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Remote Claims Examiner III – Fraud & Compliance; RN​/LPN

Remote / Online - Candidates ideally in
Denver, Denver County, Colorado, 80221, USA
Listing for: Wis Phys Svc Ins Corp
Remote/Work from Home position
Listed on 2026-10-26
Job specializations:
  • Nursing
Salary/Wage Range or Industry Benchmark: 43000 - 55000 USD Yearly USD 43000.00 55000.00 YEAR
Job Description & How to Apply Below
Position: Remote Claims Examiner III – Fraud & Compliance (RN/LPN)

Wisconsin Physicians Service (WPS) is seeking a Claims Examiner III LPN/RN to safeguard MVH program integrity by identifying, investigating, and preventing fraud, waste, and abuse. The role blends clinical expertise with data analysis to evaluate medical necessity and ensure proper benefit administration.

The position supports audits and quality initiatives, collaborating with leadership and external partners to deliver well-documented recommendations.

This role, Remote Claims Examiner III – Fraud & Compliance (RN/LPN) at Wis Phys Svc Ins Corp, could be your next career step.

This is a great opening to take on the Remote Claims Examiner III – Fraud & Compliance (RN/LPN) role at Wis Phys Svc Ins Corp.

As a Remote Claims Examiner III – Fraud & Compliance (RN/LPN), you will play an important part at Wis Phys Svc Ins Corp in CO, United States.

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