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Direct Claims Jobs in Appleton, WI (NOW HIRING)

Walgreens

Pharmacy Customer Service Associate

Neenah, WI · On-site

In accordance with state and federal regulations, assists the pharmacist, under direct supervision ... Processes (corrects and resubmits) manual claims for third party program prescription services in a ...

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Showing results 21-40

All JobsDirect Claims JobsDirect Claims Jobs in Appleton, WI

Direct Claims information

See Appleton, WI salary details

$29.8K

$63K

$87.8K

How much do direct claims jobs pay per year?

As of Aug 16, 2026, the average yearly pay for direct claims in Appleton, WI is $63,041.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,800.00 and $73,700.00 per year, depending on experience, location, and employer.

What is a direct claim?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are the key skills and qualifications needed to thrive as a direct claims specialist?

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What are some common challenges faced by professionals in direct claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

Can you work remotely in direct claims jobs?

Many direct claims jobs offer remote work options, especially for roles involving claims processing, customer service, or administrative tasks. Employers may require familiarity with claims management software and good communication skills, and remote positions often involve standard office hours and secure internet connections.

Do I need a degree to be a direct claims specialist?

A degree is not typically required to become a direct claims specialist, but relevant experience, knowledge of insurance policies, and strong communication skills are important. Many employers provide on-the-job training and may prefer candidates with a high school diploma or equivalent. Certifications in insurance or claims processing can enhance job prospects.

What are popular job titles related to Direct Claims jobs in Appleton, WI?

For Direct Claims jobs in Appleton, WI, the most frequently searched job titles are:

What job categories do people searching Direct Claims jobs in Appleton, WI look for?

The top searched job categories for Direct Claims jobs in Appleton, WI are:

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

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

Direct Claims jobs near you

Member Solutions Collections Supervisor

CoVantage Credit Union

De Pere, WI

Full-time

Re-posted 11 days ago

CoVantage Credit Union rating

8.5

Company rating: 8.5 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

Job description

Do you have experience in collection and recovery solutions at a financial institution and are you looking to advance into a more meaningful career? CoVantage Credit Union is seeking a full time Member Solutions Collections Supervisor! This individual will provide general leadership and direction to the Member Solutions Consumer Specialist staff, implementing approved collection policies and procedures to ensure the appropriate handling of high-risk loans while minimizing losses and collection expenses for the credit union. Join CoVantage and become part of a growing mission-based organization that takes pride in helping members experiencing financial challenges.

As a CoVantage team member, you’ll receive a 401k employer match of up to 200%, a bonus of annual salary up to 8%, a generous employer HSA contribution, and paid time off for community service.

Job Duties:

  • Develop and implement the Member Solutions department policies and procedures consistent with applicable laws and regulations to be used throughout CoVantage offices
  • Coordinate and delegate workload while providing mentorship, coaching and support to Consumer Specialists including routine one-on-one training
  • Organizes time and resources ensuring the consumer collectors’ time is spent effectively working with members and accounts are being followed up on appropriately
  • Ensures self and staff remain up-to-date and informed in credit union policy and procedures including legal aspects of collecting, filing insurance claims, sending demands and right to cure notices, as well as collection laws including applicable FDCPA and bankruptcy laws

This individual may be expected to work required late night shifts per week and Saturdays as indicated on the Member Solutions schedule.

Qualifications:

  • Associate’s Degree or 5 years’ experience in consumer collections and/or loan processing/servicing or other customer service within a financial institution
  • Have a valid driver’s license as some travel is required
  • Knowledge around Bankruptcy laws including bankruptcy 7 and 13 and experience working with bankruptcy situations and attorneys
  • General knowledge of federal and state applicable collection laws and regulations
  • General exposure of the liquidation of foreclosed property and possession of collateral on commercial and consumer loans
  • Basic understanding of repossession law and requirements
  • Minimum 3 years supervisory/management experience desired
  • Strong written and verbal communication skills with the ability to work in direct, professional contact with a wide variety of people on a daily basis
  • General understanding of the handling of small claims actions for a financial institution
  • Candidates able to read, write, and speak Spanish are strongly encouraged to apply

Depending on the qualifications and experience of applicants, CoVantage may elect to modify or change this position and/or job title without reposting the opportunity.

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