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Claims Processor Jobs in Madison, WI (NOW HIRING)

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 +1

$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 ...

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All JobsClaims Processor JobsClaims Processor Jobs in Madison, WI

Claims Processor information

See Madison, WI 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 Madison, WI is $19.32, 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 Madison, WI?

The most popular types of Claims Processor jobs in Madison, WI are:

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

What job categories do people searching Claims Processor jobs in Madison, WI look for?

The top searched job categories for Claims Processor jobs in Madison, WI are:

What cities near Madison, WI are hiring for Claims Processor jobs?

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

Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Madison, WI as of August 2026, with employment types broken down into 1% Internship, 81% Full Time, 14% Part Time, 2% Temporary, and 2% Contract. Highlights an 77% Physical, 5% Hybrid, and 18% Remote job distribution, with an average salary of $40,174 per year, or $19.3 per hour.

Claims Adjudicator (Temporary-6 months)

National Guardian Life Insurance Company

Madison, WI • Hybrid

Full-time

PTO

Re-posted 25 days ago

Job description

We are adding a Claims Adjudicator to our team!


Who We Are:

Since 1909, National Guardian Life Insurance Company (NGL) has been one of America's most successful and highly rated independent life insurance companies. We specialize in a suite of innovative products for life's journey, giving people the financial stability, careful guidance and peace of mind to lead a life filled with confidence, dignity and grace.

NGL's Core Values - integrity, dependability, collaboration, compassion and growth are a foundation of our company and help to build on the interactions we have with our policyholders, partners, funeral homes and each other. We believe in creating an inclusive, welcoming environment for all where diversity is celebrated, and everyone is encouraged to live their best, most authentic self. We offerEmployee Resource Groups for employees to get involved, learn, network, and offer professional and personal development opportunities.


With over 100 years of experience, our passion is to serve people.Learn more.


Work Environment:NGL offers a flexible work environment where employees can work fully remote, hybrid or onsite at our Madison, Wis. office. We support virtual working arrangements in certain states outside of WI.


A Day in the Life:

The Claims Adjudicator is responsible for processing claims, effectively communicating and corresponding with external and internal customers including policyholders, agents, funeral directors, and beneficiaries. Additional responsibilities include processing various types of claims and service requests along with providing phone support accurately within or exceeding existing service goals. In this role, work is performed under general supervision. The position requires the need to conduct additional research and to accurately document all findings as deemed appropriate.

Primary Responsibilities:

  • Accurately adjudicate claims within stated service goals.
    • Follow established written processing procedures
    • Verify proper forms are received according to state regulation
    • Accurately enter and process:
      • Whole life
      • Term Life
      • Universal life & Interest sensitive
      • Acquisition Preneed
      • Final Expense
      • Preneed
      • Trust claims including Tru Trust, NGL Funeral Expense Trust, and NGL Estate Planning Trust
      • Preneed Texas including accurate reconciliation and file documentation verification.
      • Annuities
      • Contestable claims including referring claims to Underwriting as needed.
      • Rider claims including accidental death, child/family rider, and spouse rider.
    • Accurately calculate cost basis on basic annuity claims
    • Follow-up timely on all claims in writing within state regulated time frames
  • Provide phone support for all claims related calls and letter correspondence
    • Ability to effectively communicate, with empathy when appropriate, to our customers verbally, in writing, and via email
    • Ability to actively listen and appropriately respond to others
    • Provide phone support for claims related calls while maintaining team service goals
    • Contact agents, funeral homes beneficiaries, and other customers to obtain missing information when needed
    • Prepare proper correspondence for all steps in the claim process and as needed to respond to customer inquires
  • Team Work
    • Ability and willingness to work with others in a team environment
    • Participate in group decision making, listening, and responding constructively to others
    • Offer help to teammates when the need arises
    • Manage and adjust personal time off, breaks, and lunches to insure sufficient team coverage
    • Help ensure that team standards and goals are maintained
  • Problem Solve
    • Transfer knowledge from one process and apply it to another like process regarding common situations
    • Able to gather most needed data and petition input to help recognize the symptoms and root causes of distinct problems
    • Examine defined issues with ambiguous causes
    • Suggest alternative approaches that meet the needs or the organization, the situation, and those involved
    • Resolve difficulties and escalate issues with suggestions for additional inquiry
  • Accurately research insured status
    • Follow established written processing procedures
    • Search databases to confirm Insured status
    • Update spreadsheets and document appropriately
  • Complete assigned projects, tasks, and/or milestones by agreed upon due dates including performing other related work as requested or required


Schedule: This is full-time hourly position. Employees have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30am-4:00pm or 8:30am-5:00pm CST, Monday - Friday. Hybrid schedule as needed for department coverage.


Essential to Your Success:

  • Intermediate knowledge of NGL and acquisition products and procedures
  • Intermediate communication skills--oral and written
  • General PC and office machine knowledge
  • Typing skills of at least 45 words per minute and 5500 keystrokes per hour alphanumeric
  • Knowledge of basic accounting skills
  • Ability to work in a team environment
  • Organized and detail oriented
  • Ability to quickly search the Internet and other databases


Education Requirements:

  • Minimum: High School or GED
  • Preferred: Other
    • LOMA Level I Certificate
    • LOMA ACS
    • Wisconsin Preneed Certification


Years of Experience:

    • One year claims processing experience or equivalent business experience.
    • Two years customer service or insurance/financial experience preferred.


    NGL is committed to creating a diverse environment and is an Equal Opportunity Employer. Qualified applicants will be considered for employment without regard to race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

    NGL is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contacthrmadison@nglic.com.

    Apply