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Claims Processing Jobs in Madison, WI (NOW HIRING)

thg

Sr Adjuster Field Claims

Milwaukee, WI

$64K - $85K/yr

Deliver empathetic, clear communication throughout the claims process. Educate claimants and stakeholders, affirm next steps, and ensure a positive customer experience. * May represent the company in ...

thg

Sr Adjuster Field Claims

Milwaukee, WI

$64K - $85K/yr

Deliver empathetic, clear communication throughout the claims process. Educate claimants and stakeholders, affirm next steps, and ensure a positive customer experience. * May represent the company in ...

Horace Mann

Group Claims Support Specialist

Madison, WI · On-site

$21.44 - $29.16/hr

Key Responsibilities Claims Administration & Processing * Support Group Claims Examiners by gathering, verifying, and entering claim information into the claims management system. * Prepare, organize ...

Corvel

Indemnity Claims Specialist

Madison, WI · Remote

$51K - $83K/yr

The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Sedgwick

Claims Representative, Auto

Madison, WI · On-site

$50K - $55K/yr

Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. * Develops and ...

Rural Mutual Insurance

Desk Auto Claims Adjuster

Madison, WI · On-site

$49K - $65K/yr

We are seeking an experienced Desk Auto Claims Adjuster to independently manage moderate-complexity ... processes, and valuation methods. • Experience evaluating liability and handling minor bodily ...

AprilAire

Sales Data Analyst-LTE

Madison, WI · On-site

We are seeking a detail-oriented and analytical professional to provide immediate support for a high-volume sales claims processing function. This temporary part-time opportunity is designed to help ...

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Claims Processing information

See Madison, WI salary details

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How much do claims processing jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for claims processing in Madison, WI is $19.31, according to ZipRecruiter salary data. Most workers in this role earn between $16.49 and $20.82 per hour, depending on experience, location, and employer.

What is the difference between Claims Processing vs Claims Adjuster?

AspectClaims ProcessingClaims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; often state licensing or certifications
Work EnvironmentOffice-based, administrative settingFieldwork and office-based, investigative environment
Industry UsageInsurance companies, healthcare providersInsurance companies, claims departments
Job FocusReviewing and processing claims for paymentInvestigating 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.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, communication skills, and the ability to handle complex or difficult cases, which can contribute to job stress. However, workload and stress levels vary depending on the employer and work environment.

What do claims processing specialists do?

Claims processing specialists review and evaluate insurance claims to determine coverage and payment amounts. They verify information, process claims using specialized software, and ensure compliance with policies and regulations. Strong attention to detail and knowledge of insurance procedures are essential for this role.

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.

How to get a job as a claims processing?

To get a job in claims processing, candidates typically need a high school diploma or equivalent, strong attention to detail, and good communication skills. Relevant experience in customer service or administrative roles can be beneficial, and familiarity with claims management software is often preferred. Certifications such as the Certified Claims Professional (CCP) can enhance prospects.

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

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 cities near Madison, WI are hiring for Claims Processing jobs?

Cities near Madison, WI with the most Claims Processing job openings:

Claims Processing jobs near you
Infographic showing various Claims Processing job openings in Madison, WI as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $40,174 per year, or $19.3 per hour.

Group Claims Support Specialist

Horace Mann

Madison, WI

Full-time

Re-posted yesterday

Job description

IntroductionWe’re motivated by the fact that educators take care of our children’s future, and we believe they deserve someone to look after theirs. We help educators identify their financial goals and develop plans to achieve them. This includes insurance to protect what they have today and financial products to help them prepare for their future.

Overview

At Horace Mann, we're committed to helping educators and their families through life's important moments. As a Group Claims Support Specialist, you'll play a vital role in supporting our Group Claims team by ensuring claims are processed efficiently, documentation is accurate, and customers receive timely, responsive service.

This position is ideal for a detail-oriented professional who enjoys organization, collaboration, and providing exceptional support in a fast-paced environment. You'll work closely with Group Claims Examiners while gaining valuable experience across Life, Disability, and other Group Insurance products.

Responsibilities

Claims Administration & Processing

  • Support Group Claims Examiners by gathering, verifying, and entering claim information into the claims management system.
  • Prepare, organize, and maintain complete and accurate electronic claim files.
  • Set up new claims and maintain accurate records throughout the claim lifecycle.
  • Scan, upload, index, and manage electronic and physical claim documents.
  • Assist with claim filing, archiving, retrieval of archived files, and other administrative support activities.

Document & Workflow Management

  • Review incoming mail, electronic correspondence, faxes, and documents for completeness and appropriate routing.
  • Evaluate disability applications for required documentation and request additional information from applicants or employers when necessary.
  • Route claim documentation to the appropriate Claims Examiner.
  • Set up and maintain disability claim records within the paperless claims management system.
  • Update policy and employer information within internal systems, including PolicyPro and Microsoft Access.

Customer & Business Partner Support

  • Respond to routine inquiries from policyholders, beneficiaries, employers, and business partners regarding claim status.
  • Prepare and distribute correspondence, reports, commission checks, FICA billings, and other claim-related communications.
  • Process vendor and medical provider invoices for payment.
  • Collaborate with internal teams to ensure timely and accurate claim support.

Operational Excellence

  • Generate reports and summaries to support claims operations and management.
  • Participate in special projects and departmental initiatives as assigned.
  • Maintain high standards of accuracy, confidentiality, and service while meeting established productivity and quality expectations.
  • Identify opportunities to improve workflows and support continuous process improvement. 

Requirements

Required

  • High School Diploma or GED.
  • Strong organizational skills with exceptional attention to detail.
  • Excellent verbal and written communication skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Strong customer service and interpersonal skills.

Preferred

  • Bachelor's degree in a related field or equivalent work experience.
  • Experience in an administrative, operations, or support role within the insurance or financial services industry.
  • Familiarity with claims administration or claims management systems.
  • Working knowledge of Microsoft Office Suite, including Word, Excel, Outlook, and Access.

Skills & Competencies

  • Detail-oriented with a strong focus on quality and accuracy
  • Excellent organizational and time management skills
  • Strong analytical and problem-solving abilities
  • Ability to work independently and collaboratively
  • Customer-focused with a commitment to service excellence
  • Adaptable and eager to learn new systems and processes

Apply