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Insurance Claim Representative Jobs in Wisconsin

Travelers Canada

WI · On-site

$106 - $175/hr

... represents a broad range of salaries for this role across the country. The actual salary for this ... Provide case analysis and recommendations to insured clients and claim partners on file handling ...

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Insurance Claim Representative information

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$7

$24

$40

How much do insurance claim representative jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for insurance claim representative in Wisconsin is $24.79, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $29.13 per hour, depending on experience, location, and employer.

What does an insurance claim representative do?

An Insurance Claim Representative is responsible for evaluating insurance claims submitted by policyholders. They investigate the details of the claim, review documentation, and determine the validity of the claim in accordance with policy terms. Their duties often include interviewing claimants and witnesses, inspecting property damage, and negotiating settlements. The goal is to ensure fair outcomes for both the insurance company and the customer, while adhering to legal and regulatory requirements.

What are the key skills and qualifications needed to thrive as an insurance claim representative, and why are they important?

To thrive as an Insurance Claim Representative, you need a strong understanding of insurance policies, claims processing, and investigation, usually supported by a relevant degree or experience in the insurance industry. Familiarity with claims management systems, documentation software, and sometimes industry certifications like AINS or CPCU is important. Excellent communication, negotiation, and problem-solving skills help in effectively resolving claims and managing customer expectations. These abilities are essential to ensure accurate claim assessments, maintain customer trust, and support the financial health of the insurance provider.

How do insurance claim representatives typically collaborate with other departments during the claims process?

Insurance Claim Representatives frequently work closely with underwriting, legal, and field adjuster teams to ensure thorough evaluation and resolution of claims. They often consult with underwriters to clarify policy coverage, coordinate with adjusters for on-site assessments, and partner with legal teams on complex or disputed claims. This cross-functional collaboration ensures each claim is handled efficiently and accurately, providing both customers and the company with fair outcomes. Effective communication and teamwork are essential skills for success in this role.

Is it hard to be an insurance claim representative?

Being an insurance claim representative involves handling complex cases, requiring strong communication, attention to detail, and knowledge of insurance policies. The job can be demanding due to the need to evaluate claims accurately and manage customer interactions, but with proper training and experience, it becomes more manageable.

What are popular job titles related to Insurance Claim Representative jobs in Wisconsin?

For Insurance Claim Representative jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Insurance Claim Representative jobs in Wisconsin look for?

The top searched job categories for Insurance Claim Representative jobs in Wisconsin are:

Insurance Claim Representative jobs near you
Infographic showing various Insurance Claim Representative job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $51,569 per year, or $24.8 per hour.

Claim Representative I

Merrill, WI • On-site

Church Mutual Insurance, S.I.
See more jobs at Church Mutual Insurance, S.I.external

Other

Posted 11 days ago

Job description

What you'll be doing:
In accordance with application of state and federal laws and company best practices, handle low to moderate value claims within an assigned line of coverage, such as auto physical damage and property damage. Gather and review claim information, determine coverage, and conduct investigation. Initiate and maintain customer contact to provide updates and resolve any issues with the claim. Update information in the claim system to document claim handling activities. Determine/set reserves and make payments within level of authority. Investigate and refer identified claims to Loss Recovery Services, as applicable.
On any given day, you'll:

  • Perform claim tasks timely and document claim files appropriately. Proactively manage claim activities to ensure fair claim resolution. Handle all claims in accordance with state and federal laws.
  • Verify coverage at a foundational level by gathering adequate information necessary to make an informed decision in a fair, equitable, and ethical manner. Evaluate subrogation potential based on the applicability of policy language and/or governing state laws and statutes as appropriate.
  • With supervision, perform a thorough investigation and obtain pertinent file documentation (i.e., police report, medical records, estimates, photos, etc.). Upon completion of the investigation, analyze and evaluate the potential exposure and damages, including potential full or partial liability, compensability denials and subrogation potential as applicable. Formulate and document an action plan based on the covered damages and injuries.
  • Determine and set reserves based on the most probable outcome of the claim, within authority level. When applicable, evaluate and negotiate directly with insured, claimant or claimant's attorney on all cases within authority level. Make complete, accurate, and timely payments within authority for covered losses. Refer claims above authority to appropriate team member for review and potential reassignment.
  • Maintain a professional, courteous, and helpful approach when communicating in-person, on the phone, or through email and other correspondence with internal and external customers and business partners.
  • Recognize when vendor partners are required on a claim. Assign and direct vendors, as needed, to aid in the investigation and evaluation of the claim. Manage claim expense by concluding vendor assignment when vendor is no longer adding value to the claim.
  • Investigate and refer identified claims to Loss Recovery Services, as applicable.
  • Completes all other assigned duties, as requested.
Qualifications:
  • Bachelor's degree preferred. A combination of equivalent education and/or commercial insurance experience may be considered in lieu of a degree.
  • Additional training in commercial insurance, medical, and/or building terminology knowledge is desirable.
  • Prior insurance experience is beneficial.
  • Ability to obtain and maintain state adjusting license requirements and complete continuing education requirements.
  • Evidence of organizational skills, ability to prioritize and to think independently.
  • Strong listening, verbal and written communication skills.
  • Basic knowledge of policy terminology and legal principles involving at least one or more of the following: commercial insurance, automobile, medical and property claims.

Church Mutual is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Exact compensation will vary based on consideration of a variety of factors including education, skills, experience, and location.

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