69 Results for

Claims Specialist Jobs in Wisconsin

Jobs

New!

New Berlin, WI5 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

Wauwatosa, WI30+ days ago

Full-time

Interviews, telephones, or corresponds with municipal client/member representatives, employees, and supervisors, claimants, witnesses and medical personnel; reviews medical and hospital records in a timely manner to determine compensability while maintaining required confidentiality. As one of the largest employer associations in the nation, MRA helps its member organizations thrive by offering the most comprehensive assortment of HR services, information, education, and resources to help build successful workplaces and a powerful workforce.

Brookfield, WI30+ days ago

Full-time

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.

Appleton, Wisconsin12 days ago

$85,000–$120,000 Per Year

Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. Must have a working knowledge of a variety of subjects including, but not limited to, insurance related laws/regulations, general construction, and contractor’s equipment repairs.

Madison, WI18 days ago

We’re hiring a Customer Claims Specialist to be the calm, confident voice that helps our clients feel seen, heard, and taken care of when damage occurs or other issues arise during a move. Your job isn’t just about processing claims - it’s about protecting our reputation, living out our values, and helping customers walk away saying, “They truly took care of me.”.

Hartland, WI30+ days ago

Full-time

If you have experience in Accounts Payable, Accounts Receivable, Payroll Processing, Banking Operations, HR, Employee Benefits, or Insurance Claims, your background aligns exceptionally well with this opportunity. Diversified Benefits Services uses SMS in efforts to contact candidates in a timely manner in order to request more information or keep candidate informed regarding the status of their application.

New!

Wisconsin5 days ago

Remote

Milwaukee, WI30+ days ago

Remote

Full-time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

Stevens Point, WI7 days ago

Provide a positive customer service experience over the phone while navigating claims situations Maintain knowledge of insurance products and describe benefits to American Express card members Assist card members in beginning their process towards reimbursement in their claims Multitask between handling phone calls, emails, and using multiple computer systems Appropriately document and capture content of phone calls in the case management and policy systems . What skills and experience you'll bring on this journey: A high school diploma or equivalent 1-2 years of customer service experience Excellent written and verbal communication skills Exceptional attention to detail and accuracy in gathering and entering information Ability to effectively manage and prioritize tasks while responding to high end clientele with professionalism and clarity Ability to work 2nd shift schedule .

New!

Stevens Point, WI4 days ago

Zurich Cover-More partners with many of the world's best-known brands - think major airlines, travel giants, top banks, credit card providers, and large retailers - to deliver more care, more cover, for all. We are a global group of digital specialists, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance experts, customer service and corporate services professionals.

Beloit, WI29 days ago

The position requires proper account documentation in facility's billing system and pursuit of aged account resolution under the minimal supervision of team lead and/or departmental leaders. The mission of Beloit Health System, Inc. is to be the leader in regional health and wellness services that delivers high quality value and satisfaction to our patients and communities we serve.

Stevens Point, WI7 days ago

Milwaukee, WI30+ days ago

Looking for a versatile and experienced Medical Billing Specialist immediately! Job Duties: Insurance follow up on denied claims/filing timely appeals.

Brookfield, WI30+ days ago

You'll be working in various weather conditions and on active construction sites, using PPE such as safety glasses, hard hat, vest, ear plugs, gloves, and safety shoes. We've been part of iconic projects like the Milwaukee Art Museum, Harley-Davidson facilities, Mayfair Mall, IKEA, Deer District, and the Wisconsin Center District.

New!

Madison, WI3 days ago

Full-time

This role plays a critical part in supporting efficient clinic operations by ensuring accurate patient and insurance information prior to treatment and managing full revenue cycle to optimize reimbursement and cash flow. **While this role will primarily be remote, it will require occasional travel to Cherry Tree Dental clinical sites, work locations, and schools, therefore candidates should be within a reasonable distance of Madison, WI.**.

Wausau, WI30+ days ago

A day in the life of an Accounts Receivable Specialist in an orthopedic organization involves reviewing and processing insurance claims, identifying reasons for claim denials, and appealing denied claims. This role requires attention to detail, knowledge of medical billing codes, and excellent organizational skills to navigate the complexities of insurance reimbursement in the orthopedic field.

Cottage Grove, WI30+ days ago

Shared Medical Services is an employee-owned mobile medical imaging company, delivering high-quality imaging services directly to communities through a nationwide fleet. This role focuses on fleet compliance, driver safety, incident response, training, and regulatory reporting while serving as a key safety resource across the organization.

Green Bay, WI30+ days ago

Full-time

However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. PACKAGING CHANGEOVER SPECIALISTPerforms all necessary prep work for packaging jobs (completes paperwork, scans, stages and returns components to stock).

New!

Manitowoc, WI5 days ago

Remote

A healthcare services company is seeking a Remote Insurance Specialist to provide excellent customer support and manage claims. The ideal candidate will have strong customer service skills and a background in medical insurance or billing.

Brookfield, WI30+ days ago

Remote

Full-time

Mauston, WI30+ days ago

This role ensures compliance with Medicare, Medicaid, private insurance, and private-pay requirements while maintaining professional communication with residents and their families regarding account balances due and billing inquiries. The LTC Billing Specialist is responsible for accurate billing, ensure accuracy of payments posted to patient accounts, account reconciliation, and follow-up for resident accounts.

Fitchburg, WI30+ days ago

Community Impact: Join a practice that actively gives back to the community through initiatives such as Tri 4 Schools, the Oregon Kids Triathlon, All City Swim, Big Brothers Big Sisters, Boys & Girls Club, the UW-Madison Carbone Cancer Center, Gilda's Club, and many other meaningful causes. As a doctor-owned dental practice with seven clinics in the Madison area, we offer a unique opportunity to develop your career while collaborating with experienced dentists and leadership teams.

Milwaukee, WI30+ days ago

Remote

Full-time

Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.

Milwaukee, WI30+ days ago

Full-time

Reviews accident reports to identify patterns of injury and to determine whether unsafe conditions contributed to the accident; advises departments of trends in injuries and proper safety procedures that may result in a reduction of injuries; provides the department with information that will aid in reducing accidents and improving safety. Documents telephone conversations, witness statements, medical reports, accident investigation results, and payment of medical bills; attends seminars, conducts research, and maintains liaison with individuals in the medical community and healthcare fields to keep abreast of current medical procedures and medications.

West Bend, WI30+ days ago

$65,000–$85,000 Per Year

Were proud of our growth, but even more proud of how weve grown by educating clients, building long-term relationships, and doing the right thing. We believe in helping our clients truly understand their coverage, supporting each others success, and maintaining a healthy work-life balance.

Milwaukee, WI30+ days ago

$55,000–$55,000

The successful candidate will be responsible for preparing, disbursing, maintaining, and reviewing payroll, salary adjustments, payroll taxes, and year-end process as well as acting as administrator on all employee benefit plans. Assure compliance with all legal requirements of various payroll and employee benefit programs (ERISA, COBRA, HIPAA, FMLA, IRS Code Section 125, FLSA, etc.), and preparation and filing of required legal reports.

Green Bay, WI30+ days ago

$65,000–$85,000 Per Year

Milwaukee, WI30+ days ago

Remote

Full-time

Technical Skills: Proficient with key databases, including FoxPro, Claims Systems, Medical Management Systems, and Provider Data Management Systems; working knowledge of VA policies and procedures, current knowledge of claims, reimbursement methodology; healthcare or managed care experience. • Communicate clearly through both written and verbal forms of communication and follow up with various parties to ensure tasks are completed within the allotted timeline or issues are escalated appropriately.

Milwaukee, WI12 days ago

$150,000–$250,000 Per Year

Previous sales or canvassing experience (server/bartender/waiter experience are also considered). Join a fast-growing company where hard work directly impacts your income.

Wausau, WI30+ days ago

Obtains pre-authorizations/pre-certifications for procedures, radiology/diagnostic testing, laboratory services, and other special testing as required by insurers or managed care providers. Maintains up-to-date knowledge of clinical guidelines, precertification requirements, and medical policies for services and procedures by routinely reviewing payer newsletters, regulatory and payer websites, and professional resources.

Madison, WI30+ days ago

Remote

$113,000–$120,000 Per Year

Product Specialist , you will make an impact by configuring and maintaining QNXT systems to support provider contracts, benefits, and fee schedules. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.

Oconomowoc, WI30+ days ago

$65,000–$85,000 Per Year

West Allis, Wisconsin12 days ago

Your primary responsibility is to ensure a positive total customer experience while originating consumer loans, completing loan applications, developing strong customer relationships and meeting sales goals. Company-wide, we participate in various philanthropic efforts such as volunteer opportunities, food drives and back to school drives as well as an annual fund raiser for St. Jude Children's Research Hospital.

Menomonee Falls, WI30+ days ago

$65,000–$85,000 Per Year

Hales Corners, WI17 days ago

Responds to customer inquiries regarding coverages, billing, claims, or products by following established agency processes and procedures. Provides personalized, professional customer service experiences by building trust and developing strong customer relationships.

Milwaukee, WI30+ days ago

Full-time

The incumbent will also work closely with MTF staff to support TRICARE beneficiaries and provide non-clinical support for patient referrals and authorizations; outreach to network providers as necessary; and to facilitate the support of applicable TriWest departments for resolving network gaps, provider and contract concerns, customer service requests, and discharge coordination for patients from network and non-network facilities. • Performs on-site and virtual outreach activities for military installation community and beneficiary groups such as Family Readiness Groups, Retiree Associations, and Installation New-comers Orientation, and provides educational briefings on such matters as transferring TRICARE enrollment, PCM selection, and other interest areas for new people to the community.

Milwaukee, Wisconsin30+ days ago

$77,500–$108,500 Per Year

Staff Compensation tasks include performing ongoing administrative oversight for out-of-cycle pay adjustment requests, administer the annual compensation merit process and related HRIS salary plan updates, coordinate participation in salary surveys to assure market competitiveness, and facilitate the Key Contribution Award review and benefit determination process. Benefit responsibitilies include HRIS maintenance and eligibility files to vendors, providing responsive internal client service through appeal support and enrollment assistance, and ensuring compliance with benefit plan regulatory requirements including ACA, ERISA, COBRA, etc.

Manitowoc, WI24 days ago

The Quality Systems Specialist works hands-on with production, leadership, and cross-functional teams to maintain food safety programs, support audits, and keep quality systems running smoothly across the site. + Exposure to a hygienic production environment with airborne food-grade powders; appropriate PPE is required, including safety glasses, lab coats, gloves, hairnets, beard nets, hard hats, and steel-toed shoes.

Eau Claire, WI30+ days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

New!

Madison, WI4 days ago

Auxiant is a third party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and Milwaukee, WI. Essential Functions:Answer provider phone, live chat, and secure email questions regarding claim status and benefits .

Onalaska, Wisconsin30+ days ago

We're seeking a Support Specialist who will make a meaningful impact by delivering proactive client service, thoughtful benefits strategy, and a high-touch experience for both clients and employees. At Alera Group, our Employee Benefits teams help organizations attract, retain, and engage their workforce through creative, compliant, and competitive benefits strategies.

Mount Pleasant, WI30+ days ago

FII USA, Inc., a Foxconn Technology Group Company, is seeking a Supply Chain Specialist to support daily logistics, inventory, and supply chain operations to ensure efficient material flow and accurate inventory management. The Supply Chain Specialist will execute inventory transactions, support coordination with third-party logistics providers, and assist with supply chain processes while assisting this Supply Chain Management Department as needed.

Sheboygan, WI7 days ago

$17–$18.15 Per Hour

Job Responsibilities:Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.

Janesville, WI30+ days ago

Whether we’re helping someone navigate a claim or personalize a plan, we believe in doing meaningful work that makes a difference. You genuinely care about your community and are dedicated to providing excellent service that makes a positive impact on the people around you.

Green Bay, WI30+ days ago

You’re motivated by goals and growth, and you know how to turn needs-based conversations into confident buying decisions that truly help customers. Whether we’re helping someone navigate a claim or personalize a plan, we believe in doing meaningful work that makes a difference.

Wisconsin30+ days ago

Remote

$92,000–$119,000 Per Year

Responsibilities: Develop an agency force that pre-qualifies accounts, in-house rates using CLAS, processing small business using One & Done and/or the Service Center, and recognizes the value of the AMS position to help them write new profitable business and achieve agency goals. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year.

Brookfield, WI30+ days ago

Database Management – Database management including claims data. Project Management – Setting schedules and managing assets.

New!

Pewaukee, Wisconsin4 days ago

Qualifications: Minimum EducationRequired:• High School diploma or equivalentPreferred:•Minimum ExperienceRequired:• 1 or more years in an administrative position • Preferred:• Previous health care office experience• Previous medical billing and coding • Knowledge of benefit verification and authorization Knowledge Skills and Abilities• The ability to communicate effectively and professionally • Proficient with Microsoft Office Suite• Bilingual language skills in some clinics preferred Virtual Employee?: Overview: This position serves as the front office point of contact for business ancillary service locations and is responsible to ensure timely and accurate responses to the client requests.

Chippewa Falls, WI25 days ago

In this vital hybrid role-combining both in-office and remote work-you'll ensure accurate, compliant, and timely payroll operations while supporting employees, managers, and leadership. At Dove Healthcare, we're proud to serve communities across Wisconsin with innovation, empathy, and quality-and that commitment extends to our team.

Sussex, WI10 days ago

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Claims Specialist Jobs in Wisconsin

Claims Examiner Medical Malpractice Diedre Moire Corp.

Claims Specialist MRA Recruiting Services

Commercial Liability Claims Specialist Erie Insurance

Property Claims Specialist - Wisconsin Berkley

Customer Claims Specialist Badger Brothers Moving

Claims Account Specialist Diversified Benefit Services

Claims Operations Specialist Quartz

Sr Claims Reviewer TriWest Healthcare Alliance

Entry Level Customer Service Specialist Zurich Insurance Company

Entry Level Customer Service Specialist Zurich Insurance Group

Patient Financial Services Specialist II - On Site Beloit Health System

Entry Level Customer Service Specialist Zurich NA

Medical Billing Specialist AllianceStaff, LLC

Safety Specialist Lemberg

Revenue Cycle Specialist Cherry Tree Dental

Accounts Receivable Specialist Bone and Joint Center, S.C.

Safety Specialist Shared Medical Services

Changeover Specialist - Packaging Nature's Way

Remote Insurance Collections Specialist - Billing Arstrat Llc

Liability Specialist Erie Insurance

Long-term Care Billing Specialist Mile Bluff Medical Center

Billing Specialist - Dental Clinic Experience Required Dental Health Associates of Madison

Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare Alliance

Human Resource Leave & Disability Specialist MRA Recruiting Services

Insurance Sales Specialist Farmers Insurance - Michelle Bopp

Payroll & Benefits Specialist - To 55K - Milwaukee, WI - Job 3582 The Symicor Group

Insurance Sales Specialist Scott Tarsi Farmers Insurance

Provider Data Specialist TriWest Healthcare Alliance

Roofing Sales Specialist - Top Reps Earn $250K Fresh Page Home Improvement

Patient Benefits Specialist (Prior Authorization Focus) GI Associates

Sr. QNXT Configuration Specialist Cognizant

Insurance Sales Specialist Zachary Perez Farmers Insurance

Sr. Consumer Loan Specialist - Sales Customer Service Republic Finance, LLC

Insurance Sales Specialist Bethany Ohde Agency

Customer Service Specialist The Bellante Agency, Inc

Field Support Specialist TriWest Healthcare Alliance

Benefits & Compensation Specialist Foley & Lardner LLP

Quality Systems Specialist Kerry

Reporting Specialist Maximus

Customer Service Specialist Auxiant

Support Specialist Alera Group

Supply Chain Specialist Foxconn WI

Patient Access Associate Specialist - Full Time Ensemble Health Partners

Customer Retention Specialist - State Farm Agent Team Member Don Gerharz - State Farm Agent

Acquisition Specialist - State Farm Agent Team Member Tiona Petrouske - State Farm Agent

Agency Management Specialist - Remote in the state of Wisconsin Selective Insurance Company of America

Client Support Specialist AllianceStaff, LLC

Office Specialist ATI Physical Therapy

Human Resources Payroll Specialist Dove Healthcare

Acquisition Specialist - State Farm Agent Team Member Dane Allen - State Farm Agent

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