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Remote Claims Examiner III – Fraud & Compliance LPN

Remote / Online - Candidates ideally in
Eden Prairie, Hennepin County, Minnesota, 55344, USA
Listing for: WPS Health Solutions
Full Time, Remote/Work from Home position Listed on 2026-11-06
Job specializations:
  • Nursing
Salary/Wage Range or Industry Benchmark: 25000 - 35000 USD Yearly USD 25000.00 35000.00 YEAR

Job Description & How to Apply Below

WPS Health Solutions in Madison, Wisconsin, seeks a Claims Examiner III (LPN/RN) to protect MVH program integrity by reviewing claims and medical records for medical necessity and potential fraud. U.S. citizenship is required for this DoD‑related role.

The examiner analyzes data, investigates unusual utilization patterns, and collaborates with leadership to ensure compliant benefit administration. The job requires strong MS Excel skills, precise documentation, and the ability to manage multiple

We are currently recruiting a Remote Claims Examiner III – Fraud & Compliance LPN for our team in Minneapolis, MN, United States.

This role, Remote Claims Examiner III – Fraud & Compliance LPN at WPS Health Solutions, could be your next opportunity.

Are you ready to take on the Remote Claims Examiner III – Fraud & Compliance LPN role at WPS Health Solutions?

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