Top 31 Claims analyst Jobs in Middleton, Wi

Senior Quality Analyst
Quartz —Madison, WI
- $66,800 - $83,400 a year
- Full-time
- Research
- Mid-level
- Finance
- Work from home
- Opportunities for advancement
Claims Analyst - REMOTE
Ryder System —Madison, WI
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Claims Compliance Analyst (Workers Compensation)
QBE —Madison, WI
- Full-time
- Mid-level
- US work authorization
- Experience equivalent to degree accepted
- Tuition reimbursement
- 401(k) matching
Associate SEM Analyst
Sentry Insurance —Madison, WI
- Full-time
- Hybrid work
- Marketing
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
8d
Network Management Analyst
CVS Health —Madison, WI
- $43,888 - $102,081 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Research
- Health insurance
- Dental insurance
11d
Benefit & Compensation Analyst (Hybrid)
Agrace —Madison, WI
- Full-time
- 5 years
- Writing skills
- Research
- Free parking
- Paid holidays
Quick Apply
20h
Medical Coding Systems Analyst
Quartz —Madison, WI
- $72,500 - $90,600 a year
- Full-time
- Microsoft Outlook
- HIPAA
- Research
- Work from home
- Opportunities for advancement
Management Analyst
US Veterans Health Administration —Madison, WI
- $89,508 - $116,362 a year
- Online Application
- Background check
- Psychiatry
- Customer service
23h
Sales Data Analyst-LTE
AprilAire —Madison, WI
- Part-time
- Mid-level
- Finance
- Analysis skills
1d
Senior Insurance Product Analyst - Homeowners (Hybrid)
American Family Insurance —Madison, WI
- $88,000 - $145,000 a year
- Full-time
- Hybrid work
- Customer service
- Office
- Analysis skills
- Paid holidays
- Loan repayment program
Actuarial Analyst
Rural Mutual Insurance —Madison, WI
- $70,000 - $90,000 a year
- Hybrid work
- Mid-level
- Finance
- SQL
- Disability insurance
- Dental insurance
Quick Apply
8d
Senior IT Security Analyst
Wis Phys Svc Ins Corp —Madison, WI
- $90,000 - $115,000 a year
- Hybrid work
- Azure
- Computer Science
- 5 years
- Health insurance
- Dental insurance
6d
Senior Facets Configuration Analyst
Vytwo —United States
- Full-time
- Remote
- Residential
- Senior level
- 10 years
Quick Apply
Facets Configuration Analyst
Vytwo —United States
- Full-time
- Remote
- Residential
- 3 years
- Analysis skills
Quick Apply

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Workers Compensation Claims Representative
Wisconsin Municipal Mutual Insurance Company —Wisconsin
Valid driver’s license, active insurance, and reliable transportation. Maintain compliance with federal, state, and municipal regulations, including WI…
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EFT Specialist
UW Credit Union —Madison, WI
Ensure ACH transfers, incoming and outgoing wires, electronic items, and other EFT transactions are processed to meet member demand. 2 days paid volunteer time.
From $20.50 an hour

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Contracts Analyst Senior
ENGIE —Columbus, OH
Build and maintains relationships with construction contractors, qualified equipment vendors, suppliers, and design/engineering firms.
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Claims Analyst - REMOTE
Ryder System —Columbus, OH
Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Investigates and adjusts claims, as well as directs…
$90,000 - $100,000 a year

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claims analyst jobs near middleton, wi

Senior Quality Analyst

Quartz -
Madison, WI

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Job Details

Full-time
$66,800 - $83,400 a year

Benefits

Work from home
Opportunities for advancement

Qualifications

Defect resolution root cause analysis
Regulatory compliance in claims processing
Research
Health insurance knowledge
Root cause analysis
Query management
Financial data analysis tools
Data analysis software

Full Job Description

Overview:

At Quartz, quality is more than a checkpoint, it's a commitment to delivering exceptional experiences for our members, providers, employers, and internal partners. As a Senior Quality Analyst, you'll play a critical role in protecting operational excellence, ensuring regulatory compliance, and driving continuous improvement across the organization.

This is an exciting opportunity for an experienced analytical professional who enjoys solving complex problems, uncovering opportunities for improvement, and partnering with business leaders to strengthen processes that directly impact on our customers.

As a Senior Quality Analyst, you'll serve as a subject matter expert responsible for designing and executing complex audit strategies that evaluate operational performance, regulatory compliance, and system accuracy. Your work will help identify risks before they impact customers while providing actionable insights that improve business outcomes.

Benefits:

Opportunity to support and deliver on business initiatives that will positively impact the organization’s goals and mission.
Collaborative work environment with leader that promotes team collaboration and learning
Starting salary is based upon skills and experience: $66,800 - $83,400 plus robust benefits package

Responsibilities:

Design and perform complex operational and compliance audits across multiple business areas, identifying errors and process gaps that may not be detected by operational teams.
Analyze audit findings to identify trends, perform root cause analysis, and develop recommendations that reduce risk and improve quality.
Develop comprehensive audit plans by researching business operations, regulatory requirements, and insurance industry guidance.
Ensure compliance with federal, state, contractual, and organizational requirements through detailed audit reviews.
Serve as a trusted advisor and subject matter expert for departments throughout the organization, presenting audit findings and leading discussions around process improvements.
Apply deep knowledge of coding guidelines (e.g., CPT, ICD-10, HCPCS) to evaluate claim accuracy and appropriateness
Assess and validate provider reimbursement methodologies, including contract interpretation and payment integrity
Build advanced expertise across multiple business systems and operational processes, including claims, enrollment, customer service, billing, benefits, provider operations, reporting tools, and other enterprise applications.
Partner with leaders across the organization to strengthen operational processes and improve the overall customer experience.

Qualifications:

Bachelor's or Associate’s degree in Finance, Business, Accounting, Health Care Administration, Medical Informatics, or Information Technology or an equivalent field of study
4+ years in an analyst position in the healthcare/health plan field.
Experience with auditing, regulatory compliance, MAR and/or SOX audits.
Knowledge of business activities, goals and critical success factors that influence systems applications, financial statements and regulatory compliance.
Advanced ability to perform root cause analysis.
Advanced skills in data querying tools such as BusinessObjects and modeling tools such as MS Visio.
Professional certifications in Accounting, Coding, Actuarial Services, or other relevant disciplines preferred.
Extensive experience with complex claims processing and auditing
Strong understanding of medical coding standards and guidelines
Proven knowledge of provider reimbursement methodologies (e.g., fee schedules, DRG/APC, value-based arrangements)
Excellent analytical, problem-solving, and communication skills
Ability to work independently while managing multiple priorities in a fast-paced environment

Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.

We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified person with disability.

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Refine Your Search

claims analyst jobs in middleton, wi

Senior Quality Analyst

Claims Analyst - REMOTE

Claims Compliance Analyst (Workers Compensation)

Associate SEM Analyst

Network Management Analyst

Benefit & Compensation Analyst (Hybrid)

Medical Coding Systems Analyst

Management Analyst

Sales Data Analyst-LTE

Senior Insurance Product Analyst - Homeowners (Hybrid)

Actuarial Analyst

Senior IT Security Analyst

Senior Facets Configuration Analyst

Facets Configuration Analyst

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