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Claims Processor Jobs in Madison, WI (NOW HIRING)

Datavant

CPC Processor Customer Support

Madison, WI · On-site

Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents * Ability to stay organized while working quickly. Strong attention to detail is also ...

New

Mercyhealth

Internal Auditor

Janesville, WI · On-site

$58K - $94K/yr

Evaluate claims processing activities for adherence to industry best practices, federal and state regulatory requirements, organizational policies and procedures, provider contracts, and applicable ...

Mercy Health Corporation

Internal Auditor

Janesville, WI · On-site

$58K - $94K/yr

Evaluate claims processing activities for adherence to industry best practices, federal and state regulatory requirements, organizational policies and procedures, provider contracts, and applicable ...

Posted today

Mercyhealth

Internal Auditor

Janesville, WI

$58K - $94K/yr

Evaluate claims processing activities for adherence to industry best practices, federal and state regulatory requirements, organizational policies and procedures, provider contracts, and applicable ...

Medica

Tech Delivery Manager - Claims

Madison, WI · On-site

$113K - $194K/yr

Process Optimization: Contribute to product roadmaps and architectural enablers. Attend Agile/SAFe ... Advanced knowledge of Claims systems and product delivery * Advanced understanding of tech ...

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Claims Processor information

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$12

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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.

Workers Compensation Claims Supervisor - WI

Gallagher

Madison, WI • Remote

Full-time

Re-posted 18 days ago

Arthur J. Gallagher & Co. rating

7.6

Company rating: 7.6 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

211th of 308 rated insurance

Job description

Introduction
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Overview

Role specifics: 

  • Claims Background: Workers Compensation
  • Prior leadership experience: 1-2+ years of supervisory experience
  • Jurisdictional  experience: WI, IA
  • Licenses: IA
  • Location: This role is eligible for fully remote work. 

How you'll make an impact

Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver high-quality and efficient service. 

 
Promote Best Practices: Guide claims team to handle claims in accordance with GB’s Best Practices. 

 
Drive Talent: Take charge of adjuster hiring and training, encouraging a culture of performance and continuous improvement. 

 
Manage Workloads: Define team goals, motivate performance, and effectively manage workloads to ensure optimal efficiency. 

 
Utilize Technology: Harness the power of Gallagher's technology to enhance your team's efficiency and overall quality of service. 

 
Client Communication: Communicate with clients, carriers, and brokers in a professional, positive, and proactive manner. 

 
Prioritize and Develop: Effectively manage multiple competing priorities, identify coaching opportunities, and position team members for successful development. 


About You

Required Qualifications: 

  • High School Diploma
  • Minimum of 10 years related claims experience
  • Appropriately licensed and/or certified in all states in which claims are being handled
  • Knowledge of all team member related functions 

Desired:  

  • Bachelor's Degree 

#LI-KD1

#LI-Remote

#WorkersComp


Compensation and benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

  • Competitive compensation
  • Comprehensive benefits programs designed to support your well-being 
  • Career development opportunities and ongoing learning 
  • A collaborative, people-first culture with accessible leadership 
  • The opportunity to do meaningful work with global reach and local impact 

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)

Qualifications:

Required Qualifications: 

  • High School Diploma
  • Minimum of 10 years related claims experience
  • Appropriately licensed and/or certified in all states in which claims are being handled
  • Knowledge of all team member related functions 

Desired:  

  • Bachelor's Degree 

#LI-KD1

#LI-Remote

#WorkersComp

Education:UNAVAILABLEEmployment Type: FULL_TIME

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