claim handling activities; create and document action plans.
  • Establish appropriate case reserves.
  • Actively manage medical treatment and disability while assisting the injured worker to return to work.
  • Comply with all performance guidelines.
  • Identify loss trends and communicate to supervisor and/or clients.
  • Use automated diary system to issue indemnity payments and for claims management
  • Investigate and manage claim subrogation and negotiate settlements.
  • Manage coverage B or conflict of interest cases as assigned.
  • Address customer complaints and inquiries in an exemplary and professional manner.
  • Participate in client claim reviews when scheduled or requested

May perform other functions as assigned

For highly qualified candidates who reside more than 50 miles from Minneapolis, remote work may be considered, provided the candidate is willing to travel to Minneapolis as required.Qualifications
  • Demonstrated working knowledge of workers' compensation administration rules/laws in at least one of the following states: MN, IL or WI.
  • Excellent communication and presentation skills.
  • Must be able to interface with clients, legal counsel, health care professionals, etc.
  • Good math and analytical ability.
  • Excellent customer service skills.
  • Basic PC skills and a working knowledge of Windows environment. Experience with a client/server based claims processing system.

Education 

  • BA/BS degree with three years' experience. Experience must include litigation, subrogation and complex medical/legal issues or two years post-high school education and five years' experience in workers compensation claims management.
Additional Company Detailshttps://www.berkleyrisk.com/ The Company is an equal employment opportunity employer. We do not accept unsolicited resumes from third party recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including: Base Salary Range: $75k - $88k Benefits include Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit-sharing plans The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.Additional RequirementsTravel: Occasional travelEmployment Type: OTHER

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