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Claims Processor Jobs in Wisconsin (NOW HIRING)

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 ...

Imedica

Director, Claims Operations

Madison, WI

$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 ...

Medica

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 ...

battleface

Claims Adjuster

Stevens Point, WI · On-site

Process invoices through cost-containment networks * Maintain clear, timely updates to customers, providers, and partners on claim status * Document thoroughly in the claims system and ensure ...

battleface

Claims Adjuster

Stevens Point, WI

Process invoices through cost-containment networks * Maintain clear, timely updates to customers, providers, and partners on claim status * Document thoroughly in the claims system and ensure ...

Vizance, Inc

Senior Claims Advisor

Hartland, WI · On-site

This individual is central to both the proactive and reactive claims processes and serves as a trusted advisor and subject matter expert across the organization WHY JOIN VIZANCE? Vizance has nearly ...

Vizance

Senior Claims Advisor

Hartland, WI · On-site

This individual is central to both the proactive and reactive claims processes and serves as a trusted advisor and subject matter expert across the organization WHY JOIN VIZANCE? Vizance has nearly ...

Vizance, Inc.

Senior Claims Advisor

Hartland, WI

This individual is central to both the proactive and reactive claims processes and serves as a trusted advisor and subject matter expert across the organization WHY JOIN VIZANCE? Vizance has nearly ...

Sedgwick

Claims Representative, Recovery

Wausau, WI · On-site

Analyzes and processes complex claims, works with high exposure claims involving litigation, and ensures ongoing claims within service expectations, industry best practices and specific client ...

Acrisure

Claims Assistant

Middleton, WI

$17 - $19/hr

Processes corrections to data error crits as required. * Completes manual Medicare query of claims at the CMS COB&R site as needed and documents the digital claim record. * Processes class code ...

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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 Jul 27, 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 jobs pay 500,000 a year in the US?

Claims processors typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, or ownership of a business. Most claims processing roles have salaries well below this threshold.

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.

Is claim adjusting a dying field?

Claims processing is a stable field that involves reviewing and settling insurance claims, often requiring attention to detail and knowledge of insurance policies. While automation and AI tools are increasingly used to streamline tasks, the need for human claims adjusters remains, especially for complex cases and customer interactions.

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.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that involves reviewing and verifying insurance claims. While it can involve tight deadlines and attention to detail, the level of stress varies depending on workload, workplace environment, and individual coping skills.

What is the role of a claims processor?

A claims processor reviews and evaluates insurance claims to determine their validity and the appropriate payout. They verify information, ensure compliance with policies, and process payments using claims management software, often working within strict deadlines. Attention to detail and knowledge of insurance policies are essential for 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.

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 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 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.
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:
What are popular job titles related to Claims Processor jobs in Wisconsin? 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:
What cities in Wisconsin are hiring for Claims Processor jobs? 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 July 2026, with employment types broken down into 87% Full Time, 10% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $40,236 per year, or $19.3 per hour.
Manager, Claims

Manager, Claims

Sanford Health

Marshfield, WI • Remote

Full-time

Medical

Posted 3 days ago

Sanford Health rating

6.8

Company rating: 6.8 out of 10

Based on 538 frontline employees who took The Breakroom Quiz

493rd of 890 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:

40

Compensation:

Union Position:

No

Department Details

This position allows some work from home options as well as a flexible schedule

Summary

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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Benefits

Hours and flexibility

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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

Social media

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