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Insurance Claims Processing Jobs in Wisconsin (NOW HIRING)

... the claims process * Review claim documentation, medical records, and supporting materials to ... Comprehensive medical insurance, dental insurance, and vision insurance; life and disability ...

Insurance Claims Specialist

Middleton, WI · On-site

$50K - $60K/yr

... the claims process * Review claim documentation, medical records, and supporting materials to ... Comprehensive medical insurance, dental insurance, and vision insurance; life and disability ...

Claims Coordinator

Merrill, WI · On-site

$19 - $22/hr

A Claims Coordinator manages the insurance claims process from start to finish. They submit claims, track progress with adjusters, keep accurate records, and update clients. They act as the main ...

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Previous experience in claims processing, payroll, banking or insurance environment is required. * Minimum of two years of experience in a professional work environment working directly with ...

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Previous experience in claims processing, payroll, banking or insurance environment is required. * Minimum of two years of experience in a professional work environment working directly with ...

Be Seen First

Previous experience in claims processing, payroll, banking or insurance environment is required. * Minimum of two years of experience in a professional work environment working directly with ...

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Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

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

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.
What are popular job titles related to Insurance Claims Processing jobs in Wisconsin? For Insurance Claims Processing jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Wisconsin look for? The top searched job categories for Insurance Claims Processing jobs in Wisconsin are:
What cities in Wisconsin are hiring for Insurance Claims Processing jobs? Cities in Wisconsin with the most Insurance Claims Processing job openings:
Infographic showing various Insurance Claims Processing job openings in Wisconsin as of May 2026, with employment types broken down into 100% Full Time. Highlights an 82% In-person, 6% Hybrid, and 12% Remote job distribution.

$50K - $60K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago


Job description

Job Description

About Acrisure
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more.

In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.

Job Summary

Acrisure is seeking an Insurance Claims Specialist to support the handling and investigation of California workers’ compensation claims. This role is responsible for investigating workplace incidents, gathering information, managing claim activity, and helping drive efficient claim resolution strategies.

This position is ideal for someone with strong communication, investigative, and problem-solving skills who is interested in building a long-term career within claims and insurance operations. Prior workers’ compensation experience is beneficial but not required for candidates with strong interpersonal skills and the ability to manage complex conversations and situations professionally.

Successful candidates are often relationship-driven individuals who are comfortable navigating difficult conversations, analyzing information, and working in a fast paced environment where organization and critical thinking are essential.

Responsibilities

  • Investigate California workers’ compensation claims and gather relevant claim information
  • Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders throughout the claims process
  • Review claim documentation, medical records, and supporting materials to assist with claim evaluation and resolution strategies
  • Maintain accurate and timely documentation within internal claims systems
  • Support claim resolution activities, including negotiation and settlement coordination
  • Manage multiple claims and priorities while ensuring timely follow up and communication
  • Collaborate with internal teams and leadership on complex or escalated claim situations
  • Ensure compliance with company procedures and applicable California workers’ compensation regulations
  • Maintain professionalism and strong customer service throughout all interactions
  • Participate in training and ongoing development activities

Requirements

  • Strong communication and interpersonal skills required
  • Strong investigative, analytical, and problem-solving abilities
  • Ability to manage difficult conversations and navigate sensitive situations professionally
  • Strong organizational skills and attention to detail
  • Ability to multitask and work effectively in a fast paced environment
  • Ability to think critically and make sound decisions based on available information
  • Proficiency with Microsoft Office and ability to learn new systems
  • Customer service, claims, legal support, investigations, case management, negotiations, or insurance related experience beneficial
  • Backgrounds in social sciences, criminal justice, psychology, communications, or related fields beneficial
  • Prior California workers’ compensation claims experience beneficial but not required

Education and Licenses

  • High school diploma or equivalent required
  • Bachelor’s degree beneficial

Pay Details:

The base compensation range for this position is $50,000 - $60,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us:

At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.

Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks, including:

  • Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.

  • Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.

  • Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.

  • Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

  • … and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome, your new opportunity awaits you.