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Claim Processor Jobs in Wisconsin (NOW HIRING)

Church Mutual Insurance, S.I.

Claim Processor

Milwaukee, WI · On-site

$16.75 - $21.25/hr

Process basic claims by verifying coverage, obtaining and documenting necessary information for the claim, and issuing appropriate payments as directed. On any given day, you'll: * Process newly ...

Church Mutual Insurance

Claim Processor

Merrill, WI · On-site

$18.50 - $23.25/hr

Process basic claims by verifying coverage, obtaining and documenting necessary information for the claim, and issuing appropriate payments as directed. On any given day, you'll: * Process newly ...

TEKsystems

Claims Analyst

Brookfield, WI · Remote

$19.25/hr

Research and gather additional information from providers, members, or other sources when necessary to support claim processing. * Process approved claims for payment while maintaining ...

TEKsystems

Claims Analyst

Menasha, WI · Remote

$19.25/hr

Research and gather additional information from providers, members, or other sources when necessary to support claim processing. * Process approved claims for payment while maintaining ...

Pavago

WI · On-site

$49K - $64K/yr

This is an execution-focused role for a highly organized professional who can independently manage day-to-day medical billing operations while ensuring timely claim processing, denial resolution ...

CareOregon, Inc.

Payment Integrity Analyst

Oregon, WI · On-site

... processing. Estimated Hiring Range: $32.06 - $39.19 Bonus Target: Bonus - SIP Target, 5% Annual ... Review vendor overpayment suggestions for accuracy, adherence to scope, claim recovery activities ...

Innio

Lead Warranty Specialist

Waukesha, WI · On-site

The Lead Warranty Specialist will manage the warranty claim process for INNIO Waukesha Gas Engines Inc. product offerings, ensuring fair and timely resolution for both the business and the customer.

INNIO

Lead Warranty Specialist

Waukesha, WI · On-site

The Lead Warranty Specialist will manage the warranty claim process for INNIO Waukesha Gas Engines Inc. product offerings, ensuring fair and timely resolution for both the business and the customer.

INNIO

Lead Warranty Specialist

Waukesha, WI · On-site

The Lead Warranty Specialist will manage the warranty claim process for INNIO Waukesha Gas Engines Inc. product offerings, ensuring fair and timely resolution for both the business and the customer.

INNIO

Lead Warranty Specialist

Waukesha, WI · On-site

The Lead Warranty Specialist will manage the warranty claim process for INNIO Waukesha Gas Engines Inc. product offerings, ensuring fair and timely resolution for both the business and the customer.

INNIO

Lead Warranty Specialist

Waukesha, WI · On-site

Managing the warranty claim process and negotiating fair settlements that are satisfactory to both the business and the customer * Overseeing the return and disposition of material as needed 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 Sep 13, 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 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 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 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.

Is claim processing hard?

Claim processing is a detail-oriented job that requires strong organizational skills, attention to accuracy, and familiarity with insurance policies and claims systems. While it can involve repetitive tasks, many claim processors find it manageable with proper training and experience. The difficulty level varies depending on the complexity of claims and the work environment.

What do you need to be a claim processor?

To be a claim processor, you typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Familiarity with claims processing software and basic knowledge of insurance policies are also important. Some positions may require prior experience in customer service or administrative roles.

What is a claims processing job?

A claims processing job involves reviewing, verifying, and managing insurance claims to determine their validity and appropriate payout. Claim processors use specialized software and follow company policies to ensure accurate and timely processing of claims, often requiring attention to detail and knowledge of insurance policies.

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 August 2026, with employment types broken down into 80% Full Time, 18% Part Time, and 2% Contract. Highlights an 80% Physical, 6% Hybrid, and 14% Remote job distribution, with an average salary of $40,236 per year, or $19.3 per hour.

Claim Processor

Milwaukee, WI • On-site

Church Mutual Insurance, S.I.
See more jobs at Church Mutual Insurance, S.I.external

$16.75 - $21.25/hr

Full-time

Posted 5 days ago

Job description

What you'll be doing:
In accordance with application of state and federal laws and company best practices, provide claimants and insureds with clear and correct instructions regarding the claim process. Process basic claims by verifying coverage, obtaining and documenting necessary information for the claim, and issuing appropriate payments as directed.
On any given day, you'll:
  • Process newly reported claims, initiate basic claim investigation, and redirect moderate and complex claims to a higher level Claim Representative as required.
  • Perform Claim Processing System entry and maintenance, including file setup, coverage verification, applicable coding, establishing reserves, and issuing payments.
  • Verify coverage and determine our obligation(s) to the insured and/or claimant.
  • Review claims to determine type of claim presented, claim documentation/evidence presented, amount of claim, or amount due.
  • Establish and monitor case reserves for adequacy during the life of the claim.
  • Review loss for subrogation potential and refer to the Subrogation Specialist, if appropriate.
  • Provide additional instruction to insured or request additional information.
  • Submit necessary state filings and create and send appropriate required state notices and letters.
  • Complete the claim process by obtaining and reviewing support documentation in accordance with existing state laws and fee schedules and make appropriate payments.
  • Assist other claim handlers as requested.

Here's what we expect:
  • Two years of insurance processing and/or equivalent customer service work experience.
  • Prior claim processing experience is preferred.

Education:
  • High school diploma or equivalent is required. Associate degree in insurance or business preferred.
  • Additional courses in insurance and/or medical terminology desirable.

Necessary Knowledge and Abilities:
  • Ability to obtain and maintain state adjusting license requirements and complete continuing education requirements.
  • Ability to deal effectively and provide positive customer service with insureds and claimants by phone, email, and in writing.
  • Proficient keyboarding skills.
  • Able and willing to follow instructions.
  • Possess a positive attitude.
  • Ability to handle rush or unexpected assignments.
  • Ability to acquire knowledge of insurance terminology.

Church Mutual is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Exact compensation will vary based on consideration of a variety of factors including education, skills, experience, and location.

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