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Claims Processor Jobs in Wisconsin (NOW HIRING)

Network Health

Claims Analyst II

Brookfield, WI · On-site +1

Process payments for claims that are approved. This position plays a vital role in ensuring accurate and efficient claims processing, contributing to the overall success of Network Health. Location:

Network Health WI

Claims Analyst II

Menasha, WI · On-site

Process payments for claims that are approved. This position plays a vital role in ensuring accurate and efficient claims processing, contributing to the overall success of Network Health. Location:

CSAA

$43K - $56K/yr

  • Retirement

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Auto Claims Adjuster - Remote Requisition Number R7891 Commercial Auto Claims ...

CSAA

$49K - $64K/yr

  • Retirement

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Auto Claims Adjuster - Remote Requisition Number R7891 Commercial Auto Claims ...

CSAA

$53K - $69K/yr

  • Retirement

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Auto Claims Adjuster - Remote Requisition Number R7891 Commercial Auto Claims ...

Great American Insurance Group

$20 - $27/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Verify coverage, process claim-related transactions, and support payment and financial processing ... Experience in claims operations, claims processing, claims support, or a related insurance ...

Trane Technologies plc

Claims Specialist

La Crosse, WI · On-site

  • Medical

  • Retirement

  • PTO

Subject Matter Expert in claims processes and be able to articulate those processes to others, when required. Administer, review, and process claims as assigned. Responsibilities: * Review, analyze ...

Trane Technologies plc

Claims Specialist

La Crosse, WI

  • Medical

  • Retirement

  • PTO

Review, analyze and process claims per policies and procedures. * Assist offices, plants, and others with claim entry, approval, processes, and policies. * Work on process improvement projects, as ...

trane technologies

Claims Specialist

La Crosse, WI · On-site

  • Medical

  • Retirement

  • PTO

Review, analyze and process claims per policies and procedures. * Assist offices, plants, and others with claim entry, approval, processes, and policies. * Work on process improvement projects, as ...

Progressive

Claims Adjuster Trainee

Appleton, WI · Hybrid

$54K - $57K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

Menomonie, WI · Hybrid

$54K - $57K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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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Showing results 21-40

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 Aug 16, 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 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 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?

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.

Do you need a degree to be a claims processor?

A claims processor typically does not need a college degree, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include attention to detail, communication, and familiarity with claims processing software, and some positions may offer on-the-job training or certification programs.

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 August 2026, with employment types broken down into 1% Internship, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $40,236 per year, or $19.3 per hour.

Claims Analyst II

Network Health

Brookfield, WI • On-site, Remote

Full-time

Posted 10 days ago

Job description

Network Health’s success is rooted in its mission to create healthy and strong Wisconsin communities. This mission drives the decisions we make, including the people we choose to join our growing team.

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established policies and procedures. Key responsibilities of this position include the following:

  • Adjudicate claims by following departmental policies, operating memos, and corporate guidelines.
  • Resolve claims and related issues in compliance with policy provisions.
  • Compare claims applications and provider statements with policy files and other records to ensure completeness and validity.
  • Process payments for claims that are approved.

This position plays a vital role in ensuring accurate and efficient claims processing, contributing to the overall success of Network Health.
Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required), at our office in Brookfield or Menasha, or a combination of both in our hybrid workplace model.
Hours: 1.0 FTE, 40 hours per week between 8am-5pm Monday through Friday.

Check out our 2025 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.

Job Responsibilities:

    • Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while maintaining a high level of confidentiality.
    • Reviews claims to ensure compliance with proper billing standards and completeness of information. 
    • Obtains additional information from appropriate person and/or agency as needed.  
    • Maintains department quality standards.
    • Maintains established department turn-around processing time. Maintain and/or improves individual production rate standards and department quality standards.
    • Identifies potential coordination of benefits (COB), Workers Compensation, and Subrogation issues and adjudicates claims accordingly.
    • Investigates and resolves pending claims in accordance with established time frames.  Identifies claims needing to be pended or suspended. Reviews pending claims timely and denies claims after established time frame is reached without resolution.
    • Monitors computerized system for claims processing errors and make corrections and/or adjustments as needed.
    • Keeps current on group contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc.
    • Reviews home office claims for payment up to $18,000.00.
    • Reviews claims for re-pricing.  Enters eligible claim data into appropriate WRAP network re-pricing website.  Overrides claims allowed amounts to apply internal/external discounts.
    • Appropriately documents attributes and memos for pertinent information related to claims payment.
    • Processes specialty claims (transplant, URN, COB) to determine appropriate pricing according to external contract.
    • Performs other duties and responsibilities as assigned. 

    Job Requirements:

    • High school diploma or equivalent preferred. 
    • 2-4 years claims processing experience required
    • Knowledge of current procedural terminology (CPT) and international classification of diseases (ICD-9 and ICD-10). Medical terminology, COB processing, subrogation.
    • Past experience using QNXT™ Claims Workflow a plus
    • Prior experience with ACA, Medicaid, or similar health plans preferred.
    • Coding experience preferred.

     

    Network Health is an Equal Opportunity Employer.

    Apply