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Insurance Claims Processing Jobs in Wisconsin (NOW HIRING)

Claims Representative, Auto

Wausau, 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 ...

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 ...

In order for your application to be correctly processed please sign-in before you apply Internal ... Our mission is to reinvent commercial insurance in the mobility space to offer our partners ...

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 ...

WI · On-site

$75 - $110/hr

Insurance Risk Specialist II) reports to the Director of Risk Management & Insurance and is ... This role ensures that claims intake and processing practices align with compliance requirements ...

New

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 ...

In order for your application to be correctly processed please sign-in before you apply Internal ... Our mission is to reinvent commercial insurance in the mobility space to offer our partners ...

In order for your application to be correctly processed please sign-in before you apply Internal ... Our mission is to reinvent commercial insurance in the mobility space to offer our partners ...

In order for your application to be correctly processed please sign-in before you apply Internal ... Our mission is to reinvent commercial insurance in the mobility space to offer our partners ...

Review, analyze and process claims per policies and procedures. * Assist offices, plants, and ... Benefits kick in on DAY ONE for you and your family, including health insurance and holistic ...

In order for your application to be correctly processed please sign-in before you apply Internal ... Our mission is to reinvent commercial insurance in the mobility space to offer our partners ...

In order for your application to be correctly processed please sign-in before you apply Internal ... Our mission is to reinvent commercial insurance in the mobility space to offer our partners ...

Showing results 41-60

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 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 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 Representative, Auto

Sedgwick

Wausau, WI • On-site

$50K - $55K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago


Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 326 frontline employees who took The Breakroom Quiz

212th of 311 rated insurance


Job description

Telecommuter WI

Telecommuter TX

R76545

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Representative, Auto

PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level auto and transportation claims.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy.

  • Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution.

  • Identifies and pursues subrogation opportunities; secures and disposes of salvage.

  • Communicates claim action/processing with insured, client, and agent or broker when appropriate.

  • Maintains professional client relations.

  • Performs coverage, liability, and damage analysis on all claims assignments.

  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

QUALIFICATIONS

  • Education: Bachelor's degree from an accredited college or university preferred. Secure and maintain the State adjusting licenses as required for the position.

  • Familiarity with personal and commercial lines policies and endorsements

  • Ability to review and assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims.

  • Knowledge of total loss processing, State salvage forms and title requirements, preferred

  • Excellent oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Analytical and interpretive skills

  • Strong organizational skills

  • Good interpersonal skills

  • Ability to work in a team environment

  • Ability to meet or exceed Service Expectations

Work environment requirements include –

Physical: Computer keyboarding

Auditory/visual: Hearing, vision and talking

Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

When applicable and appropriate, consideration will be given to reasonable accommodations.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $50,000-$55,000 . A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com


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