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

Remote / Online - Candidates ideally in
Boulder, Boulder County, Colorado, 80301, USA
Listing for: Wis Phys Svc Ins Corp
Full Time, Remote/Work from Home position
Listed on 2026-11-01
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.

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.

We invite applications for the Remote Claims Examiner III – Fraud & Compliance (RN/LPN) position located in CO, United States.

The following position is for a Remote Claims Examiner III – Fraud & Compliance (RN/LPN) with Wis Phys Svc Ins Corp.

Our team is growing, and we are hiring a Remote Claims Examiner III – Fraud & Compliance (RN/LPN) in CO, United States.

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