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

Auxiant

Claims Examiner

Madison, WI · On-site

Process claims in a timely manner with acceptable accuracy * Answer inbound phone calls from ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

Auxiant

Claims Examiner

Madison, WI

Process claims in a timely manner with acceptable accuracy * Answer inbound phone calls from ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

Auxiant

Claims Examiner

Madison, WI · On-site +1

Process claims in a timely manner with acceptable accuracy * Answer inbound phone calls from ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

Auxiant

Claims Examiner

Madison, WI

Process claims in a timely manner with acceptable accuracy * Answer inbound phone calls from ... Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD ...

Acrisure

Claims Specialist

Middleton, WI · On-site

$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

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

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

Claims Representative, Auto

Madison, 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

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 ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Verona, WI

Insurance Claims Processing information

See Verona, WI salary details

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How much do insurance claims processing jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for insurance claims processing in Verona, WI is $22.84, 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 Verona, WI are hiring for Insurance Claims Processing jobs?

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

Insurance Claims Processing jobs near you

Claims Examiner

Auxiant

Madison, WI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Job Type
Full-time
Description
https://www.auxiant.com/
Auxiant's Mission Statement and Core Values
Mission:
An Independent TPA investing in People and Innovation to deliver expert-driven experiences with REAL Results.
Core Values: Independent Solutions. REAL Results
Respect
Empowerment
Agility
Leadership
Be part of a growing and prospering company as a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and Milwaukee, WI. Auxiant is a fast-growing,progressive company offering an excellent wage and benefit package.
Job Summary: Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients.
Essential Functions:
  • Process claims in a timely manner with acceptable accuracy
  • Answer inbound phone calls from members and providers.
  • Handle correspondence from members and providers in a timely manner.
  • Analyze self-funded health plans and use plan language to correspond to necessary inquiries, both verbally and written.
  • Interpret plan design and language to analyze claim edits.
  • Point of contact for clients and members.
  • Work Customer Service Tickets.

Nonessential Functions:
  • Other duties as assigned or appropriate

Education/Qualifications:
  • Familiarity with ICD-10 and CPT coding
  • Understanding of medical claims processing guidelines
  • Proficient PC skills including email, record keeping, routine database activity, word processing, spreadsheet and 10-key
  • QicLink experience
  • Medical Terminology
  • High school diploma and 1-2 years related experience; or equivalent combination of education and experience

*Full benefits including: Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD, 401K, 3 weeks vacation, 9 paid holidays, casual dress code and more
Job Type: Full-time
Schedule:
  • 8 hour shift
  • Day shift
  • Monday to Friday

Work Location: In person

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