Manager, Claims
Marshfield, WI · Remote
The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as ...
Manager, Claims
Marshfield, WI · Remote
The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as ...
Claims Manager
Milwaukee, WI · On-site
The manager must empower staff in meeting performance objectives and provide accurate and timely claims processing in accordance with State and Federal regulations. This position reports directly to ...
Claims Manager
Milwaukee, WI · On-site
The manager must empower staff in meeting performance objectives and provide accurate and timely claims processing in accordance with State and Federal regulations. This position reports directly to ...
Level II Level III 1 Analyzes and processes minimum of 200 claims daily to determine plan liability; reviews payment Purchased Referred Care, medical, dental and vision claims Analyzes and processes ...
Level II Level III 1 Analyzes and processes minimum of 200 claims daily to determine plan liability; reviews payment Purchased Referred Care, medical, dental and vision claims Analyzes and processes ...
Insurance Claims Examiner II
WI · On-site
Level II Level III 1 Analyzes and processes minimum of 200 claims daily to determine plan liability; reviews payment Purchased Referred Care, medical, dental and vision claims Analyzes and processes ...
Insurance Claims Examiner II
WI · On-site
Level II Level III 1 Analyzes and processes minimum of 200 claims daily to determine plan liability; reviews payment Purchased Referred Care, medical, dental and vision claims Analyzes and processes ...
Foreign Claims Processor
Madison, WI · On-site
$18.50/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor
Madison, WI · On-site
$18.50/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor
Madison, WI · On-site +1
$18.50/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor
Madison, WI · On-site +1
$18.50/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor
Madison, WI · On-site
$18.50/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor
Madison, WI · On-site
$18.50/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor
Monona, WI · On-site
$18.50/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
New
Foreign Claims Processor
Monona, WI · On-site
$18.50/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
New
Foreign Claims Processor
Madison, WI · On-site +1
$18.50/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor
Madison, WI · On-site +1
$18.50/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Be Seen First
Claims Specialist - Employee Benefits
Hartland, WI · On-site
$23 - $25/hr
Includes a high volume of claims processing, issuance of reimbursements, plan changes, status changes, enrollments, responding to client and participant inquiries, plan set-up in administration ...
Quick apply
Be Seen First
Claims Specialist - Employee Benefits
Hartland, WI · On-site
$23 - $25/hr
Includes a high volume of claims processing, issuance of reimbursements, plan changes, status changes, enrollments, responding to client and participant inquiries, plan set-up in administration ...
Be Seen First
Claims Specialist - Employee Benefits
Waukesha, WI · On-site
$23 - $25/hr
Includes a high volume of claims processing, issuance of reimbursements, plan changes, status changes, enrollments, responding to client and participant inquiries, plan set-up in administration ...
Quick apply
Be Seen First
Claims Specialist - Employee Benefits
Waukesha, WI · On-site
$23 - $25/hr
Includes a high volume of claims processing, issuance of reimbursements, plan changes, status changes, enrollments, responding to client and participant inquiries, plan set-up in administration ...
Claims Analyst
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Quick apply
Claims Analyst
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Claims Analyst
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Quick apply
Claims Analyst
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Claims Analyst
Pewaukee, WI · On-site
$21.83/hr
Vision insurance Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and ...
Quick apply
Claims Analyst
Pewaukee, WI · On-site
$21.83/hr
Vision insurance Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and ...
Foreign Claims Processor (Bargaining Unit role)
Madison, WI · Remote
$17.75/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor (Bargaining Unit role)
Madison, WI · Remote
$17.75/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Director, Claims Operations
$113K - $194K/yr
Provide end-to-end oversight of claims processing from intake through adjudication and payment * Own performance management across daily, monthly, and quarterly KPIs, ensuring controls and actions ...
Director, Claims Operations
$113K - $194K/yr
Provide end-to-end oversight of claims processing from intake through adjudication and payment * Own performance management across daily, monthly, and quarterly KPIs, ensuring controls and actions ...
Foreign Claims Processor (Bargaining Unit role)
Monona, WI · On-site
$17.75/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
New
Foreign Claims Processor (Bargaining Unit role)
Monona, WI · On-site
$17.75/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
New
Foreign Claims Processor (Bargaining Unit role)
Madison, WI · On-site
$17.75/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor (Bargaining Unit role)
Madison, WI · On-site
$17.75/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor (Bargaining Unit role)
Madison, WI · On-site +1
$17.75/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor (Bargaining Unit role)
Madison, WI · On-site +1
$17.75/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor (Bargaining Unit role)
Madison, WI · On-site
$17.75/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Foreign Claims Processor (Bargaining Unit role)
Madison, WI · On-site
$17.75/hr
One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. * Ability to effectively utilize ...
Claims Processing information
See Wisconsin salary details
$12.13 - $13.46
2% of jobs
$13.46 - $14.78
6% of jobs
$14.78 - $16.10
9% of jobs
$16.79 is the 25th percentile. Wages below this are outliers.
$16.10 - $17.43
14% of jobs
$17.43 - $18.75
18% of jobs
The median wage is $18.79 / hr.
$18.75 - $20.07
17% of jobs
$20.80 is the 75th percentile. Wages above this are outliers.
$20.07 - $21.40
16% of jobs
$21.40 - $22.72
7% of jobs
$22.72 - $24.04
4% of jobs
$24.04 - $25.37
4% of jobs
$25.37 - $26.69
2% of jobs
$12
$19
$26
How much do claims processing jobs pay per hour?
As of Jul 1, 2026, the average hourly pay for claims processing 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 the difference between Claims Processing vs Claims Adjuster?
| Aspect | Claims Processing | Claims Adjuster |
|---|---|---|
| Credentials | High school diploma or equivalent; certifications vary | High school diploma; often state licensing or certifications |
| Work Environment | Office-based, administrative setting | Fieldwork and office-based, investigative environment |
| Industry Usage | Insurance companies, healthcare providers | Insurance companies, claims departments |
| Job Focus | Reviewing and processing claims for payment | Investigating claims, determining liability and settlement |
Claims Processing involves reviewing and managing insurance claims to ensure proper payment, focusing on administrative tasks. Claims Adjusters investigate claims, assess damages, and determine liability. While both roles work within the insurance industry, Claims Processing is more administrative, whereas Claims Adjusters are investigative and evaluative.
What are some common challenges faced by professionals in claims processing, and how can they be managed effectively?
Professionals in claims processing often deal with high volumes of work, tight deadlines, and complex cases that require attention to detail. Managing these challenges involves staying organized, utilizing claims management software efficiently, and continuously updating knowledge of insurance policies and regulations. Effective communication with team members and other departments is also crucial to resolve discrepancies quickly and ensure accurate claim adjudication. Many organizations offer ongoing training and mentorship to help staff adapt to changes and improve efficiency.
What are the key skills and qualifications needed to thrive as a Claims Processor, and why are they important?
To thrive as a Claims Processor, you need a solid understanding of insurance policies and claims procedures, typically supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with claims management software, data entry systems, and basic office applications is essential. Strong attention to detail, analytical thinking, and effective communication skills help you resolve claims accurately and efficiently. These skills ensure the timely and proper handling of claims, enhancing customer satisfaction and minimizing errors or fraudulent activity.
What is claims processing?
Claims processing is the procedure by which insurance companies or organizations review and manage claims submitted by policyholders or clients. This involves verifying the details of the claim, ensuring all necessary documentation is provided, assessing the validity of the claim, and determining the appropriate payout or resolution. Claims processors play a crucial role in ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulations.
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 are popular job titles related to Claims Processing jobs in Wisconsin? For Claims Processing jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Claims Processing jobs in Wisconsin look for? The top searched job categories for Claims Processing jobs in Wisconsin are:
- Manager Death Claims
- Remote Tpa Claims Adjuster
- Freelance Car Insurance Claims Adjuster
- Remote 1099 Claims Adjuster
- Assistant Bilingual Claims Adjuster
- Assistant Claims Examiner
- Remote Cognizant Claims Processing
- Monday Through Friday Cigna Claims Representative
- Remote Workers Compensation Claims Assistant
- Claims Professional
What cities in Wisconsin are hiring for Claims Processing jobs? Cities in Wisconsin with the most Claims Processing job openings:
Sanford Health rating
6.8
Based on 529 frontline employees who took The Breakroom Quiz
483rd of 877 rated healthcare providers
Job description
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.
Work Shift:
8 Hours - Day Shifts (United States of America)Scheduled Weekly Hours:
40Compensation:
Union Position:
NoDepartment Details
This position allows some work from home options as well as a flexible scheduleSummary
The Claims Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the areas of health insurance claims submitted by providers and patients for processing.Job Description
Responsible for the implementation and day-to-day performance of process activities related to claims research and resolution. The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as other departments in the organization. Responsible for the interviewing, hiring, discipline of employees and any other personnel issues that arise. Completes performance appraisals. Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that the Sanford Health Plan services and how to differentiate services. Understands the details of professional and institutional claim processing which includes how benefits are assigned and pricing is calculated. Works to help develop and maintain claims policies and procedures. Must communicate effectively with a high level of diplomacy. Demonstrates analytical ability and a good awareness of pertinent details. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgement in determining the best method for handling a variety of situations. Maintains good working relationships with staff, physicians, and enrollees. Handles pressure effectively. Maintains confidentiality. Other duties as assigned.Qualifications
Bachelor's degree preferred.Three years in a team lead or management role in claims processing or similar environment required.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.
What Sanford Health employees say
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About Sanford Health
Sourced by ZipRecruiter
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Industry
Health care and social assistance and hospitals
Company size
10,000+ Employees
Headquarters location
Sioux Falls, SD, US