ZipRecruiter

Log In

1

Wps Insurance Jobs in Wisconsin (NOW HIRING)

WPS

Medical Review Nurse Analyst

Madison, WI · On-site +1

WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the ...

WPS

Medicare Sales Associate (seasonal-temporary)

Madison, WI · On-site +1

$14 - $19.25/hr

WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the ...

WPS

IT Asset Management Hardware Analyst

Madison, WI · On-site +1

$75K - $90K/yr

WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the ...

WPS

Medical Director

Madison, WI · On-site +1

WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the ...

WPS Health Solutions

Medical Director

Madison, WI · On-site +1

WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the ...

WPS

Director of Cyber Risk & Assurance

Madison, WI · On-site +1

$185K - $225K/yr

WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the ...

next page

Showing results 1-20

All JobsWps Insurance JobsWps Insurance Jobs in Wisconsin

Wps Insurance information

See Wisconsin salary details

$23.7K

$59.6K

$98.4K

How much do wps insurance jobs pay per year?

As of Jul 19, 2026, the average yearly pay for wps insurance in Wisconsin is $59,647.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,900.00 and $78,200.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a WPS Insurance Specialist, and why are they important?

To thrive as a WPS Insurance Specialist, you need a solid understanding of health insurance policies, claims processing, and regulatory compliance, often supported by relevant experience or training in insurance administration. Familiarity with claims management software, Microsoft Office Suite, and proprietary WPS systems is typically required. Strong attention to detail, effective communication, and problem-solving skills help you excel in navigating complex claims and assisting clients. These skills are crucial for ensuring accurate claims handling, regulatory adherence, and high-quality customer service.

What is the best paying job in insurance?

In insurance, executive roles such as Chief Underwriting Officer or Chief Risk Officer tend to be the highest paying positions, often earning six-figure salaries or more. These roles require extensive industry experience, strong leadership skills, and advanced certifications like CPCU or ARM.

What are some common challenges faced by professionals working at WPS Insurance, and how can new employees effectively navigate them?

Professionals at WPS Insurance often encounter challenges such as understanding complex healthcare regulations, adapting to evolving insurance policies, and managing a high volume of customer inquiries. New employees can navigate these challenges by actively participating in training programs, seeking guidance from experienced colleagues, and utilizing internal knowledge resources. Collaboration with cross-functional teams, such as claims processing and customer service, is essential for resolving issues efficiently and delivering quality service. Proactive communication and continuous learning are key to thriving in this dynamic environment.

What is the difference between Wps Insurance vs Insurance Underwriter?

AspectWps InsuranceInsurance Underwriter
Required CredentialsInsurance license, relevant certificationsInsurance license, actuarial or underwriting certifications
Work EnvironmentOffice-based, customer service, claims processingOffice-based, risk assessment, policy evaluation
Employer & Industry UsageInsurance companies, brokers, agenciesInsurance companies, underwriting firms
Common Search & ComparisonWps Insurance vs Insurance Underwriter

Wps Insurance primarily focuses on providing insurance policies and handling claims, often involving customer service roles. Insurance Underwriters evaluate risks and determine policy terms. While both roles require insurance licenses, underwriters typically need additional certifications. Wps Insurance roles are more customer-facing, whereas underwriters work behind the scenes assessing risk. Understanding these differences helps job seekers find the right fit in the insurance industry.

What does WPS mean in insurance?

In the context of insurance, WPS typically stands for Workers' Compensation and Safety, referring to policies that cover employee injuries and workplace safety standards. For insurance professionals like WPS Insurance agents, understanding these terms is essential for advising clients on coverage options and compliance requirements.

What are WPS Insurance jobs?

WPS Insurance jobs refer to employment opportunities at WPS Health Solutions, a company that provides health insurance and benefit administration services. These jobs can include roles in customer service, claims processing, IT, underwriting, and more. Employees at WPS Insurance work to support health coverage for individuals, families, and government programs like Medicare. The company values integrity, customer focus, and innovation, offering both remote and in-office positions. Working at WPS Insurance can provide opportunities for career growth in the health insurance industry.

Is WPS a good company?

WPS Insurance is a provider of insurance products and services, and its reputation varies based on customer experiences and industry reviews. Job seekers should research specific roles and company culture to determine if it aligns with their career goals. It is advisable to review employee feedback and industry ratings for a comprehensive understanding.

Who owns WPS health insurance?

WPS Health Insurance is a nonprofit organization owned by its policyholders and governed by a board of directors. It operates as a mutual insurance company, primarily serving members in Wisconsin and other states. The organization focuses on providing affordable health coverage and customer service to its members.
What cities in Wisconsin are hiring for Wps Insurance jobs? Cities in Wisconsin with the most Wps Insurance job openings:
Wps Insurance jobs near you
Infographic showing various Wps Insurance job openings in Wisconsin as of July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, 1% Temporary, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $59,647 per year, or $28.7 per hour.
Medical Review Nurse Analyst

Medical Review Nurse Analyst

WPS

Madison, WI • On-site, Remote

Full-time

Medical, Dental, Retirement, PTO

Re-posted yesterday

Job description

Role Snapshot
The Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This role ensures that providers are billing and being paid appropriately for services provided based on Medicare guidelines. The Medical Review Nurse Analyst reviews claims and delivers provider education on current billing and documentation requirements.
Salary Range
68,000-72,000
The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.
Work Location
We are open to remote work in the following approved states:
Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin
How do I know this opportunity is right for me? If you enjoy the following:
  • Perform detailed reviews of medical records and documentation to determine the medical necessity of services.

  • Review submitted claims to ensure that billed services are medically necessary and correctly coded based on Medicare guidelines. Ensure Medicare providers are correctly reimbursed when documentation supports services rendered.

  • Prepare written clinical summaries and determinations with clear rationale for approvals, denials, or modifications.

  • Educate providers in accordance with the Targeted Probe and Educate (TPE) program.

  • Monitor the progress of assigned providers and educate on current billing and documentation requirements.

  • Ensure compliance with federal and state regulations, CMS guidelines, and company policies.

  • Stay current on clinical guidelines, medical policy updates, and industry best practices.

Minimum Qualifications
  • Associate's (ASN) or Bachelor's Degree in Nursing (BSN).

  • Active RN license, applicable to state of practice in good standing.

  • One (1) or more years of clinical experience in a healthcare setting (hospital, homecare, skilled nursing, etc.).

  • Excellent written and verbal communication skills, with the ability to communicate complex medical information clearly and concisely.

  • Strong attention to detail and organizational skills to manage multiple cases simultaneously.

  • Basic knowledge and understanding of medical/clinical review processes.

  • Solid computer skills with experience working in multiple on-line systems including MS Outlook, Teams, OneNote, Word, and Excel.

Preferred Qualifications
  • Experience working for a Medicare Administrative Contractor (MAC) preferred.

  • Basic Medicare knowledge and/or experience preferred.

Remote Work Requirements
  • Wired (ethernet cable) internet connection from your router to your computer.

  • High speed cable or fiber internet.

  • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).

  • Please review Remote Worker FAQs for additional information.

Benefits
  • Remote work option available

  • Performance bonus and/or merit increase opportunities

  • 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)

  • Competitive paid time off

  • Health insurance, dental insurance, and telehealth services start DAY 1

  • Professional and Leadership Development Programs

  • Review additional benefits: (https://www.wpshealthsolutions.com/careers/)

Who We Are
WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.
Culture Drives Our Success
WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.
Sign up for Job Alerts
FOLLOW US!
Instagram
LinkedIn
Facebook
WPS Health Blog
Medicare (GHA)
This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation including fingerprinting prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

Apply