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Insurance Claims Processing Jobs in Menasha, WI (NOW HIRING)

Jewelers Mutual Group

Claims Examiner

Neenah, WI · On-site

Pays claimant/insured amount due according to settlement agreement and company procedures ... If you require accommodation at any stage of the application or interview process, please let us ...

Network Health

SQL/ETL Developer I - Encounter

Menasha, WI · On-site +1

$52.25 - $68.25/hr

... core claims processing system, related data integrations, vendor extracts and reporting. This ... or health insurance environment * Experience with medical claims and EDI * High degree of ...

Network Health WI

SQL/ETL Developer I - Encounter

Menasha, WI · On-site

$52.25 - $68.25/hr

Develop, test, and implement data change scripts to support the claims processing system * Consult ... or health insurance environment * Experience with medical claims and EDI * High degree of ...

Oshkosh Corporation

Claims Manager

Oshkosh, WI · On-site

$64K - $103K/yr

This will also include the coordination of at least 4 claim reviews annually with the insurance ... If you need assistance or an accommodation due to disability for any part of the employment process ...

Les Stumpf Ford

Body Shop Manager

Appleton, WI · On-site

Familiarity with insurance claims processes * Valid driver's license with acceptable driving record * I-CAR or ASE certifications are a plus * Strong organizational and problem-solving skills

Les Stumpf Ford

Body Shop Manager

Appleton, WI · On-site

Familiarity with insurance claims processes * Valid driver's license with acceptable driving record * I-CAR or ASE certifications are a plus * Strong organizational and problem-solving skills

LES Stumpf Ford

Body Shop Manager

Appleton, WI

Familiarity with insurance claims processes * Valid driver's license with acceptable driving record * I-CAR or ASE certifications are a plus * Strong organizational and problem-solving skills

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Insurance Claims Processing information

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How much do insurance claims processing jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for insurance claims processing in Menasha, WI is $22.85, according to ZipRecruiter salary data. Most workers in this role earn between $18.70 and $26.06 per hour, depending on experience, location, and employer.

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 cities near Menasha, WI are hiring for Insurance Claims Processing jobs?

Cities near Menasha, WI with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Menasha, WI as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 21% Part Time, and 4% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $47,536 per year, or $22.9 per hour.

Claims Representative I (General Liability)

Society Insurance

Fond Du Lac, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Job description

Claims Representative I (General Liability)

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 I (General Liability) to join our team. This role will investigate, evaluate, and resolve mildly complex General Liability claims by determining coverage and liability, investigating losses, and negotiating appropriate claim resolutions in accordance with company guidelines, policy provisions, and state regulations.

This position is exempt, full-time, and offers 40 hours per week with flexible scheduling opportunities. Position locations include home office, hybrid, and remote opportunities in CO, GA, IL, IN, IA, MN, TN, TX, & WI.

About the Role
  • Handles and settles mildly 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.
  • 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 in business or related field. OR 3+ years of claims handling experience involving the exercise of discretionary decision-making as determined by Society Insurance. OR 5+ years of knowledge in the property & casualty insurance industry.
  • 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.
  • 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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