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Remote Medical Claims Processor Jobs in Schofield, WI

Assess the need for medical management and escalate appropriately * Process bills in accordance ... A belief that claims processing should enhance, not hinder, the customer experience * Strength in ...

Assess the need for medical management and escalate appropriately * Process bills in accordance ... A belief that claims processing should enhance, not hinder, the customer experience * Strength in ...

Stop Loss Underwriter

Stevens Point, WI ยท On-site +1

$60K - $85K/yr

Review employer census data, claims experience, and large claimant reports * Evaluate specific and ... medical diagnoses * Proficiency in underwriting models and rating tools #LI-SS1 #LI-Remote Pay ...

Senior Stop Loss Underwriter

Stevens Point, WI ยท On-site +1

$90K - $125K/yr

Review employer census data, claims experience, and large claimant reports * Evaluate specific and ... medical diagnoses * Proficiency in underwriting models and rating tools #LI-Remote #LI-SS1 Pay ...

Underwriting Analyst

Stevens Point, WI ยท On-site +1

$55K - $65K/yr

Remote (United States) About Acrisure A global fintech leader, Acrisure empowers millions of ... Coordinate the collection of applications, claims experience, plan documents, and other required ...

Group Account Manager

WI ยท Remote

$163K - $261K/yr

Remote {#LI-Remote} Your role and responsibilities: * Drives strategic account planning, sales ... Choice between two medical plan options: A PPO plan called the Copay Plan OR a High Deductible ...

Group Account Manager

WI ยท Remote

$163K - $261K/yr

Remote {#LI-Remote} Your role and responsibilities: * Drives strategic account planning, sales ... Choice between two medical plan options: A PPO plan called the Copay Plan OR a High Deductible ...

Ensure seamless integration between financial and operational processes. * Support the evolution of ... This is a remote role with approx. 20% travel (to an Apogee facility and to Apogee Headquarters in ...

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Remote Medical Claims Processor information

See Schofield, WI salary details

$13

$19

$25

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

As of Aug 9, 2026, the average hourly pay for remote medical claims processor in Schofield, WI is $19.41, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $21.59 per hour, depending on experience, location, and employer.

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

AspectRemote Medical Claims ProcessorRemote Medical Billing Specialist
CredentialsTypically requires medical coding or claims processing certificationsOften requires medical billing certifications and coding knowledge
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare providers or billing companies
Industry UsageInsurance companies, third-party administratorsHospitals, clinics, billing service providers
Job FocusProcessing and reviewing insurance claims for reimbursementPreparing and submitting bills, managing accounts receivable

While both roles work remotely within the healthcare industry, the Remote Medical Claims Processor primarily reviews and processes insurance claims, focusing on reimbursement. In contrast, the Remote Medical Billing Specialist handles billing procedures, including preparing and submitting invoices. Both roles require similar certifications and often overlap in work environment and employer types, but their core responsibilities differ in claim review versus billing management.

What is a remote medical claims processor?

Remote medical claims processors handle billing paperwork for health care offices or insurance companies. Instead of working in the office, remote medical claims processors complete their job duties from home or another location outside of the office with internet connectivity. As a remote medical claims processor, your responsibilities include ensuring medical insurance claims have proper billing codes that match the services provided, clarifying patient concerns about benefits, and adding changes made to the claim by the doctors or insurer. You may also be required to follow up with the insurer to find out the status of claims and discuss any discrepancies.

What are the key skills and qualifications needed to thrive as a remote medical claims processor?

To thrive as a Remote Medical Claims Processor, a solid understanding of medical terminology, insurance policies, and claims adjudication is essential, typically supported by a high school diploma or equivalent and relevant experience. Familiarity with claims management software, electronic health records (EHR) systems, and knowledge of HIPAA regulations are typically required. Attention to detail, strong organizational skills, and clear written communication help individuals excel in processing claims accurately and efficiently. These skills ensure timely and correct claims processing, reducing errors and supporting the financial health of both healthcare providers and patients.

How does a remote medical claims processor typically collaborate with healthcare providers and insurance companies while working from home?

As a Remote Medical Claims Processor, collaboration with healthcare providers and insurance companies primarily occurs through secure digital communication channels, such as email, specialized claims management software, and phone calls. You will regularly interact with provider offices to clarify patient information, verify coverage, or resolve discrepancies in submitted claims. While the role is independent, you often coordinate with team members and supervisors virtually to ensure claims are processed efficiently and accurately. Maintaining clear documentation and communication is essential for resolving issues and minimizing processing delays.

What does a remote medical claims processor do?

A Remote Medical Claims Processor reviews, evaluates, and processes insurance claims submitted by healthcare providers and patients. Working from a remote location, they verify the accuracy of claim information, ensure proper coding, and determine whether services are covered based on insurance policies. They also communicate with providers, patients, and insurance companies to resolve discrepancies or request additional information. This role helps ensure that claims are processed efficiently and accurately for timely reimbursement.
What job categories do people searching Remote Medical Claims Processor jobs in Schofield, WI look for? The top searched job categories for Remote Medical Claims Processor jobs in Schofield, WI are:
What cities near Schofield, WI are hiring for Remote Medical Claims Processor jobs? Cities near Schofield, WI with the most Remote Medical Claims Processor job openings:
Infographic showing various Remote Medical Claims Processor job openings in Schofield, WI as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $40,369 per year, or $19.4 per hour.

Claims Adjuster

battleface

Stevens Point, WI โ€ข Remote

Full-time

Re-posted 11 days ago


Job description

Salary:

about us:battleface is building a humanity-focused travel insurance company to bring people and the world together. For too long, travel insurance has centered on the company and not the traveler. Were changing that by connecting people with customized coverage at the right price, exactly when and where they need it.

Robin Assistis the global assistance and claims partner behind the scenes supporting not only battleface but also a wide range of insurers, brokers, and managing general agents across the travel insurance industry. From medical emergencies to travel disruptions, Robin Assist delivers 24/7 claims handling, assistance coordination, and tech-driven solutions that combine efficiency with a human-first approach. By working across the industry, Robin Assist helps raise the standard for how travelers are supported worldwide.


about the role:join Robin Assist as aClaims Adjusterand help travelers through some of their toughest days. Youll investigate and resolve travel medical claims with speed, empathy, and accuracy. Using our tech-enabled claims gateway, youll streamline workflows, cut down paperwork, and keep all parties informed, while ensuring adherence to underwriting, regulatory, and policy guidelines.


This role is about more than just claims, its about being a trusted partner for travelers when they need support most.


what youll do

  • Investigate, evaluate, and resolve travel medical claims end-to-end
  • Adjudicate benefits per policy terms and statutory requirements
  • Process invoices through cost-containment networks
  • Maintain clear, timely updates to customers, providers, and partners on claim status
  • Document thoroughly in the claims system and ensure complete, high-quality files
  • Assess the need for medical management and escalate appropriately
  • Process bills in accordance with statutory requirements and internal controls
  • Identify potential fraud/waste/abuse and collaborate with investigative team
  • Deliver excellent written and verbal customer communication throughout the claim lifecycle
  • Perform additional responsibilities as needed to support the team and our customers


what youll bring (essentials)

  • Proven experience handlingaccident and sickness/travel medical claims, including complex domestic and international cases
  • Current (or ability to obtain) state adjuster licensing
  • A belief that claims processing should enhance, not hinder, the customer experience
  • Strength in writing, negotiation, communication, organization, reporting, data gathering, reserving, brainstorming, and researching
  • Comfort working with data, forms, spreadsheets, and policy wordings


licensing & compliance

  • Must hold (or be eligible to obtain) state adjuster licensesfor adjudicating travel insurance claims
  • Adhere to state insurance regulations
  • Maintain continuing-education requirements tied to state licenses


bonus points

  • Startup or high-growth environment experience
  • Although English is our operating language we're always looking for language skills to support our global member base


how youll make an impact

  • Set clear, relevant goals and consistently surpass them
  • Prioritize the work that moves the needle for travelers and the business
  • Build strong relationships with customers, providers, and partners to advance our mission of a humanity-focused travel insurance experience