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Waiver of Premium Claims Specialist

Location: Remote
Compensation: Piece Work
Reviewed: Fri, Sep 11, 2026
This job expires in: 29 days

Job Summary

Analyzing eligibility for complex Waiver of Premium Benefits, the full-time Waiver of Premium Claims Specialist will investigate, approve, or deny claims while utilizing extensive medical, legal, and policy knowledge, working onsite in Franklin, WI.

Key responsibilities
  • Investigates and analyzes complex Waiver of Premium claims to determine eligibility and make decisions on approval or denial
  • Orders and reviews medical and investigative information pertinent to claims evaluation
  • Communicates with various stakeholders, including insured individuals and medical practitioners, to negotiate and resolve conflicts related to claims
Required qualifications
  • Bachelor's degree or equivalent combination of education and relevant work experience, preferably in healthcare, business, insurance, law, or communication
  • One to three years of experience demonstrating analytical ability and independent decision-making
  • Knowledge of medical terminology and experience with insurance contracts preferred
  • Experience handling Waiver of Premium and/or Disability Income claims is a plus
  • Ability to work remotely, if desired

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