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Insurance Claims Manager Jobs in Wisconsin (NOW HIRING)

Sanford Health

Manager, Claims

Marshfield, WI · Remote

... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... insurance claims submitted by providers and patients for processing. Responsible for the ...

Oshkosh Corporation

Claims Manager

Oshkosh, WI

$64K - $103K/yr

Manage claims pertaining to worker's compensation, short term disability, and FMLA in coordination with internal departments, insurance carriers, and the medical community and ensuring to follow all ...

Greenix Pest Control

Claims Agent

Waukesha, WI · On-site

$20/hr

Minimum 2 years of experience in claims, insurance, customer service, or a related field. * Strong organizational skills and ability to manage multiple cases simultaneously. * Excellent written and ...

Accuity

Manager - Central Claims

Sheboygan, WI · On-site

Reviews Insurance Department complaints to ensure company policy & applicable laws have been followed. * Completes monthly report to General Manager of Claims outlining volume, pendings, productivity ...

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All JobsInsurance Claims JobsInsurance Claims Manager JobsInsurance Claims Manager Jobs in Wisconsin

Insurance Claims Manager information

See Wisconsin salary details

$35.3K

$88.7K

$140.3K

How much do insurance claims manager jobs pay per year?

As of Jul 20, 2026, the average yearly pay for insurance claims manager in Wisconsin is $88,683.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,600.00 and $106,000.00 per year, depending on experience, location, and employer.

What is the difference between Insurance Claims Manager vs Insurance Adjuster?

AspectInsurance Claims ManagerInsurance Adjuster
CredentialsTypically requires a bachelor’s degree; certifications like CPCU or AIC are commonHigh school diploma or bachelor’s; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, managing teams and claims processesField or office-based, investigating claims and assessing damages
Employer & IndustryInsurance companies, claims departmentsInsurance companies, independent adjusting firms
Primary FocusOverseeing claims processes, managing staff, ensuring policy complianceEvaluating damages, determining claim validity, negotiating settlements

While both roles are integral to the insurance claims process, the Insurance Claims Manager oversees the entire claims operation and manages staff, whereas the Insurance Adjuster focuses on investigating individual claims and assessing damages. The roles often work together but differ in scope and responsibilities.

What does an insurance claim manager do?

An insurance claims manager oversees the processing and settlement of insurance claims, ensuring they are handled efficiently and accurately. They review claim details, coordinate with adjusters and clients, and ensure compliance with company policies and industry regulations, often using claims management software. Strong organizational and communication skills are essential in this role.

What are the key skills and qualifications needed to thrive as an Insurance Claims Manager, and why are they important?

To thrive as an Insurance Claims Manager, you need a solid understanding of insurance policies, claims processes, and risk assessment, typically supported by a bachelor's degree in finance, business, or a related field. Familiarity with claims management software (such as Guidewire or ClaimCenter) and certifications like Associate in Claims (AIC) are commonly required. Excellent leadership, negotiation, and problem-solving skills set top performers apart in this role. These abilities are crucial for efficiently managing claims teams, reducing fraud, and ensuring timely, fair settlements for clients.

Is claims a stressful job?

An Insurance Claims Manager role can be stressful due to managing high volumes of claims, meeting deadlines, and handling difficult customer interactions. The job requires strong organizational skills, attention to detail, and the ability to work under pressure in a fast-paced environment.

What does an Insurance Claims Manager do?

An Insurance Claims Manager oversees the processing of insurance claims to ensure they are handled efficiently, fairly, and in compliance with company and legal standards. They manage a team of claims adjusters and analysts, review complex or disputed claims, and develop strategies to improve claims procedures. Their role also involves liaising with policyholders, third parties, and legal professionals to resolve issues and minimize fraud or errors. Effective Claims Managers balance customer service with cost control to protect both the insurer and the policyholder.

What is the highest paid insurance adjuster?

Senior or specialized insurance claims managers and adjusters with extensive experience, certifications, and expertise in complex claims tend to earn the highest salaries, often exceeding $100,000 annually. Those working in high-value or complex claims, such as catastrophe or commercial insurance, typically have higher compensation. Advanced skills, industry certifications, and leadership roles contribute to higher pay levels in this field.

How much do claims managers make in the US?

Claims managers in the US typically earn a median annual salary of around $80,000 to $100,000, with experienced professionals and those in senior roles earning higher. Salaries can vary based on location, industry, and level of experience, and many claims managers hold certifications such as the CPCU or ARM to enhance their earning potential.

What are some common challenges faced by Insurance Claims Managers, and how can they be addressed?

Insurance Claims Managers often encounter challenges such as managing complex claims, addressing customer dissatisfaction, and staying up-to-date with regulatory changes. To overcome these, successful managers prioritize clear communication, maintain strong organizational systems, and foster collaboration between adjusters, underwriters, and legal teams. Proactively investing in ongoing training and leveraging technology for claims processing also helps streamline workflows and improve customer experiences.
What are the most commonly searched types of Insurance Claims jobs in Wisconsin? The most popular types of Insurance Claims jobs in Wisconsin are:
What are popular job titles related to Insurance Claims Manager jobs in Wisconsin? For Insurance Claims Manager jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Manager jobs in Wisconsin look for? The top searched job categories for Insurance Claims Manager jobs in Wisconsin are:
What cities in Wisconsin are hiring for Insurance Claims Manager jobs? Cities in Wisconsin with the most Insurance Claims Manager job openings:
Insurance Claims Manager jobs near you
Infographic showing various Insurance Claims Manager job openings in Wisconsin as of July 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $88,683 per year, or $42.6 per hour.
Manager, Claims

Manager, Claims

Sanford Health

Marshfield, WI • Remote

Full-time

Medical

Posted 26 days ago

Sanford Health rating

6.8

Company rating: 6.8 out of 10

Based on 532 frontline employees who took The Breakroom Quiz

495th of 886 rated healthcare providers

Job description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.

Work Shift:

8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours:

40

Compensation:

Union Position:

No

Department Details

This position allows some work from home options as well as a flexible schedule

Summary

The Claims Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the areas of health insurance claims submitted by providers and patients for processing.

Job Description

Responsible for the implementation and day-to-day performance of process activities related to claims research and resolution. The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as other departments in the organization. Responsible for the interviewing, hiring, discipline of employees and any other personnel issues that arise. Completes performance appraisals. Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that the Sanford Health Plan services and how to differentiate services. Understands the details of professional and institutional claim processing which includes how benefits are assigned and pricing is calculated. Works to help develop and maintain claims policies and procedures. Must communicate effectively with a high level of diplomacy. Demonstrates analytical ability and a good awareness of pertinent details. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgement in determining the best method for handling a variety of situations. Maintains good working relationships with staff, physicians, and enrollees. Handles pressure effectively. Maintains confidentiality. Other duties as assigned.

Qualifications

Bachelor's degree preferred.
Three years in a team lead or management role in claims processing or similar environment required.

Sanford is an EEO/AA Employer M/F/Disability/Vet.


If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

What Sanford Health employees say

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Benefits

Hours and flexibility

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About Sanford Health

Sourced by ZipRecruiter

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Industry

Health care and social assistance and hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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