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Claims Service Assistant Jobs in Appleton, WI (NOW HIRING)

Berkley

Senior Claims Specialist

Appleton, WI

$80K - $100K/yr

... service. The Associate Underwriter role is a key part of this function, helping ensure renewal ... Consult with attorneys, assist in negotiation of settlement, mediations and trials (attend trials ...

Berkley

Senior Claims Specialist

Appleton, WI

$80K - $100K/yr

... service. The Associate Underwriter role is a key part of this function, helping ensure renewal ... Consult with attorneys, assist in negotiation of settlement, mediations and trials (attend trials ...

Berkley

Senior Claims Specialist

Appleton, WI · On-site

$80K - $100K/yr

... service. The Associate Underwriter role is a key part of this function, helping ensure renewal ... Consult with attorneys, assist in negotiation of settlement, mediations and trials (attend trials ...

Cypress Homes

Be Seen First

Luxury Community Concierge / Property Services Manager

Appleton, WI · On-site

$31.25 - $33.66/hr

Maintain accurate warranty claims, service notes, and progress updates in project management ... Become a subject-matter expert on Cypress Homes' warranty policies and assist with supporting ...

Network Health

Pharmacy Benefits Specialist I

Menasha, WI · Hybrid

$21 - $27/hr

Maintain J-Code Tier Levels billing tables for claims * Answer formulary status questions for Commercial and Medicare Sales, and Customer Service * Assist Care Management/Disease Management with ...

Network Health WI

Pharmacy Benefits Specialist I

Menasha, WI · On-site

$21 - $27/hr

Maintain J-Code Tier Levels billing tables for claims * Answer formulary status questions for Commercial and Medicare Sales, and Customer Service * Assist Care Management/Disease Management with ...

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Claims Service Assistant information

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How much do claims service assistant jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for claims service assistant in Appleton, WI is $20.54, according to ZipRecruiter salary data. Most workers in this role earn between $17.60 and $22.26 per hour, depending on experience, location, and employer.

What is the difference between Claims Service Assistant vs Claims Processor?

AspectClaims Service AssistantClaims Processor
Required CredentialsHigh school diploma; some roles may prefer insurance-related certificationsHigh school diploma; often requires insurance or claims processing certifications
Work EnvironmentOffice setting, customer service interactions, administrative tasksOffice setting, reviewing claims, data entry, and processing
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, claims departments
Search & Comparison IntentUnderstanding entry-level claims support rolesDetailing claims processing duties and qualifications

The Claims Service Assistant and Claims Processor roles share similarities in work environment and required certifications, often involving office-based tasks within insurance companies. The main difference lies in their responsibilities: Claims Service Assistants focus on customer service and administrative support, while Claims Processors handle detailed claim review and data entry. Both roles are essential in the claims workflow, with the Claims Service Assistant typically serving as an entry point for support functions.

Is claims processing a stressful job?

Claims Service Assistants often find claims processing to be a demanding role due to the need for accuracy, attention to detail, and meeting deadlines. The job can involve handling complex cases and communicating with clients, which may contribute to stress levels, but proper training and organizational support can help manage workload and reduce stress.

What is a claims service assistant?

A claims service assistant supports insurance claims processing by gathering information, reviewing documents, and communicating with clients and adjusters. They often use claims management software and need strong organizational and communication skills to ensure accurate and efficient handling of claims.

What is the role of a claims service assistant?

A claims service assistant supports the claims department by processing insurance claims, verifying information, and communicating with clients and adjusters. They often use claims management software and require strong organizational and communication skills to ensure accurate and efficient claim handling.

What cities near Appleton, WI are hiring for Claims Service Assistant jobs?

Cities near Appleton, WI with the most Claims Service Assistant job openings:

Claims Service Assistant jobs near you

Senior Claims Specialist

Appleton, WI

Berkley
See more jobs at Berkleyexternal

$80K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Job description

Berkley Industrial Comp
Berkley Industrial Comp’s (BIN) underwriting department focuses on workers’ compensation insurance, partnering closely with underwriting and business engagement teams to support strong renewal outcomes and customer service. The Associate Underwriter role is a key part of this function, helping ensure renewal business is effectively reviewed, quoted, and retained while gaining exposure to all facets of the underwriting job.
The Company is an equal employment opportunity employer.


This position is responsible for managing both lost time and med only claims across multiple jurisdictions up to $250,000 in exposure. This includes investigation, evaluation, and resolution of claims. Interface with underwriting, risk management, case management, clients, and vendors as appropriate in controlling costs and loss ratios and providing the claimant with appropriate care. Provide leadership within the claims department.

Key functions include but are not limited to the following:

  • Oversee catastrophic and large loss claims from beginning to resolution.
  • Manage all technical aspects of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement.
  • Verify and interpret coverage issues.
  • Consult with attorneys, assist in negotiation of settlement, mediations and trials (attend trials as necessary).
  • Resolve problems involving multi-faceted claims handling.
  • Investigate, evaluate, and negotiate claims toward resolution and provide medical needs within jurisdictional guidelines and Berkley Industrial Comp philosophies.
  • Determinate appropriate reserves to adequately reflect exposure of losses.
  • Attend and participate in training sessions to the accounts or account visits and claim reviews.

Education Requirement

  • Bachelor’s degree with concentration in criminal justice, public administration, business, nursing or insurance OR equivalent work experience.

Qualifications:  Include necessary skills/experience and core competencies required

  • Experience across multiple jurisdictions preferred.
  • Five (5) years’ minimum of experience adjusting workers’ compensation claims with significant experience handling Workers’ Compensation claims. Ten (10) years’ experience preferred.
  • Possess and maintain a professional adjusting license in all jurisdictions applicable or obtained within one year of job acceptance.
  • Strong interpersonal, analytical, and negotiation skills.
  • The Company is an equal employment opportunity employer. 

Working Conditions and Physical Requirements

Normal office conditions.


We do not accept unsolicited resumes from third party recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include:
Base Salary Range: $80,000-$100,000
Eligible to participate in annual discretionary bonus.
Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

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