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Claims Processor Jobs in Madison, WI (NOW HIRING)

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 ...

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Showing results 21-40

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 Aug 16, 2026, the average hourly pay for claims processor 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 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 Madison, WI?

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

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

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, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% 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 2 days ago

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