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Claim Processor Jobs in Wisconsin (NOW HIRING)

The Reserves Network Inc

Call Center

Glendale, WI

$20/hr

Claim Processing - accurately and promptly. * Customer Service call center * Prepare communications and reports as requested. * Attend training and department programs/meetings. Qualifications and ...

Elevance Health

Subrogation Analyst

Waukesha, WI · On-site

Identify, monitor and evaluate claim data to determine relatedness and reimbursement amounts ... Applicants who require accommodation to participate in the job application process should submit ...

Elevance Health

Subrogation Analyst

Waukesha, WI

Identify, monitor and evaluate claim data to determine relatedness and reimbursement amounts ... Applicants who require accommodation to participate in the job application process may contact ...

Ourhrconnect

$74K - $97K/yr

Develop new and review old stop loss claim forms. Assist with internal auditing of claims auditors ... It is our policy to provide equal opportunities in all phases of the employment process and to ...

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Claim Processor information

See Wisconsin salary details

$12

$19

$26

How much do claim processor jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for claim processor in Wisconsin is $19.34, according to ZipRecruiter salary data. Most workers in this role earn between $16.49 and $20.87 per hour, depending on experience, location, and employer.

What is a Claim Processor?

A Claim Processor is a professional who reviews and handles insurance claims submitted by policyholders or healthcare providers. Their main responsibilities include verifying the accuracy of claim information, ensuring all required documentation is provided, and determining whether a claim is valid under the policy terms. Claim Processors work with various types of insurance, such as health, auto, or property, and play a crucial role in ensuring timely and accurate payments. They may also communicate with customers, providers, and adjusters to resolve any discrepancies or additional information requests.

What job makes $10,000 a month without a degree?

A claim processor typically earns between $3,000 and $6,000 per month, so earning $10,000 monthly without a degree is uncommon in this role. High earnings in such jobs often depend on experience, certifications, or working in specialized or high-demand industries. Generally, roles with high income potential without a degree include sales, real estate, or certain entrepreneurial ventures, but they may require skills, networking, or licensing.

What is the role of a claims processor?

A claims processor reviews and evaluates insurance claims to determine their validity and the appropriate payout. They verify information, ensure compliance with policies, and process payments using claims management software, often working within strict deadlines. Attention to detail and knowledge of insurance policies are essential for this role.

What are some typical challenges a Claim Processor might face in their daily work?

Claim Processors often handle high volumes of paperwork and data entry, which can be challenging when ensuring accuracy and meeting tight deadlines. They may also need to interpret complex policy details or resolve discrepancies in submitted claims, requiring strong attention to detail and problem-solving skills. Additionally, Claim Processors frequently interact with policyholders, healthcare providers, or other internal teams, so effective communication and the ability to manage stressful situations professionally are important for success.

What jobs pay 2000 a day?

Claim processors typically do not earn $2,000 a day; their salaries are usually based on hourly wages or salaries. High-paying roles in finance, consulting, or specialized medical fields may reach that level, but they often require extensive experience, certifications, or advanced skills. Most jobs paying $2,000 daily are in executive, consulting, or entrepreneurial roles rather than standard claim processing positions.

What do you need to be a claims processor?

To become a claims processor, candidates typically need a high school diploma or equivalent, strong attention to detail, good organizational skills, and familiarity with claims processing software or computer systems. Some positions may require prior experience in insurance or customer service. Certifications are not usually mandatory but can enhance job prospects.

What is the difference between Claim Processor vs Claims Examiner?

AspectClaim ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance certifications preferred
Work EnvironmentOffice settings, insurance companies, healthcare providersOffice settings, insurance companies, healthcare providers
Employer & Industry UsageInsurance companies, healthcare providers, third-party administratorsInsurance companies, third-party administrators, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing claims for accuracy, compliance, and coverage decisions

While both Claim Processors and Claims Examiners work within the insurance industry handling claims, Claim Processors primarily focus on data entry and initial processing of claims. Claims Examiners review claims for accuracy and compliance, making decisions on claim approval or denial. The roles often overlap, but Claims Examiners typically require more experience or certifications and perform more in-depth analysis.

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

To thrive as a Claim Processor, you need strong attention to detail, analytical skills, and a basic understanding of insurance policies, usually supported by a high school diploma or equivalent. Familiarity with claims management software, data entry systems, and sometimes certification such as AIC (Associate in Claims) is common. Excellent organizational skills, clear communication, and the ability to handle sensitive information with discretion help individuals excel in this role. These skills ensure accurate and timely processing of claims, minimize errors, and maintain customer satisfaction and regulatory compliance.
What are the most commonly searched types of Claim Processor jobs in Wisconsin? The most popular types of Claim Processor jobs in Wisconsin are:
Claim Processor jobs near you
Infographic showing various Claim Processor job openings in Wisconsin as of June 2026, with employment types broken down into 51% Full Time, and 49% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $40,236 per year, or $19.3 per hour.
Sr. Claim Manager, Third Party Litigation (Hybrid: Madison, WI/Waverly, IA)

Sr. Claim Manager, Third Party Litigation (Hybrid: Madison, WI/Waverly, IA)

CUNA Mutual Group

Madison, WI • On-site

$104K - $156K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

At TruStage, we're on a mission to make a brighter financial future accessible to everyone. We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what's possible. We need you to help us shape what's next. You'll be encouraged to share your experiences, ideas and skills to help others take control of their financial future.
Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition
Job Purpose:
This position is responsible for the day-to-day operations and providing direct leadership and management to front line claims staff. Ensures timely and effective application of TruStage policies and processes and is accountable for team goals related to customer service and compliance with best practices. Provides claim file directions and assistance with complex claim issues resolution. Must maintain effective communication with field staff, home office personnel, outside vendors, and external customers. May participate in quality assurance and reviews and work on special projects to best meet the needs of the department. Contributes to the development of functional/team strategy. Has authority to hire, coach, develop, evaluate, and terminate team members.
Senior Manager Achieves operational objectives by contributing information and recommendations to strategic plans and reviews; prepares and completes action plans; implements productivity, quality, and/or customer-service standards; resolves problems; identifies trends; determines system improvements. Sr. Managers achieve department objectives by managing professional staff. They enforce ethical practices, meet fiscal targets, and manage budgets.
Job Responsibilities:
  • Coordinate operational and leadership responsibilities to ensure consistent achievement of team results, quality, and customer service

  • Drive team results based upon established quality objectives, team, and individual performance metrics; monitor, track, and address team results

  • Review and evaluate customer satisfaction, quality, and financial results to identify risks and mitigate any potential loss

  • Coach, motivate, recognize, and develop professional claim staff.

  • Monitor and document claim processes/guidelines for effectiveness and efficiency, identifying and implementing process improvements

  • Participate in Claim organization strategy initiatives and projects in collaboration with the Claim Operations team

  • Collaborate with Claim Operations leaders regarding the selection and ongoing management of outside vendors

  • Demonstrated ability to lead, coach, and develop others effectively

  • Strong interpersonal, leadership, negotiation, analytical, and critical thinking skills

  • Proven ability to clearly and effectively communicate information to internal/external clients via telecommunications equipment

The above statement of duties is not intended to be all inclusive and other duties will be assigned from time to time.
Job Requirements:
  • Bachelors Degree in Insurance or business or applicable experience.

  • Five or more years of insurance industry experience, including prior experience in claim management.

  • At least two (2) years of leadership/management experience.

  • Demonstrated ability to effectively lead, coach, and develop others.

  • Strong interpersonal, leadership, negotiation, analytical, and critical thinking skills.

  • Proven ability to clearly and effectively communicate information to internal/external clients via telecommunications equipment.

If you're ready to help make a difference, apply today. A resume is required to apply. TruStage may process applicant information using an Artificial Intelligence (AI) tool. This tool automatically generates a screening score based on how well applicant information matches the requirements and qualifications for the position. TruStage recruiters use the screening score as a guide to further evaluate candidates; the score is one component of an application review and does not automatically determine whether a candidate moves forward. Candidates may choose to opt out of this process.
Compensation may vary based on the job level, your geographic work location, position incentive plan and exemption status.
Base Salary Range:
$104,200.00 - $156,300.00
At TruStage, we believe a sound, inclusive benefits program is of vital importance, along with a flexible workplace that allows for work-life balance, career growth and retirement assistance. In addition to your base pay, your position may be eligible for an annual incentive (bonus) plan. Additional benefits available to eligible employees include medical, dental, vision, employee assistance program, life insurance, disability plans, parental leave, paid time off, 401k, and tuition reimbursement, just to name a few. Beyond pay and benefits, we also recognize that flexibility, including working in a place you prefer, is essential to caring for our employees. We will continue to strive to offer flexibility and invest in technology and other tools that will make hybrid working normal rather than an exception, so that when "life happens," you can focus on what's most important.
Accommodation request
TruStage is a place where everyone can bring their best self and thrive. If you need application or interview process accommodations, please contact the accessibility department.

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