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Claims Processing Manager Jobs in Wisconsin (NOW HIRING)

Progressive

Claims Adjuster Trainee

Appleton, WI · Hybrid

$54K - $57K/yr

In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team ...

Corvel

Claims Supervisor

Waukesha, WI · On-site

$73K - $113K/yr

Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Corvel

Claims Supervisor

Waukesha, WI · Remote

$73K - $113K/yr

Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Progressive

Claims Adjuster Trainee

Menomonie, WI · Hybrid

$54K - $57K/yr

In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team ...

Oshkosh Corporation

Claims Manager

Oshkosh, WI

$64K - $103K/yr

Manage claims pertaining to worker's compensation, short term disability, and FMLA in coordination ... If you need assistance or an accommodation due to disability for any part of the employment process ...

CorVel Corporation

Claims Supervisor

Waukesha, WI · Remote

$73K - $113K/yr

Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Progressive

Claims Adjuster Trainee

Eau Claire, WI · Hybrid

$54K - $57K/yr

In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team ...

Progressive

Claims Adjuster Trainee

Middleton, WI · Hybrid

$54K - $57K/yr

In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team ...

Progressive

Claims Adjuster Trainee

Hudson, WI · Hybrid

$56K - $60K/yr

In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team ...

Progressive

Claims Adjuster Trainee

Mcfarland, WI · Hybrid

$54K - $57K/yr

In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team ...

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All JobsClaims Processing JobsClaims Processing Manager JobsClaims Processing Manager Jobs in Wisconsin

Claims Processing Manager information

What are the primary challenges faced by a claims processing manager, and how can they be addressed?

Claims Processing Managers often navigate challenges such as ensuring timely and accurate claim adjudication, managing a team with varying workloads, and staying up to date with regulatory changes. Balancing efficiency with compliance requires strong organizational skills and effective communication. Successful managers foster a collaborative environment, implement regular training, and leverage technology to streamline processes, all while maintaining high standards of customer service and data integrity.

What does a claims processing manager do?

A Claims Processing Manager oversees the team responsible for reviewing, evaluating, and processing insurance claims. Their duties include ensuring claims are handled efficiently and accurately, developing procedures to improve workflow, and maintaining compliance with industry regulations. They also resolve complex or escalated claims issues, provide staff training, and report on performance metrics. The role requires strong leadership, analytical skills, and attention to detail to ensure a fair and timely claims process.

What are the key skills and qualifications needed to thrive as a claims processing manager?

To thrive as a Claims Processing Manager, you need expertise in insurance claims procedures, analytical skills, and a solid understanding of regulatory compliance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management software, workflow automation tools, and data analysis systems is typically required. Strong leadership, attention to detail, and effective communication are crucial soft skills that set top performers apart in this role. These abilities ensure accurate and efficient claims processing, regulatory adherence, and effective team management, all of which are vital for organizational success.
What are the most commonly searched types of Claims Processing jobs in Wisconsin? The most popular types of Claims Processing jobs in Wisconsin are:
What cities in Wisconsin are hiring for Claims Processing Manager jobs? Cities in Wisconsin with the most Claims Processing Manager job openings:
Claims Processing Manager jobs near you

Large Loss & Litigation Claims Manager

Society Insurance Company

Fond Du Lac, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Job Information

Job Title

Large Loss & Litigation Claims Manager 

Home Department:

Claims

Employment Status:

Exempt; Full-time

Schedule:

Flexible Scheduling Opportunities 

Position Location:

Remote Worker (States include: CO, GA, IA, IL, IN, MN, TN, TX, WI)

 

This position offers flexible remote/hybrid work scheduling and we are targeting candidates who are located within the 9 states which Society conducts business in. Visit us at https://societyinsurance.com/ to learn more.

 

 

Overview

Protecting our policyholders’ dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society.

Society Insurance is seeking an experienced Large Loss & Litigation Claims Manager to join our Claims team. The Large Loss and Litigation Claims Manager is responsible for leading the strategic oversight, direction, and resolution of complex, high-exposure commercial lines claims, including litigated matters and large loss files. This position provides technical guidance and leadership to claims professionals, collaborates with internal stakeholders and outside counsel, evaluates coverage and liability issues, and ensures claims are handled in accordance with company standards, regulatory requirements, and sound claim practices. The role requires strong judgment, advanced claims expertise, effective litigation management skills, and the ability to coach, develop, and support team members while driving fair, timely, and financially responsible claim outcomes.

About the Role 

  • Collaborates with Underwriting, Risk Control, and Marketing by providing feedback on claims trends.
  • Builds, maintains, and monitors key litigation metrics that drive strategic results that align closely with the pre-suit file handlers and management team in Claims. 
  • Utilizes department key performance measures and audit results as a tool for coaching adjusters.
  • Monitors state and department results and making adjustments to strategy as needed.
  • Maintains staff by recruiting, selecting, and training employees. Develops staff by coaching, mentoring, training, and providing personal growth opportunities. 
  • Provides staff with recommendations and actions to take when reviewing and analyzing damages, coverages, and liability issues.
  • Provides quality service by maintaining claims support quality and customer service standards, analyzing, initiating audits, and recommending system improvements.
  • Reviews department-related expenses for reasonableness and necessity.
  • Accomplishes claims support operations by managing claims support process; evaluating work results; and enforcing claims support productivity standards. 
  • Approves coverage counsel when needed and oversees training and development of House Counsel in being lead defense on cases.
  • Identifies the best use for House Counsel and identifies metrics to evaluate performance.
  • Directs defense of policyholders, legal guidance for claim representatives and company legal needs, or industry legal involvement.
  • Conducts audits on large losses and suit files; creates an audit database that focuses on expense control methods and key skills and/or strategies needed for successful resolution of suit cases.
  • Maintains a trial calendar and monitors cases for early review of pre-trial reports, conducts strategizing sessions with claim representatives, and submits case strategy to Claims Director. 
  • Manages litigation, processes and procedures, and vendor utilization and expense management.
  • Creates a review process of large exposure losses to ensure regular interaction with the claim representative and manager and ensures direction and strategy is clearly documented.
  • Provides Claims Director status updates of teams’ cases with resolution strategies and provides updates on all projects including hurdles and resource needs.
  • Provides legal updates and jury verdict results to Claim Managers on a quarterly basis.
  • Develops training programs and identifies expert speakers to address training needs of the department, and creates and educates department on litigation reduction programs.
  • Identifies, creates, and maintains monthly, quarterly, and annual reports needed by the Claims Director and department managers.


    • About You 

  • You enjoy coaching developing others.
  • You make timely decisions and take appropriate action – even when information is incomplete.
  • You assign responsibilities effectively and empowers others to take ownership.
  • You achieve goals by taking action, staying focused, and holding yourself and others accountable.
  • You use data, evidence, and sound judgment to make informed decisions.
  • You build commitment and morale while navigating organizational dynamics.
  • You design and improve processes to enhance efficiency and results.
  • You foster collaboration and trust to help teams work toward shared goals.


    • What it Will Take

  • Bachelors degree in business or related field and 10 years of experience in the direct handling of large loss and litigated files
     
     OR
     
     14 years of experience in the direct handling of large losses, litigated files and/or large property claims including investigations of auto accidents, liability claims, and fire losses (cause-and-origin) and subrogation.
  • Experience managing a team of claim representatives.
  • Ability to obtain and maintain proper licensing prior to handling a state where Society requires it.
  • Demonstrated commitment to ongoing professional development through on-the-job learning, insurance designations, seminars, conferences, or other relevant learning opportunities. 
  • Valid driver’s license and a satisfactory driving record.
  • Strong organizational skills and excellent verbal and written communication skills.
  • At least 5 years of experience managing a team of claims representatives highly desirable.


    • What Society Can Offer 

  • Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insurance
  • Retirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing Plan
  • Work-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting options
  • Education: Career Coaching; company-paid courses; student loan and tuition reimbursement
  • Community: Charitable Match; paid volunteer time; team sponsorships
  • Wellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more


    • Society Insurance prohibits discrimination and harassment of any type against applicants and employees on the basis of race, color, religion, sex, national origin, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or expression, or any other characteristic or status protected by federal, state or local laws. Society Insurance also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws.


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