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Remote Medical Claims Processing Jobs in Wisconsin

Globe Life American Income Division

$15.50 - $21/hr

Remote Client Representative Location: 100% Remote | Schedule: Flexible We have proudly served ... Support policyholders with inquiries, policy updates, and claims processing. * Foster Relationship ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Claims Programs Consultant - Remote Requisition Number R7790 Commercial Claims ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Claims Programs Consultant - Remote Requisition Number R7790 Commercial Claims ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Claims Programs Consultant - Remote Requisition Number R7790 Commercial Claims ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Claims Programs Consultant - Remote Requisition Number R7790 Commercial Claims ...

Corvel

Indemnity Claims Specialist

Madison, WI · Remote

$51K - $83K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... Manages non-complex and non-problematic medical only claims and minor lost-time workers ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 ...

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Remote Medical Claims Processing information

See Wisconsin salary details

$14

$19

$25

How much do remote medical claims processing jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for remote medical claims processing in Wisconsin is $19.65, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $21.83 per hour, depending on experience, location, and employer.

What is the difference between Remote Medical Claims Processing vs Remote Medical Billing Specialist?

AspectRemote Medical Claims ProcessingRemote Medical Billing Specialist
CredentialsKnowledge of insurance policies, claims processing certifications often preferredMedical billing certifications, coding credentials like CPC or CCS+
Work EnvironmentHome-based, computer-focused, insurance company or third-party payerHome-based, healthcare provider offices, billing companies
Industry UsageInsurance companies, third-party administratorsHospitals, clinics, medical practices
Search & Comparison IntentFocus on claims processing tasks, insurance reimbursementFocus on billing, coding, and invoicing processes

Remote Medical Claims Processing involves reviewing and submitting insurance claims for reimbursement, often requiring knowledge of insurance policies. Remote Medical Billing Specialists handle invoicing and coding for healthcare providers. While both roles are home-based and involve healthcare finance, claims processing emphasizes insurance submission, whereas billing focuses on patient invoicing and coding accuracy.

How much do remote medical billers make in the US?

Remote medical billers in the US typically earn between $15 and $25 per hour, with annual salaries ranging from approximately $30,000 to $52,000. Compensation varies based on experience, certifications, and the complexity of claims processed.

How can I make 70000 a year working from home?

Remote medical claims processing roles can pay up to $70,000 annually for experienced professionals. Achieving this salary typically requires strong attention to detail, knowledge of medical billing and coding, and proficiency with claims processing software. Gaining relevant certifications and working full-time or handling high-volume claims can help reach this income level.

What is remote medical claims processing?

Remote medical claims processing involves reviewing, validating, and submitting health insurance claims from a location outside of a traditional office, often from home. Professionals in this role analyze patient data, ensure claims are accurate and complete, and handle communication with insurance companies to facilitate timely reimbursement. This job requires strong attention to detail, knowledge of medical terminology and billing codes, and proficiency with healthcare management software. Many employers offer remote positions to streamline operations and accommodate flexible work arrangements.

Do claims adjusters work remotely?

Many claims adjusters, including those in medical claims processing, work remotely, especially in companies that utilize digital tools and claim management software. Remote work allows for flexible schedules and the use of communication platforms like email and video conferencing, making it a common arrangement in the industry.

How to become a medical claim processor?

To become a medical claim processor, typically one needs a high school diploma or equivalent, along with training in medical billing and coding. Familiarity with healthcare management software and understanding of insurance policies are also important; some roles may require certification such as Certified Professional Coder (CPC).

What are some common challenges faced when working remotely as a medical claims processor, and how can they be managed?

Remote medical claims processors often face challenges such as maintaining clear communication with team members, managing a high volume of claims efficiently, and staying updated on frequently changing insurance policies. To manage these challenges, it's important to utilize collaboration tools, participate in regular virtual meetings, and establish a structured daily routine. Additionally, leveraging secure digital resources and ongoing training can help ensure accuracy and compliance, making remote work both productive and rewarding.

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

To thrive as a Remote Medical Claims Processor, you need a strong understanding of medical terminology, insurance policies, and claims adjudication, typically supported by a high school diploma or an associate degree in health administration. Proficiency with claims management software, electronic health record (EHR) systems, and familiarity with coding systems like ICD-10 and CPT is essential. Attention to detail, time management, and effective written communication are standout soft skills in this role. These skills and qualities ensure accurate, efficient claims processing and help maintain compliance with healthcare regulations.
What are popular job titles related to Remote Medical Claims Processing jobs in Wisconsin? For Remote Medical Claims Processing jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processing jobs in Wisconsin look for? The top searched job categories for Remote Medical Claims Processing jobs in Wisconsin are:
What cities in Wisconsin are hiring for Remote Medical Claims Processing jobs? Cities in Wisconsin with the most Remote Medical Claims Processing job openings:
Remote Medical Claims Processing jobs near you

Indemnity Claims Specialist

CorVel Enterprise Claims, Inc.

Madison, WI • Remote

$51K - $83K/yr

Full-time

Posted 14 days ago

Be an early applicant

Job description

The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Receives claims, confirms policy coverage and acknowledgment of the claim
  • Determines validity and compensability of the claim
  • Establishes reserves and authorizes payments within reserving authority limits
  • Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision
  • Communicates claim status with the customer, claimant and client
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Assists other claims professionals with more complex or problematic claims as necessary
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Excellent written and verbal communication skills
  • Ability to learn rapidly to develop knowledge and understanding of claims practice
  • Ability to identify, analyze and solve problems
  • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to meet or exceed performance competencies
  • Ability to work both independently and within a team environment

EDUCATION & EXPERIENCE:

  • Bachelor's degree or a combination of education and related experience
  • Minimum of 1 year of industry experience and claims management preferred
  • State Certification as an Experienced Examiner

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $51,807 – $83,551

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

Our company does not discriminate against applicants on the basis of their race, color, national origin, religion, creed, disability, age, sex, sexual orientation, gender identity, marital status, familial status, or status with regard to public assistance, or membership or activity in a local human rights commission. Copies of job postings will be kept on file.

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