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Claim Manager Jobs in Plover, WI (NOW HIRING)

Sanford Health

Manager, Claims

Marshfield, WI · Remote

Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of ... Understands the details of professional and institutional claim processing which includes how ...

Acrisure

Account Manager

Stevens Point, WI · On-site

About The Role The Commercial Lines Large Account Manager will havea primaryresponsibility for ... Handles initial report of claims andfollowingup to ensure that the claim is properly progressing ...

Alera Group

Personal Lines Account Manager

Stevens Point, WI · On-site

$43K - $59K/yr

Submit and support claims with carriers, assisting clients through escalated claim issues as needed ... Ability to manage multiple priorities, meet deadlines, and work independently with attention to ...

Beltone

Patient Care Coordinator

Marshfield, WI · On-site

$17 - $18/hr

This role focuses on managing the clinic, building patient relationships, understanding patients ... and insurance claim processing. * Maintain all daily, weekly and monthly reports and tracking ...

Beltone

Patient Care Coordinator

Marshfield, WI · On-site

$17 - $18/hr

This role focuses on managing the clinic, building patient relationships, understanding patients ... and insurance claim processing. * Maintain all daily, weekly and monthly reports and tracking ...

Gn

Patient Care Coordinator

Marshfield, WI

$17 - $18/hr

This role focuses on managing the clinic, building patient relationships, understanding patients ... and insurance claim processing. * Maintain all daily, weekly and monthly reports and tracking ...

Beltone

Patient Care Coordinator

Marshfield, WI · On-site

$17 - $18/hr

This role focuses on managing the clinic, building patient relationships, understanding patients ... and insurance claim processing. * Maintain all daily, weekly and monthly reports and tracking ...

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Claim Manager information

See Plover, WI salary details

$34.2K

$85.9K

$135.9K

How much do claim manager jobs pay per year?

As of Aug 26, 2026, the average yearly pay for claim manager in Plover, WI is $85,927.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,500.00 and $102,700.00 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 cities near Plover, WI are hiring for Claim Manager jobs?

Cities near Plover, WI with the most Claim Manager job openings:

Claim Manager jobs near you
Infographic showing various Claim Manager job openings in Plover, WI as of August 2026, with employment types broken down into 83% Full Time, 16% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $85,927 per year, or $41.3 per hour.

Manager, Claims

Sanford Health

Marshfield, WI • Remote

Full-time

Medical

Re-posted 3 days ago

Sanford Health rating

6.8

Company rating: 6.8 out of 10

Based on 556 frontline employees who took The Breakroom Quiz

499th of 893 rated healthcare providers

Job description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.

Work Shift:

8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours:

40

Compensation:

Union Position:

No

Department Details

This position allows some work from home options as well as a flexible schedule

Summary

The Claims Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the areas of health insurance claims submitted by providers and patients for processing.

Job Description

Responsible for the implementation and day-to-day performance of process activities related to claims research and resolution. The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as other departments in the organization. Responsible for the interviewing, hiring, discipline of employees and any other personnel issues that arise. Completes performance appraisals. Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that the Sanford Health Plan services and how to differentiate services. Understands the details of professional and institutional claim processing which includes how benefits are assigned and pricing is calculated. Works to help develop and maintain claims policies and procedures. Must communicate effectively with a high level of diplomacy. Demonstrates analytical ability and a good awareness of pertinent details. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgement in determining the best method for handling a variety of situations. Maintains good working relationships with staff, physicians, and enrollees. Handles pressure effectively. Maintains confidentiality. Other duties as assigned.

Qualifications

Bachelor's degree preferred.
Three years in a team lead or management role in claims processing or similar environment required.

Sanford is an EEO/AA Employer M/F/Disability/Vet.


If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

What Sanford Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Sanford Health

Sourced by ZipRecruiter

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Industry

Health care and social assistance and hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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