Medical Claims Analyst (full-time - remote/hybrid option) - 2 positions
Seeking individuals who share our passion for attaining quality affordable health care.
Manitowoc, WI  / Plymouth, WI  / Sheboygan, WI 
Posted 1 month ago
Position No Longer Available
Position No Longer Available
Job Description
Medical Claims Analyst

Prairie States Enterprises is seeking qualified candidates to fill our open full-time Medical Claims Analyst position. This is a full-time position with a hybrid remote work arrangement in our Sheboygan, WI location. Options will be considered regarding a flexible work arrangement after the full training has been successfully completed.  

Position Responsibilities
Position responsibilities include the adjudication and processing of medical, dental, and vision claims while interpreting coding and medical terminology in relationship to the diagnosis and medical procedures, and payment processing within medical plan benefits. 
Education – High School Diploma or GED required.  Post HS education in medical field and medical terminology highly preferred.
Experience - 1-3 years experience in insurance or medical office setting; strong customer service and communication skills required.
Specific Technical Position Skills & Abilities - Proficient computer skills in a Windows-based environment required.

Additional Position Requirements:
  • Able to independently plan, organize, and manage work activities and meet deadlines within a fast paced environment.
  • Possesses strong problem resolution skills.
  • Possesses strong oral and written communication skills.
  • Proficient computer skills in a Windows based environment required.
Prairie States Enterprises, Inc. is a third party administrator, a benefits industry leader, and a trusted advisor to self-insured companies and their employees.  We stand apart as a team of passionate people driven by a quest for excellence, who strive to improve the health status and benefit plan experience of our client companies, their employees and families across the nation.

Just as we are committed to improving the lives of our members, we are equally committed to cultivating the careers of forward-thinking professionals. Our corporate culture is one of ambition, integrity, empowerment, teamwork and a passion for personal and company success.

To the selected candidate, we offer:
  • Competitive compensation (base + incentive) tied to experience and also a comprehensive benefit package provided to include Medical, Dental, Vision, Life, STD/LTD, FSA, Paid Time Off, personal days, 401k with match, wellness and exercise membership and more. Click HERE to view our full-time benefits flyer.
  • Opportunity for meaningful career growth within a results-driven company and our company culture is one of ambition, integrity, empowerment, teamwork and a passion for personal and company success.
If this sounds like you, and you’re looking for career growth with an industry leader, please respond with your cover letter and resume in the application process with Visit us at 


Position No Longer Available
Job Summary
Start Date
Employment Term and Type
Regular, Full Time
Hours per Week
Work Hours (i.e. shift)
Salary and Benefits
Competitive compensation based on experience and a comprehensive benefit package provided to the selected candidate.
Required Education
High School or Equivalent
Required Experience
1 to 3 years
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