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Claim Manager Jobs in Wisconsin (NOW HIRING)

Network Health

Claims Analyst II

Menasha, WI · On-site +1

... management policies, etc. * Reviews home office claims for payment up to $18,000.00. * Reviews claims for re-pricing. Enters eligible claim data into appropriate WRAP network re-pricing website.

Network Health WI

Claims Analyst II

Menasha, WI · On-site

... management policies, etc. * Reviews home office claims for payment up to $18,000.00. * Reviews claims for re-pricing. Enters eligible claim data into appropriate WRAP network re-pricing website.

Madison, City of (WI)

Risk Manager

Madison, WI

$118K - $143K/yr

Manage the City's workers' compensation program, including managing the City's claim Third-Party Administrator (TPA). Participate in settlement discussions, mediations, hearings and trials regarding ...

Catalyst Career Group

Be Seen First

Sales Manager

Milwaukee, WI · On-site

$66K - $80K/yr

We are hiring Field Specialists/Sales Managers to assess and diagnose storm damage to residential properties and assist homeowners with the insurance claim process. Field Representatives educate ...

CRC Group

WI · On-site

$140 - $210/hr

Manage, review, and approve all expenses incurred on a claim.6. Oversee and Manage all Risk Transfer opportunities as warranted 7. Timely, professionally, and accurately report claims to reinsurers ...

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 ...

Vizance, Inc

Senior Claims Advisor

Hartland, WI · On-site

Serve as a resource for escalated claim concerns and ensure resolution * Lead and manage all aspects of the claims function at Vizance * Provide technical claims guidance to support the Sales and ...

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 ...

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Showing results 41-60

All JobsClaim JobsClaim Manager JobsClaim Manager Jobs in Wisconsin

Claim Manager information

See Wisconsin salary details

$35.3K

$88.7K

$140.3K

How much do claim manager jobs pay per year?

As of Aug 18, 2026, the average yearly pay for claim manager in Wisconsin is $88,683.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,600.00 and $106,000.00 per year, depending on experience, location, and employer.

What is a claim manager?

Claim Managers are professionals responsible for overseeing and managing insurance claims within an organization. They ensure that claims are processed efficiently, fairly, and in compliance with policy terms and relevant regulations. Claim Managers often supervise a team of adjusters and examiners, review complex claims, resolve disputes, and communicate with policyholders, legal teams, and other stakeholders. Their work helps protect the financial interests of both the insurer and the insured.

What are some common challenges claim managers face when handling complex claims, and how can they effectively overcome them?

Claim Managers often encounter challenges such as coordinating between multiple stakeholders, interpreting nuanced policy language, and managing high volumes of complex cases simultaneously. Effectively overcoming these challenges requires strong organizational skills, clear communication, and the ability to make well-informed decisions under pressure. Building collaborative relationships with adjusters, legal teams, and clients, as well as staying updated on industry regulations, helps Claim Managers resolve claims efficiently while maintaining compliance and customer satisfaction.

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

To thrive as a Claim Manager, you need strong analytical skills, deep knowledge of insurance policies and claims processes, and typically a bachelor's degree in business, finance, or a related field. Familiarity with claims management software, risk assessment tools, and relevant certifications such as AIC (Associate in Claims) are common requirements. Excellent negotiation, problem-solving, and communication skills help you effectively resolve claims and liaise with clients and stakeholders. These skills ensure efficient and fair claim resolutions, contributing to client satisfaction and minimizing company risk.

What is the difference between Claim Manager vs Claims Adjuster?

AspectClaim ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU, AIC), and experience in claims handlingOften requires a high school diploma or associate degree; certifications like AIC are common but not mandatory
Work EnvironmentManages teams, oversees claims processes, and develops policies; often in an office settingInvestigates claims, assesses damages, and makes settlement decisions; may work in the field or office
Industry UsageUsed across insurance companies, especially in managerial and supervisory rolesCommonly employed in insurance companies, adjusting claims directly with clients and providers

In summary, Claim Managers oversee the claims process and manage teams, requiring more experience and certifications, while Claims Adjusters focus on investigating and settling individual claims, often with less formal education.

How much do claim managers make in the US?

Claim managers in the US typically earn a median annual salary of around $75,000 to $85,000, with experienced professionals and those in senior roles earning over $100,000. Salaries vary based on location, industry, and level of experience, and the role often requires strong negotiation and claims processing skills.

What are the most commonly searched types of Claim jobs in Wisconsin?

The most popular types of Claim jobs in Wisconsin are:

What cities in Wisconsin are hiring for Claim Manager jobs?

Cities in Wisconsin with the most Claim Manager job openings:

Claim Manager jobs near you
Infographic showing various Claim Manager job openings in Wisconsin as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $88,683 per year, or $42.6 per hour.

Claims Analyst II

Network Health

Menasha, WI • On-site, Remote

Full-time

Posted 12 days ago

Job description

Network Health’s success is rooted in its mission to create healthy and strong Wisconsin communities. This mission drives the decisions we make, including the people we choose to join our growing team.

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established policies and procedures. Key responsibilities of this position include the following:

  • Adjudicate claims by following departmental policies, operating memos, and corporate guidelines.
  • Resolve claims and related issues in compliance with policy provisions.
  • Compare claims applications and provider statements with policy files and other records to ensure completeness and validity.
  • Process payments for claims that are approved.

This position plays a vital role in ensuring accurate and efficient claims processing, contributing to the overall success of Network Health.
Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required), at our office in Brookfield or Menasha, or a combination of both in our hybrid workplace model.
Hours: 1.0 FTE, 40 hours per week between 8am-5pm Monday through Friday.

Check out our 2025 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.

Job Responsibilities:

    • Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while maintaining a high level of confidentiality.
    • Reviews claims to ensure compliance with proper billing standards and completeness of information. 
    • Obtains additional information from appropriate person and/or agency as needed.  
    • Maintains department quality standards.
    • Maintains established department turn-around processing time. Maintain and/or improves individual production rate standards and department quality standards.
    • Identifies potential coordination of benefits (COB), Workers Compensation, and Subrogation issues and adjudicates claims accordingly.
    • Investigates and resolves pending claims in accordance with established time frames.  Identifies claims needing to be pended or suspended. Reviews pending claims timely and denies claims after established time frame is reached without resolution.
    • Monitors computerized system for claims processing errors and make corrections and/or adjustments as needed.
    • Keeps current on group contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc.
    • Reviews home office claims for payment up to $18,000.00.
    • Reviews claims for re-pricing.  Enters eligible claim data into appropriate WRAP network re-pricing website.  Overrides claims allowed amounts to apply internal/external discounts.
    • Appropriately documents attributes and memos for pertinent information related to claims payment.
    • Processes specialty claims (transplant, URN, COB) to determine appropriate pricing according to external contract.
    • Performs other duties and responsibilities as assigned. 

    Job Requirements:

    • High school diploma or equivalent preferred. 
    • 2-4 years claims processing experience required
    • Knowledge of current procedural terminology (CPT) and international classification of diseases (ICD-9 and ICD-10). Medical terminology, COB processing, subrogation.
    • Past experience using QNXT™ Claims Workflow a plus
    • Prior experience with ACA, Medicaid, or similar health plans preferred.
    • Coding experience preferred.

     

    Network Health is an Equal Opportunity Employer.

    Apply