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Remote Medical Claims Processor Jobs in Wausau, WI

Alera Group

Commercial Account Manager - WI

Wausau, WI · On-site +1

Appleton, Green Bay, Eau Claire, Madison, Onalaska, Stevens Point, Waukesha, Wausau WI Remote: if ... This role partners closely with Producers and the team to service accounts, process policy changes ...

4900 Diversey CH

Sales Team Director

Wausau, WI · Remote

The company's product portfolio includes a broad array of water treatment chemistries, process aids ... That is why we offer competitive compensation, comprehensive benefits which include medical, dental ...

4900 Diversey CH

Sales Team Director

Wausau, WI · Remote

The company's product portfolio includes a broad array of water treatment chemistries, process aids ... That is why we offer competitive compensation, comprehensive benefits which include medical, dental ...

ABB

Group Account Manager

WI · 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 ...

Apogee

Microsoft Dynamics 365 Platform Architect

Wausau, WI · Remote

$115K - $140K/yr

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 ...

All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Wausau, WI

Remote Medical Claims Processor information

See Wausau, WI salary details

$14

$20

$27

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

As of Aug 30, 2026, the average hourly pay for remote medical claims processor in Wausau, WI is $20.87, according to ZipRecruiter salary data. Most workers in this role earn between $18.56 and $23.17 per hour, depending on experience, location, and employer.

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 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 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 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.

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

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Cities near Wausau, WI with the most Remote Medical Claims Processor job openings:

Remote Medical Claims Processor jobs near you
Infographic showing various Remote Medical Claims Processor job openings in Wausau, WI as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 14% Part Time, 7% Contract, and 1% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $43,402 per year, or $20.9 per hour.

Commercial Account Manager - WI

Alera Group

Wausau, WI • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Alera Group rating

7.5

Company rating: 7.5 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

225th of 315 rated insurance

Job description

OVERVIEW
Commercial Lines Account Manager

Hybrid: Appleton, Green Bay, Eau Claire, Madison, Onalaska, Stevens Point, Waukesha, Wausau WI

Remote: if outside Wisconsin

At Alera Group, our Property & Casualty team helps businesses protect their assets, manage risk, and plan confidently for the future. We are seeking a Commercial Lines Account Manager to provide responsive, accurate support to commercial insurance clients. This role partners closely with Producers and the team to service accounts, process policy changes, coordinate renewals, and deliver a consistently positive client experience.

About Alera Group
Alera Group was founded in 2017 and has grown to become the 14th largest broker of U.S. business. We are passionate about our clients’ success in the areas of Employee Benefits, Property and Casualty Insurance, and Financial Services. With a network of offices nationwide, our commitment to collaboration allows us to offer national resources combined with local service.

This role focuses on client service delivery, policy servicing, renewals support, and operational accuracy while collaborating with producers, account managers, underwriters, and internal service teams.
Why Alera Group

  • Meaningful Impact: Help clients and employees navigate benefits programs that drive retention, engagement, and satisfaction

  • Growth & Learning: Opportunities to deepen your expertise and gain exposure to a variety of clients and industries

  • Collaborative Culture: Work in a team-oriented environment that values accountability, partnership, and the principles of The Collaborative Way


RESPONSIBILITIES
What You’ll Do / Your ImpactClient Partnership & Risk Strategy
  • Manage client communications related to renewals, policy changes, audits, billing, and general service inquiries
  • Respond promptly to client questions regarding coverage, billing, and claims
  • Build rapport with clients and contribute to longterm relationship retention
Operational Excellence
  • Service a portfolio of commercial accounts across multiple industries
  • Process endorsements, cancellations, certificates of insurance, and other policy changes
  • Prepare and review renewal submissions, applications, and proposals for new and existing business
  • Coordinate with underwriters and carriers to obtain quotes and coverage options
  • Maintain accurate documentation and data entry within agency management systems
  • Ensure adherence to insurance regulations, company standards, and client requirements
Strategic Contribution
  • Support producers and account managers in marketing new and renewal business with a focus on retention
  • Collaborate with internal teams and carriers to deliver seamless, highquality service
  • Continue building technical knowledge of commercial insurance products and exposures

QUALIFICATIONS
What You BringRequired
  • High school diploma or equivalent (associate or bachelor’s degree preferred)
  • Active Property & Casualty insurance license, or ability to obtain within a specified timeframe
  • Strong written and verbal communication skills
  • Excellent organizational, timemanagement, and prioritization skills
  • High attention to detail and accuracy
Preferred
  • Two or more years of commercial lines servicing experience
  • Working knowledge of commercial insurance products such as general liability, property, workers’ compensation, auto, and umbrella
  • Knowledge of large commercial
  • Experience with agency management systems such as Applied Epic or AMS360
  • Professional designations such as CISR or CIC, or willingness to pursue
Core Competencies
  • Clientfirst mindset
  • Detail orientation and accuracy
  • Accountability and followthrough
  • Professional communication
  • Collaboration and teamwork
  • Continuous learning and development

ADDITIONAL INFORMATION

Benefits:
Alera Group offers comprehensive benefits including medical, dental, vision, life and disability coverage, 401(k), generous PTO, and more.

Work Model:
This role is Hybrid/Remote if outside Wisconsin

Professional Development – Alera Group Academy

At Alera Group, growth isn’t left to chance. Through Alera Group Academy, we provide structured development opportunities designed to help you expand your expertise and build a meaningful career.

You’ll have access to:

  • Role-specific learning paths

  • Leadership development programs

  • Technical and compliance training

  • Industry certifications and continuing education support

  • Peer learning and knowledge-sharing communities

Whether you’re deepening technical expertise or preparing for leadership, we’re invested in helping you grow.

Licensure & Certifications 

This position may require:

  • Active State Life & Health License

  • Ongoing continuing education to maintain active status

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class.

Alera Group is committed to protecting your privacy. Please review our Privacy Policy to understand what personal information we may collect and use as part of your application process.

#LI-KL1

#LI-In-Hybrid


Location Type
Hybrid - 3 or more days in office - Office UKG Work locationQualifications:
What You BringRequired
  • High school diploma or equivalent (associate or bachelor’s degree preferred)
  • Active Property & Casualty insurance license, or ability to obtain within a specified timeframe
  • Strong written and verbal communication skills
  • Excellent organizational, timemanagement, and prioritization skills
  • High attention to detail and accuracy
Preferred
  • Two or more years of commercial lines servicing experience
  • Working knowledge of commercial insurance products such as general liability, property, workers’ compensation, auto, and umbrella
  • Knowledge of large commercial
  • Experience with agency management systems such as Applied Epic or AMS360
  • Professional designations such as CISR or CIC, or willingness to pursue
Core Competencies
  • Clientfirst mindset
  • Detail orientation and accuracy
  • Accountability and followthrough
  • Professional communication
  • Collaboration and teamwork
  • Continuous learning and development
Education:UNAVAILABLEEmployment Type: FULL_TIME

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