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Insurance Claims Processing Jobs in Wisconsin (NOW HIRING)

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...

Acrisure

Claims Specialist

Middleton, WI

$50K - $55K/yr

Prior claims or insurance experience is beneficial, but not required. Acrisure is open to training ... claims process * Maintain accurate and timely documentation within the claims management system

Great American Insurance Group

$20 - $27/hr

Experience in claims operations, claims processing, claims support, or a related insurance administrative role required. * Experience supporting workers' compensation adjusters or claims ...

Sedgwick

Auto Claims Representative

Sun Prairie, WI · On-site

$45K - $50K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... Performs coverage, liability, and damage analysis on all claims assignments. * Performs other ...

Sedgwick

Auto Claims Representative

Wausau, WI · On-site

$45K - $50K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... Performs coverage, liability, and damage analysis on all claims assignments. * Performs other ...

New

Sedgwick

Claims Representative , Auto

Milwaukee, WI · On-site

$50K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... Performs coverage, liability, and damage analysis on all claims assignments. * Performs other ...

Sedgwick

Claims Representative, Auto

Milwaukee, WI · On-site

$50K - $55K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... Performs coverage, liability, and damage analysis on all claims assignments. * Performs other ...

Sedgwick

Auto Claims Representative

Madison, WI · On-site

$45K - $50K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... Performs coverage, liability, and damage analysis on all claims assignments. * Performs other ...

New

Sedgwick

Claims Representative , Auto

Wausau, WI · On-site

$50K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... Performs coverage, liability, and damage analysis on all claims assignments. * Performs other ...

Sedgwick

Claims Representative , Auto

Madison, WI · On-site

$50K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... Performs coverage, liability, and damage analysis on all claims assignments. * Performs other ...

Sedgwick

Auto Claims Representative

Milwaukee, WI · On-site

$45K - $50K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... Performs coverage, liability, and damage analysis on all claims assignments. * Performs other ...

New

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Showing results 21-40

All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Wisconsin

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 the key skills and qualifications needed to thrive in insurance claims processing?

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 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.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

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:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing 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.

Claims Litigation Specialist

West Bend Mutual Insurance Company

West Bend, WI • On-site

$86K - $110K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

West Bend Insurance rating

9.5

Company rating: 9.5 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

7th of 311 rated insurance

Job description

Claims Litigation Specialist
Job Locations US-Remote
ID 2026-3672
Category Claims Full-Time Remote/Hybrid Remote
Company Overview

Recognized as aMilwaukee Journal SentinelTop Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We're committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities.

Job Summary

Internal & external applicants must currently reside in WI, IL, IN, IA, MN, MI, KS, KY, TN, NC, VA, AZ, MO or OH to be considered.

This position offers both remote and hybrid work locations. Candidates who reside within 50 miles of an office location (West Bend, Madison, Appleton) will be offered a hybrid work schedule. Candidates who are fully remote (beyond 50 miles) may occasionally be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events.

Work Location

This position offers both remote and hybrid work locations. Candidates who reside within 50 miles of an office location (West Bend, Madison, Appleton) will be offered a hybrid work schedule. Candidates who are fully remote (beyond 50 miles) may occasionally be asked to travel to an office location for in-person engagement activities such as team meetings, training and corporate events.

Responsibilities & Qualifications
Your Impact
    Manage complex, high-exposure claims within a specialized line of business.
  • Provide technical expertise and guidance to adjusters, managers, agents, and examiners.
  • Evaluate coverage and deliver well-supported coverage opinions.
  • Direct and collaborate with defense counsel on litigated claims.
  • Use modern claims technology to effectively investigate, evaluate, and resolve claims.
  • Lead or support special projects and process improvement initiatives.
  • Assist in developing and training claims team members.
  • Deliver outstanding customer service while maintaining compliance with quality and audit standards.
What You Bring to the Team
  • Experience handling complex, high-severity claims.
  • Strong understanding of litigated claim management.
  • Excellent communication and relationship-building skills.
  • Effective negotiation, analytical, and problem-solving abilities.
  • Comfort using current technology and claims management systems.
  • Ability to make sound decisions and provide technical guidance in challenging situations.
Education & Professional Credentials
  • Bachelor's degree in Business, Insurance, or a related field.
  • Associate in Claims (AIC) designation.
  • CPCU designation or other relevant insurance industry education and certifications.

#LI-BW1

Salary Statement

The salary range for this position is $86,000-$110,000.

The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate.

Benefits

West Bend offers a comprehensive benefit plan including but not limited to:

  • Medical & Prescription Insurance
  • Health Savings Account
  • Dental Insurance
  • Vision Insurance
  • Short and Long Term Disability
  • Flexible Spending Accounts
  • Life and Accidental Death & Disability
  • Accident and Critical Illness Insurance
  • Employee Assistance Program
  • 401(k) Plan with Company Match
  • Pet Insurance
  • Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates
  • Bonus eligible based on performance
  • West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.
EEO

West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.

What West Bend Insurance employees say

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