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Claim Jobs in Wisconsin (NOW HIRING)

Claims Analyst

Menasha, WI ยท Remote

$19.25/hr

Verify claim accuracy, completeness, and compliance with billing standards. * Research and gather additional information from providers, members, or other sources when necessary to support claim ...

Claims Analyst

Brookfield, WI ยท Remote

$19.25/hr

Verify claim accuracy, completeness, and compliance with billing standards. * Research and gather additional information from providers, members, or other sources when necessary to support claim ...

Documenting claim activity accurately and consistently following CBCS Best Practices * Making timely decisions within your assigned authority to resolve claims efficiently * Submitting required state ...

To handle and analyze all OS&D issues from the initial call of the claim to resolution with the customer while minimizing Marten's liability exposure.. Please apply online at www.marten.com

To handle and analyze all OS&D issues from the initial call of the claim to resolution with the customer while minimizing Marten's liability exposure.. Please apply online at www.marten.com

To handle and analyze all OS&D issues from the initial call of the claim to resolution with the customer while minimizing Martens liability exposure.. Please apply online at www.marten.com

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Showing results 1-20

Claim information

See Wisconsin salary details

$14

$21

$28

How much do claim jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for claim in Wisconsin is $21.25, 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?

Claims are formal requests made by policyholders to an insurance company for coverage or compensation for a covered loss or policy event. When an insured event occurs, such as an accident or damage, the policyholder submits a claim to the insurer, who then evaluates it to determine if the loss is covered under the policy and the amount to be paid. The claims process involves documentation, assessment, and often interaction with claims adjusters. The goal is to help the insured recover from their loss as outlined in the insurance agreement.

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

To thrive as a Claims Adjuster, you need analytical skills, attention to detail, and knowledge of insurance policies, typically supported by a bachelor's degree or relevant experience. Familiarity with claims management software, estimating tools, and sometimes industry certifications like AIC (Associate in Claims) is important. Strong negotiation, communication, and customer service skills help manage claimants' expectations and resolve disputes effectively. These abilities ensure accurate claim assessments, regulatory compliance, and a positive customer experience.

What are some common challenges faced by claims professionals and how can they be effectively managed?

Claims professionals often encounter challenges such as interpreting complex policy language, managing high caseloads, and addressing customer concerns during stressful situations. Staying organized, maintaining clear communication with all parties, and leveraging technology for tracking claims can help manage these challenges. Additionally, collaborating closely with underwriters, legal teams, and customers ensures accuracy and efficiency throughout the claims process.

What is the difference between Claim vs Adjuster?

AspectClaimAdjuster
CredentialsMay require basic insurance knowledge, certifications varyOften requires licensing and specific insurance adjuster certifications
Work EnvironmentTypically involves submitting claims, customer service, administrative tasksInvolves investigating, evaluating, and settling insurance claims
Industry UsageUsed across insurance sectors for filing claimsUsed for assessing and settling claims in insurance companies
Search/Comparison IntentPeople compare Claim roles to understand filing processesPeople compare Adjuster roles to understand claim evaluation

In summary, a Claim generally refers to the process of submitting an insurance request, while an Adjuster is responsible for investigating and evaluating those claims to determine coverage and settlement. Both roles are integral to the insurance industry but focus on different stages of the claims process.

What is a job in claims?

A job in claims involves reviewing, investigating, and processing insurance claims to determine coverage and payout eligibility. Claims professionals often analyze documentation, communicate with clients and providers, and use specialized software to ensure accurate and efficient claim handling.

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 jobs?

Cities in Wisconsin with the most Claim job openings:

Infographic showing various Claim job openings in Wisconsin as of August 2026, with employment types broken down into 81% Full Time, 17% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution, with an average salary of $44,193 per year, or $21.2 per hour.

Claim Representative I

Merrill, WI โ€ข On-site

Full-time

Posted 6 days ago


Job description

What you'll be doing:
In accordance with application of state and federal laws and company best practices, handle low to moderate value claims within an assigned line of coverage, such as auto physical damage and property damage. Gather and review claim information, determine coverage, and conduct investigation. Initiate and maintain customer contact to provide updates and resolve any issues with the claim. Update information in the claim system to document claim handling activities. Determine/set reserves and make payments within level of authority. Investigate and refer identified claims to Loss Recovery Services, as applicable.
On any given day, you'll:
  • Perform claim tasks timely and document claim files appropriately. Proactively manage claim activities to ensure fair claim resolution. Handle all claims in accordance with state and federal laws.
  • Verify coverage at a foundational level by gathering adequate information necessary to make an informed decision in a fair, equitable, and ethical manner. Evaluate subrogation potential based on the applicability of policy language and/or governing state laws and statutes as appropriate.
  • With supervision, perform a thorough investigation and obtain pertinent file documentation (i.e., police report, medical records, estimates, photos, etc.). Upon completion of the investigation, analyze and evaluate the potential exposure and damages, including potential full or partial liability, compensability denials and subrogation potential as applicable. Formulate and document an action plan based on the covered damages and injuries.
  • Determine and set reserves based on the most probable outcome of the claim, within authority level. When applicable, evaluate and negotiate directly with insured, claimant or claimant's attorney on all cases within authority level. Make complete, accurate, and timely payments within authority for covered losses. Refer claims above authority to appropriate team member for review and potential reassignment.
  • Maintain a professional, courteous, and helpful approach when communicating in-person, on the phone, or through email and other correspondence with internal and external customers and business partners.
  • Recognize when vendor partners are required on a claim. Assign and direct vendors, as needed, to aid in the investigation and evaluation of the claim. Manage claim expense by concluding vendor assignment when vendor is no longer adding value to the claim.
  • Investigate and refer identified claims to Loss Recovery Services, as applicable.
  • Completes all other assigned duties, as requested.

Qualifications:
  • Bachelor's degree preferred. A combination of equivalent education and/or commercial insurance experience may be considered in lieu of a degree.
  • Additional training in commercial insurance, medical, and/or building terminology knowledge is desirable.
  • Prior insurance experience is beneficial.
  • Ability to obtain and maintain state adjusting license requirements and complete continuing education requirements.
  • Evidence of organizational skills, ability to prioritize and to think independently.
  • Strong listening, verbal and written communication skills.
  • Basic knowledge of policy terminology and legal principles involving at least one or more of the following: commercial insurance, automobile, medical and property claims.

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.