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

Progressive

Claims Adjuster Trainee

Mcfarland, WI · Hybrid

$54K - $57K/yr

... claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on ...

Progressive

Claims Adjuster Trainee

Middleton, WI · Hybrid

$54K - $57K/yr

... claims process from start to finish. You'll have the support of a collaborative team and ongoing coaching from leaders. We'll also teach you the insurance stuff - providing in-depth training on ...

WPS

Medicare Pricing Analyst

Madison, WI · On-site +1

WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the ...

Rural Mutual Insurance

Desk Auto Claims Adjuster

Madison, WI · On-site +1

$49K - $65K/yr

Description At Rural Mutual Insurance Company, delivering on our promise to protect Wisconsin ... processes, and valuation methods. • Experience evaluating liability and handling minor bodily ...

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

Insurance Claims Processing information

See Verona, WI salary details

$12

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$34

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 Adjudicator

National Guardian Life Insurance Company

Madison, WI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Key responsibilities

  • Process claims by accurately adjudicating various types of insurance claims within service goals.

  • Follow established processing procedures, verify receipt of proper forms, and document findings appropriately.

  • Communicate with external and internal customers via phone, email, and written correspondence to obtain missing information and respond to inquiries.

Job description

We are adding a Claims Adjudicator to our team!


Who We Are:

Since 1909, National Guardian Life Insurance Company (NGL) has been one of America’s most successful and highly rated independent life insurance companies. We specialize in a suite of innovative products for life’s journey, giving people the financial stability, careful guidance and peace of mind to lead a life filled with confidence, dignity and grace.

NGL's Core Values – integrity, dependability, collaboration, compassion and growth are a foundation of our company and help to build on the interactions we have with our policyholders, partners, funeral homes and each other. We believe in creating an inclusive, welcoming environment for all where diversity is celebrated, and everyone is encouraged to live their best, most authentic self. We offer Employee Resource Groups for employees to get involved, learn, network, and offer professional and personal development opportunities.


With over 100 years of experience, our passion is to serve people. Learn more. 


Work Environment: NGL offers a flexible work environment where employees can work fully remote, hybrid or onsite at our Madison, Wis. office. We support virtual working arrangements in certain states outside of WI.


A Day in the Life:

The Claims Adjudicator is responsible for processing claims, effectively communicating and corresponding with external and internal customers including policyholders, agents, funeral directors, and beneficiaries. Additional responsibilities include processing various types of claims and service requests along with providing phone support accurately within or exceeding existing service goals. In this role, work is performed under general supervision. The position requires the need to conduct additional research and to accurately document all findings as deemed appropriate.

Primary Responsibilities: 

  • Accurately adjudicate claims within stated service goals.
    • Follow established written processing procedures
    • Verify proper forms are received according to state regulation
    • Accurately enter and process:
      • Whole life
      • Term Life
      • Universal life & Interest sensitive
      • Acquisition Preneed
      • Final Expense
      • Preneed
      • Trust claims including Tru Trust, NGL Funeral Expense Trust, and NGL Estate Planning Trust
      • Preneed Texas including accurate reconciliation and file documentation verification.
      • Annuities
      • Contestable claims including referring claims to Underwriting as needed.
      • Rider claims including accidental death, child/family rider, and spouse rider.
    • Accurately calculate cost basis on basic annuity claims
    • Follow-up timely on all claims in writing within state regulated time frames
  • Provide phone support for all claims related calls and letter correspondence
    • Ability to effectively communicate, with empathy when appropriate, to our customers verbally, in writing, and via email
    • Ability to actively listen and appropriately respond to others
    • Provide phone support for claims related calls while maintaining team service goals
    • Contact agents, funeral homes beneficiaries, and other customers to obtain missing information when needed
    • Prepare proper correspondence for all steps in the claim process and as needed to respond to customer inquires
  • Team Work
    • Ability and willingness to work with others in a team environment
    • Participate in group decision making, listening, and responding constructively to others
    • Offer help to teammates when the need arises
    • Manage and adjust personal time off, breaks, and lunches to insure sufficient team coverage
    • Help ensure that team standards and goals are maintained
  • Problem Solve
    • Transfer knowledge from one process and apply it to another like process regarding common situations
    • Able to gather most needed data and petition input to help recognize the symptoms and root causes of distinct problems
    • Examine defined issues with ambiguous causes
    • Suggest alternative approaches that meet the needs or the organization, the situation, and those involved
    • Resolve difficulties and escalate issues with suggestions for additional inquiry
  • Accurately research insured status
    • Follow established written processing procedures
    • Search databases to confirm Insured status
    • Update spreadsheets and document appropriately
  • Complete assigned projects, tasks, and/or milestones by agreed upon due dates including performing other related work as requested or required


Essential to Your Success:

  • Intermediate knowledge of NGL and acquisition products and procedures
  • Intermediate communication skills--oral and written
  • General PC and office machine knowledge
  • Typing skills of at least 45 words per minute and 5500 keystrokes per hour alphanumeric
  • Knowledge of basic accounting skills
  • Ability to work in a team environment
  • Organized and detail oriented
  • Ability to quickly search the Internet and other databases


Education Requirements:

  • Minimum: High School or GED
  • Preferred: Other
    • LOMA Level I Certificate
    • LOMA ACS
    • Wisconsin Preneed Certification


Years of Experience:

    • One year claims processing experience or equivalent business experience.
    • Two years customer service or insurance/financial experience preferred.


What We Offer:

At NGL, we provide a comprehensive Total Rewards package that includes competitive base pay and benefits designed to offer solutions to help meet your unique life needs.

Benefits:

  • 20 days of Paid Time Off growing to 25 days after 5 years
  • 11 Paid Holidays (10 company holidays and 1 personal holiday of your choice)
  • Health care, dental and vision plans
  • Up to $1,500 (Family) or $1,000 (Single) annually towards a Health Savings Account 
  • Annual bonus based on company performance
  • Paid Parental Leave
  • 401(k) match up to 9%
  • Paid Sabbatical after 8 years
  • Paid Volunteer Time
  • Education Assistance Program
  • Employee Recognition Program
  • And much more!

Click here to learn more about our comprehensive Total Rewards program.


    NGL is committed to creating a diverse environment and is an Equal Opportunity Employer. Qualified applicants will be considered for employment without regard to race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

     

    NGL is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact hrmadison@nglic.com.