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Insurance Claim Representative Jobs in Wisconsin

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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 Jul 18, 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.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on gaining relevant skills such as customer service, attention to detail, and knowledge of insurance policies. Completing a pre-licensing course and obtaining the required state license are essential steps, and entry-level positions or internships can provide valuable on-the-job training.

Is claim adjusting a dying field?

Claim adjusting remains a vital part of the insurance industry, as insurers need professionals to evaluate and settle claims. While automation and AI are increasingly used for routine tasks, skilled adjusters are still essential for complex cases and customer interactions, ensuring the field continues to evolve rather than decline.

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 kind of claims adjuster makes the most money?

In the insurance industry, specialized claims adjusters such as catastrophe or large-loss adjusters tend to earn higher salaries due to the complexity and scale of claims they handle. These roles often require advanced knowledge, certifications, and the ability to manage high-value or complex cases, which contribute to higher compensation compared to general claims adjusters.

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.

What is an insurance claims representative?

An insurance claims representative is a professional who investigates and evaluates insurance claims to determine coverage and settlement amounts. They review policy details, gather evidence, and communicate with claimants, often using claims management software, to ensure accurate and fair claim processing.

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.
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 July 2026, with employment types broken down into 79% Full Time, 17% Part Time, 2% Temporary, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $51,569 per year, or $24.8 per hour.
Claims Representative II (Workers Compensation)

Claims Representative II (Workers Compensation)

Society Insurance Company

Fond Du Lac, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Job description

Job Information

Job Title

Claims Representative II (Workers’ Compensation)

Home Department:

Claims

Employment Status:

Exempt; Full-time 

Schedule:

40 hours/week with Flexible Scheduling Opportunities 

Position Location:

Home Office, Hybrid, and Remote Opportunities in: 
CO, GA, IL, IN, IA, MN, TN, TX, & WI

 

While the role is currently posted at the Claims Representative II level, we are open to considering candidates whose experience and qualifications align with a senior-level opportunity.

 

Overview

Protecting our policyholders’ dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society.


Society Insurance is seeking a Claims Representative II (Workers’ Compensation) to join our Claims team. This role will investigate, evaluate, and resolve moderate-to-severe complex Workers’ Compensation claims by determining coverage and liability, coordinating with injured workers, employers, and medical providers, and negotiating appropriate claim resolutions in accordance with company guidelines, policy provisions, and state regulations. 

 

About the Role 

  • Handles and settles moderate-to-severe complex claims by determining insurance carrier’s liability; reaching agreement with claimants/injured workers according to policy provisions and authority level; and handling subrogation. 
  • Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants/injured workers, insureds, and witnesses; reviewing police and hospital records; and consulting with experts when appropriate.
  • Resolves questionable claims by investigating and comparing claims information with evidence.
  • May be involved with litigation by analyzing negotiated settlement options, evaluating evidence, and overseeing legal counsel – in the handling of discovery and settlement.
  • Ensures company guidelines and procedures are followed during investigations and in the handling of discovery and settlement. 
  • Ensures proper file documentation by complying with claims handling guidelines and state requirements. 
  • Prepares reports by collecting, analyzing, and summarizing claim information. 
  • Develops and maintains professional, technical knowledge and expertise in a specified line(s) of business through training courses and participating in continuing education coursework/classes.
  • Contributes to team effort by participating in determining department investigation guidelines; and providing feedback to underwriting as needed.


    • About You

  • You enjoy communicating and building relationships with others.
  • You are composed, cool under pressure, and can negotiate without damaging relationships. 
  • You hold yourself accountable and act in accordance with rules and regulations. 
  • You enjoy analyzing, investigating, and using the facts to make decisions. 
  • You are naturally curious and have a desire to know more.
  • You apply an investigative approach to identifying facts and evaluating evidence.


    • What it Will Take

    • Bachelor’s Degree and 3+ years of claims handling experience
       
      OR
       
       5+ years of claims handling experience involving the exercise of discretionary decision-making as determined by Society Insurance
  • Familiarity with PC applications including word processing, Internet, spreadsheets, and e-mail software.
  • Ability to obtain and maintain proper licensing prior to handling a state that requires it.
  • Valid driver’s license and a satisfactory driving record as determined by Society Insurance.
  • Prior workers’ compensation indemnity experience highly desirable.
  • Professional insurance designations highly desirable.

    • What Society Can Offer 

  • Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insurance
  • Retirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing Plan
  • Work-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting options
  • Education: Career Coaching; company-paid courses; student loan and tuition reimbursement
  • Community: Charitable Match; paid volunteer time; team sponsorships
  • Wellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more

    •  

    Society Insurance prohibits discrimination and harassment of any type against applicants and employees on the basis of race, color, religion, sex, national origin, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or expression, or any other characteristic or status protected by federal, state or local laws. Society Insurance also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws. Society Insurance is a drug-free workplace.



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