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Remote Medical Claims Processing Jobs in Wisconsin

... into our claims processing system. Essential Functions: * Analysis and configuration of group ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

... into our claims processing system. Essential Functions: * Analysis and configuration of group ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

Knowledge of self-funded or fully-insured health plans (HIPAA, DOL regulations, ERISA, medical terminology and claims processing preferred but not required). * PC skills including Microsoft Office ...

Knowledge of self-funded or fully-insured health plans (HIPAA, DOL regulations, ERISA, medical terminology and claims processing preferred but not required). * PC skills including Microsoft Office ...

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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 17, 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:
Senior Claims Adjuster Workers Compensation - WI, MN, SD

Senior Claims Adjuster Workers Compensation - WI, MN, SD

Gallagher Bassett

Madison, WI • Remote

$66K - $94K/yr

Other

Medical, Dental, Vision, Life, Retirement

Posted 16 days ago


Gallagher Bassett rating

8.3

Company rating: 8.3 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

40th of 138 rated financial services


Job description

Introduction
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Overview
  • Jurisdictions: WI, SD, MN
  • Licenses: Must have state license or reciprocal.
  • Location: This role is fully remote work.

How you'll make an impact
  • Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
  • Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.
  • Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process
  • Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.
  • Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file.

About You

As a key member of our experienced Claims Adjuster team, you will: 

  • Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
  • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process.
  • Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants.


Ideal candidates for this position will have:
Claims Background: Minimum 3 years of experience adjusting a workers compensation desk, including lost time/indemnity and litigation.
Jurisdictional Experience: WI, SD, MN
Active Adjusters' licenses: Must have state license or reciprocal.

REQUIRED QUALIFICATIONS:
• High School Diploma.
• Minimum of 3 years related claims experience.
• Appropriately licensed and/or certified in all states in which claims are being handled.
• Knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.


DESIRED:
• Bachelor's Degree

#LI-Remote

#LI-AB2


Compensation and benefits

We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. 

Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

  • Medical/dental/vision plans, which start from day one!
  • Life and accident insurance
  • 401(K) and Roth options
  • Tax-advantaged accounts (HSA, FSA)
  • Educational expense reimbursement
  • Paid parental leave

Other benefits include:

  • Digital mental health services (Talkspace)
  • Flexible work hours (availability varies by office and job function)
  • Training programs
  • Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
  • Charitable matching gift program
  • And more...

**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.

We value inclusion and diversity

Click Here to review our U.S. Eligibility Requirements

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.


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