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Claim Assistant Jobs in Madison, WI (NOW HIRING)

Horace Mann

Group Claims Support Specialist

Madison, WI · On-site

$21.44 - $29.16/hr

Scan, upload, index, and manage electronic and physical claim documents. * Assist with claim filing, archiving, retrieval of archived files, and other administrative support activities. Document ...

Horace Mann

Group Claims Support Specialist

Madison, WI · On-site

$21.44 - $29.16/hr

Scan, upload, index, and manage electronic and physical claim documents. * Assist with claim filing, archiving, retrieval of archived files, and other administrative support activities. Document ...

Acrisure

Claims Specialist

Middleton, WI · On-site

$50K - $55K/yr

Support timely delivery of benefits, notices, and claim related communications * Coordinate return to work activities and follow up with medical providers and employers as needed * Assist with ...

Corvel

Care Advocate Nurse

Madison, WI · Remote

$61K - $98K/yr

Functions as nurse consultant to the claim team * Assesses appropriate medical follow-up and makes necessary recommendations to the claim team, working closely with team to assist in identifying ...

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All JobsClaim JobsClaim Assistant JobsClaim Assistant Jobs in Madison, WI

Claim Assistant information

See Madison, WI salary details

$14

$21

$28

How much do claim assistant jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for claim assistant in Madison, WI is $21.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $23.03 per hour, depending on experience, location, and employer.

What is a claim assistant?

Claim Assistants are professionals who provide administrative and clerical support to claims departments in insurance companies or related organizations. Their main responsibilities include processing claim forms, verifying information, assisting claimants with inquiries, maintaining records, and supporting claims adjusters throughout the claims process. They play a crucial role in ensuring timely and accurate handling of insurance claims, helping both clients and the company resolve claims efficiently.

What are the key skills and qualifications needed to thrive as a claim assistant, and why are they important?

To thrive as a Claim Assistant, you need strong organizational skills, attention to detail, and a foundational understanding of insurance processes, typically supported by a high school diploma or equivalent. Familiarity with insurance claims management systems, office software like Microsoft Office, and sometimes basic data entry certifications are commonly needed. Excellent communication, problem-solving, and customer service skills help you interact effectively with clients and team members. These skills ensure accurate and timely processing of claims, minimize errors, and provide a positive experience for policyholders.

What are some of the common challenges claim assistants face when managing multiple claims simultaneously?

Claim Assistants often juggle several claims at once, requiring strong organizational skills and attention to detail. A common challenge is prioritizing tasks effectively, as some claims may require urgent follow-up or additional documentation. Staying on top of multiple deadlines and communicating with various stakeholders—such as policyholders, adjusters, and healthcare providers—can be demanding. Utilizing claims management software and maintaining clear records can help manage workload and reduce errors.

What is the difference between Claim Assistant vs Claims Processor?

AspectClaim AssistantClaims Processor
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance-related certificationsHigh school diploma; some roles may require insurance or claims processing certifications
Work EnvironmentOffice setting, interacting with claimants and insurance staffOffice environment, focusing on reviewing and processing claims
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, claims departments
Common Search & ComparisonClaim Assistant vs Claims Processor

The Claim Assistant and Claims Processor roles share similarities in work environment and required credentials, often working within insurance companies. The Claim Assistant typically supports claim handling by gathering information and coordinating with clients, while the Claims Processor focuses on reviewing, evaluating, and processing claims. Both roles are essential in the claims process, but the Claims Processor usually has more responsibility for decision-making and claim approval.

Is claims processing a stressful job?

Claims processing is a core responsibility of claim assistants, involving reviewing and managing insurance claims, which can be stressful due to tight deadlines, high workload, and the need for accuracy. The job requires attention to detail, communication skills, and sometimes working under pressure, especially during peak periods or complex cases.

What cities near Madison, WI are hiring for Claim Assistant jobs?

Cities near Madison, WI with the most Claim Assistant job openings:

Claim Assistant jobs near you
Infographic showing various Claim Assistant job openings in Madison, WI as of August 2026, with employment types broken down into 2% As Needed, 73% Full Time, 20% Part Time, 1% Temporary, and 4% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $44,117 per year, or $21.2 per hour.

Administrative Assistant (Disability Program) - Madison, WI (On-site)

Gainwell Technologies LLC

Madison, WI • On-site

$29K - $41K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 25 days ago

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 82 frontline employees who took The Breakroom Quiz

139th of 246 rated software companies

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

Gainwell Technologies is seeking detail-oriented and customer-focused professionals to support Disability Determination Bureau (DDB) programs. As a Disability Program Administrative Assistant, you will play a vital role in supporting disability claim processing by communicating with claimants, healthcare providers, employers, and other stakeholders while maintaining accurate electronic documentation and ensuring timely case progression.

Your role in our mission
  • Communicate with claimants, healthcare providers, employers, attorneys, and other stakeholders to obtain information needed to support disability claims.
  • Maintain accurate electronic documentation, case notes, and claim files while ensuring confidentiality and data integrity.
  • Review, process, and organize medical records and supporting documentation to facilitate timely claim processing.
  • Research discrepancies, resolve documentation issues, and follow established procedures to ensure compliance with program requirements.
  • Collaborate with supervisors and team members to support operational goals, customer service excellence, and continuous process improvement.
What we're looking for
  • High school diploma or equivalent with two (2) or more years of administrative support, customer service, healthcare support, insurance, claims processing, or call center experience.
  • Experience working in a high-volume telephone environment with strong verbal and written communication skills.
  • Strong organizational skills, attention to detail, and the ability to accurately document information while maintaining confidentiality.
  • Proficiency with Microsoft Office applications and the ability to quickly learn new systems and technology.
  • Experience supporting healthcare, disability services, medical records, claims processing, government programs, or other regulated environments is preferred.
What you should expect in this role
  • Work on-site five days per week while supporting disability determination programs that help individuals access important services.
  • Spend a significant portion of your day communicating with claimants, healthcare providers, employers, and other business partners by telephone.
  • Manage electronic documentation, medical records, and case information while maintaining high standards of accuracy and confidentiality.
  • Receive comprehensive training, ongoing support, and opportunities for professional growth.
  • Join a collaborative team committed to delivering exceptional customer service and improving health outcomes for the communities we serve.

The deadline to submit applications for this posting is 8/31/2026.

#LI-ONSITE

#LI-JT1

The pay range for this position is $29,100 - $41,600 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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