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Claims Manager Jobs in Wisconsin (NOW HIRING)

MLabs

WI · On-site

$50 - $75/hr

The client provides end-to-end insurance claims management for over 50 insurers and Managing General Agents (MGAs). Supported by top-tier venture backing and state-of-the-art technology, the ...

CBCS

Claims Account Manager

Madison, WI · On-site

We are seeking an experienced Account Manager with strong Third-Party Administrator (TPA) or claims experience to manage client relationships and drive performance across auto liability, general ...

AXA Group

WI · On-site

$139 - $219/hr

Managing and resolving Primary Duty to Defend and Excess Professional Liability claims in accordance with established Claim Department guidelines, service standards, and state regulations.

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All JobsClaims JobsClaims Manager JobsClaims Manager Jobs in Wisconsin

Claims Manager information

See Wisconsin salary details

$35.3K

$88.7K

$140.3K

How much do claims manager jobs pay per year?

As of Sep 6, 2026, the average yearly pay for claims 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 does a claims manager do?

A Claims Manager oversees the processing and resolution of insurance claims within an organization. Their responsibilities include evaluating claims, ensuring compliance with company policies and legal regulations, and managing a team of claims adjusters or examiners. Claims Managers work to ensure claims are handled efficiently and fairly, often acting as a point of escalation for complex or disputed cases. They also analyze data to improve claims processes and mitigate risk. Effective communication and leadership skills are essential in this role.

What skills and qualifications are needed to be a claims manager?

To thrive as a Claims Manager, you need expertise in insurance policies, risk assessment, and claims processing, usually supported by a degree in business, finance, or a related field. Familiarity with claims management software, regulatory compliance tools, and industry certifications such as AIC (Associate in Claims) is typically required. Strong analytical thinking, negotiation skills, and effective communication help you manage complex cases and lead teams successfully. These skills and qualities are vital for ensuring accurate claims resolution, minimizing financial loss, and maintaining client trust.

How does a claims manager balance high case volumes with thorough and accurate claim assessments?

Claims Managers often face the challenge of managing a large number of claims while maintaining quality and compliance. To address this, they implement efficient workflows, delegate tasks among team members, and use claims management software to automate routine processes. Regular team meetings and performance tracking help ensure that each claim is processed accurately and within regulatory timelines. Strong organizational skills and effective communication are key to balancing these demands and supporting both claimants and internal stakeholders.

What is the difference between Claims Manager vs Claims Adjuster?

AspectClaims ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experienceUsually requires a high school diploma or bachelor’s degree, with certifications like AIC or CPCU preferred
Work EnvironmentOversees claims departments, manages teams, and develops policies within insurance companiesEvaluates individual claims, investigates damages, and determines settlement amounts
Employer & Industry UsageCommonly employed in insurance companies, handling claims processes and team managementFound in insurance firms, adjusting claims directly with policyholders and providers

In summary, Claims Managers oversee the claims process and manage teams, requiring leadership skills and industry certifications. Claims Adjusters focus on evaluating individual claims, investigating damages, and determining payouts. Both roles are essential in the insurance industry but differ in scope and responsibilities.

How much do claims managers make in the US?

Claims managers in the US typically earn a median annual salary of around $80,000 to $100,000, with experienced professionals and those in senior roles earning over $120,000. Salaries vary based on location, industry, and level of experience, and many claims managers hold certifications such as the CPCU or ARM to advance their careers.

What is the role of a claims manager?

A claims manager oversees the processing and settlement of insurance claims, ensuring accuracy and compliance with policies. They evaluate claim validity, coordinate with adjusters and clients, and may use claims management software to streamline operations.
More about Claims Manager jobs

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

The most popular types of Claims jobs in Wisconsin are:

What are popular job titles related to Claims Manager jobs in Wisconsin?

For Claims Manager jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Claims Manager jobs in Wisconsin look for?

The top searched job categories for Claims Manager jobs in Wisconsin are:

What cities in Wisconsin are hiring for Claims Manager jobs?

Cities in Wisconsin with the most Claims Manager job openings:

Claims Manager jobs near you
Infographic showing various Claims 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 Specialist (Full Time)

OAKLEAF CLINICS INC

Eau Claire, WI • On-site

$20/hr

Full-time

Re-posted 15 days ago

Job description

OakLeaf Clinics – Business Office has an exciting opportunity to join our growing team as a Claims Specialist!

OakLeaf Clinics is dedicated to providing our patients with compassion, trust, and a lifetime of individualized care. Our healthcare team consists of physicians, nurse practitioners, physician assistants, dietitians, nurses, respiratory therapists and medical assistants working in concert with laboratory/imaging services to offer individualized care to the Chippewa Valley.

Position Description

As a Claims Specialist, you are responsible for working the life cycle of a claim to the highest level and ensuring that all patient information is accurate and up to date within our EHR system. This includes but is not limited to preparing, researching, following up on unpaid claims, processing denials, and researching payer trends.

Responsibilities

  • Follow up on unpaid claims, process denials, researching payer trends
  • Review under and overpayments using clearinghouse to find variances, work claim source rejections, and send payment appeals to insurances
  • Provide billing expertise to clients about insurance filing requirements and payer trends.
  • Maintain an approachable and positive attitude when interacting with all levels of personnel in a rapidly changing environment
  • Receives notices of claim rejections & denials then properly track and resolve issues to ensure claim payments are processed accurately and timely including, sorting, scanning, faxing, and loading records on portals
  • Perform troubleshooting for billing, coding, payment posting, credentialing and prior authorization errors
  • Work with Customer Service, Coding, Payment Posting, Credentialing and Prior Authorization departments and clinical staff to identify and resolve issues
  • Maintain accurate billing analysis reports and communicate implications promptly to the appropriate party
  • Notify the leadership of late/overdue claims and insurance issues or changes
  • Answer inquiries about claim denials from patients/insurance and go into detail
  • Work denials, follow up on outstanding claims, initiate appeals
  • Work myChart questions
  • Work on divisional items in work queues specific to claims with no response, denials, missing attachments, etc.
  • Other duties as assigned
  • Work a flexible schedule within the clinic or department hours based on clinical demand or need

Qualifications

  • Associate’s degree in health information management technology - Preferred
  • Previous experience in a clinic setting - Preferred
  • 2 years medical coding and/or billing experience - Preferred
  • RHIT, CCS, CCS-P, CPC, COC credentials – Preferred
  • Possess a thorough understanding of claims management, payer denials and remittance codes
  • Experience in and extensive knowledge of insurance payer rules
  • Excellent interpersonal skills and comfortable working in a flexible team environment
  • Experience with CPT and ICD-10 coding preferred
  • Experience working in Epic – Preferred
  • Multi-task quickly effectively in a fast-paced environment
  • Must have excellent verbal and written communication skills
  • Effective customer relation skills, ability to organize and interpret data

Salary: From $20 per hour, commensurate with experience
Job Type: Full Time, Monday-Friday
Experience: Claims, Billing