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Claims Processor Jobs in Wisconsin (NOW HIRING)

Greenix Pest Control

Claims Agent

Waukesha, WI · On-site

Reporting directly to the Claims Manager, this role entails the acquisition, documentation, research, and processing of claims on behalf of the company, internally. Moreover, candidates should ...

Greenix Pest Control

Claims Agent

Waukesha, WI · On-site

Reporting directly to the Claims Manager, this role entails the acquisition, documentation, research, and processing of claims on behalf of the company, internally. Moreover, candidates should ...

Sanford Health

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 ...

Radiant Info Systems Ltd

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 ...

PacificSource

Claims Team Leader

Oregon, WI · On-site

$51 - $81/hr

Assure claims processing, production and quality meet department and company standards. Evaluate performance of team members. Analyze results of performance reports for each team member to determine ...

New

Auxiant

Claims Examiner

Madison, WI · On-site

Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...

Auxiant

Claims Examiner

Madison, WI · On-site

Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...

Auxiant

Claims Examiner

Madison, WI · On-site +1

Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...

Auxiant

Claims Examiner

Madison, WI · On-site

Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients. Essential Functions: * Process claims in a timely manner with ...

Imedica

Director, Claims Operations

Madison, WI · On-site

$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 ...

TEKsystems

Claims Analyst

Menasha, WI · Remote

$19.25/hr

Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while ...

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All JobsClaims Processor JobsClaims Processor Jobs in Wisconsin

Claims Processor information

See Wisconsin salary details

$12

$19

$26

How much do claims processor jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for claims processor 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 a claims processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

What does a claims processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.

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

To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

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

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

Do you need a degree to be a claims processor?

A degree is not typically required to become a claims processor, as most employers prioritize relevant skills such as attention to detail, communication, and familiarity with claims processing software. Many positions accept candidates with a high school diploma or equivalent, and on-the-job training is often provided. Certifications in claims or insurance can enhance job prospects but are not mandatory.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that requires attention to detail and organizational skills. While it can involve handling high volumes of claims and meeting deadlines, stress levels vary depending on workload, workplace environment, and individual resilience. Proper training and time management can help mitigate stress in this job.
More about Claims Processor jobs

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

The most popular types of Claims Processor jobs in Wisconsin are:

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

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

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

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Cities in Wisconsin with the most Claims Processor job openings:

What are popular job titles related to Claims Processor jobs in WI?

For Claims Processor jobs in WI, the most frequently searched job titles are:

Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Wisconsin as of August 2026, with employment types broken down into 89% Full Time, 9% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $40,236 per year, or $19.3 per hour.

Claims Agent

Greenix Pest Control

Waukesha, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Greenix rating

6.7

Company rating: 6.7 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

19th of 35 rated pest control companies

Job description

Job Description:
ROLE SUMMARY
We are seeking a dedicated individual to join our Claims Department as a Claims Agent, an entry-level position pivotal to our operational success. The ideal candidate will demonstrate exceptional attention to detail, adept problem-solving abilities, and robust organizational skills, coupled with the capacity to effectively prioritize urgent tasks.
Operating within a collaborative team environment, the Claims Agent will uphold a positive and professional demeanor while executing their responsibilities. Reporting directly to the Claims Manager, this role entails the acquisition, documentation, research, and processing of claims on behalf of the company, internally.
Moreover, candidates should exhibit proficiency in navigating challenging conversations and possess negotiation skills essential for effective resolution.
If you are enthusiastic about contributing to a dynamic team and possess the requisite skills and demeanor, we encourage you to apply for this exciting opportunity.
This is a nonexempt role, with an expected schedule of 7:00am to 4:00pm Mon-Fri.
ABOUT GREENIX
Join one of the fastest growing businesses in Utah! Greenix has been recognized as one of "Utah's Fast 50" businesses for 3 years running and named "Utah's Emerging 8" businesses to watch. We have also been recognized by the Salt Lake Tribune and USA Today as a Top Workplace in 2023 and 2024! By sticking to our core values, we are redefining the pest control service industry.

  • Building Lasting Relationships
  • Going Beyond
  • Creating Opportunities
  • Doing What Is Right, Always
If our core values resonate with you, we would be excited to add you to our team.
DUTIES & RESPONSIBILITIES
  • Communicate with customers, employees, vendors, and insurance providers via phone and email to collect information and documentation needed for claims.
  • Take statements from internal and external parties to establish timelines, facts, and liability
  • Manage claims from initial intake through investigation, coordination, and closure, ensuring all actions are accurately recorded in the claims management system.
  • Review documentation, photos, estimates, and reports to confirm coverage, assess liability, and support fair, cost-effective resolutions.
  • Maintain detailed notes and supporting records to ensure complete, compliant claim files.
  • Apply general knowledge of Greenix products, services, and application methods when assessing property or service-related incidents.
  • Collaborate closely with the Claims Manager and the rest of the team to ensure claim accuracy, consistency, and timely resolution.
  • Uphold a high level of professionalism, confidentiality, and discretion when handling sensitive information.
  • Identify recurring issues or trends in claims data and share insights that support safety and process improvements.
  • Participate in ongoing training and development to maintain technical knowledge and strengthen claim-handling skills.
QUALIFICATIONS & REQUIREMENTS
Required
  • High school diploma or equivalent; some college or specialized training preferred.
  • Minimum 2 years of experience in claims, insurance, customer service, or a related field.
  • Strong organizational skills and ability to manage multiple cases simultaneously.
  • Excellent written and verbal communication skills.
  • Demonstrated ability to handle confidential information and make sound decisions.
Preferred
  • Experience handling property, auto, or workers' compensation claims.
  • Familiarity with OSHA standards and state workers' comp regulations.
  • Technical aptitude for reviewing documentation, damage assessments, or medical records.
  • Proficiency with Microsoft Office, SharePoint, and data-tracking systems.
WHAT WE OFFER
  • Medical insurance with subsidized premiums for employees and enrollees.
  • Dental, vision, disability, accident, and life insurance options.
  • 401(k) retirement program with a company match.
  • Employee assistance program (EAP), offering support for emotional, financial, legal, health, or work-related struggles for you and your dependents.
  • Paid leave for all of life's reasons.
  • Pest control company discount (if you live within our territory).

As part of our dedication to the diversity of our workforce, Greenix is committed to Equal Employment Opportunity. Applicants will receive consideration for employment without regard for race, color, gender, religion, national origin, disability, veteran status, military status, age, marital status, sexual orientation, gender identity, genetic information or any other protected group status. We are also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application and employment procedures.

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