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Insurance Claims Processor Jobs in Wisconsin (NOW HIRING)

... processing of claims on behalf of the company, internally. Moreover, candidates should exhibit ... Communicate with customers, employees, vendors, and insurance providers via phone and email to ...

... processing of claims on behalf of the company, internally. Moreover, candidates should exhibit ... Communicate with customers, employees, vendors, and insurance providers via phone and email to ...

Claim Processor

Merrill, WI · On-site

$18.50 - $23.25/hr

Claims Processor In accordance with application of state and federal laws and company best ... Verify coverage and determine our obligation(s) to the insured and/or claimant. * Review claims to ...

Claim Processor

Milwaukee, WI · On-site

$16.75 - $21.25/hr

Process newly reported claims, initiate basic claim investigation, and redirect moderate and ... Verify coverage and determine our obligation(s) to the insured and/or claimant. * Review claims to ...

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Insurance Claims Processor information

See Wisconsin salary details

$12

$22

$34

How much do insurance claims processor jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for insurance claims processor in Wisconsin is $22.55, according to ZipRecruiter salary data. Most workers in this role earn between $18.46 and $25.72 per hour, depending on experience, location, and employer.

What does an insurance claims processor do?

An Insurance Claims Processor reviews and handles insurance claims submitted by policyholders. Their primary responsibilities include verifying information, ensuring all necessary documentation is provided, and assessing claims for accuracy and compliance with policy guidelines. They communicate with policyholders, adjusters, and healthcare providers to gather additional information if needed, and determine how much the insurance company should pay out. The role is essential for ensuring claims are processed efficiently and fairly, maintaining customer satisfaction, and preventing fraud.

What are the key skills and qualifications needed to thrive as an insurance claims processor, and why are they important?

To thrive as an Insurance Claims Processor, you need strong attention to detail, knowledge of insurance policies and regulations, and typically a high school diploma or equivalent. Familiarity with claims management software, electronic databases, and sometimes certifications like the Associate in Claims (AIC) are common requirements. Excellent organizational skills, clear communication, and problem-solving abilities help you stand out in this role. These skills ensure accurate claim processing, effective customer service, and compliance with industry standards.

What are some common challenges faced by insurance claims processors, and how can they be managed effectively?

Insurance Claims Processors often encounter challenges such as managing high volumes of claims, navigating complex policy details, and meeting strict deadlines. Staying organized and detail-oriented is key to ensuring accuracy and timely processing. Effective communication with policyholders, adjusters, and other team members also helps resolve discrepancies quickly and improves overall workflow. Many employers provide ongoing training and support to help processors stay current on regulations and best practices, which can further ease these challenges.

What is the difference between Insurance Claims Processor vs Insurance Claims Adjuster?

AspectInsurance Claims ProcessorInsurance Claims Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are a plusRequires a high school diploma; often holds certifications such as AIC or CPCU
Work EnvironmentOffice setting, processing claims dataField and office work, investigating claims
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusProcessing and data entry of claimsInvestigating, evaluating, and settling claims

While both roles are essential in the insurance industry, Claims Processors focus on handling claim data and documentation, whereas Claims Adjusters investigate and determine claim validity and settlement amounts. Understanding these differences helps job seekers identify the right career path within insurance claims roles.

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 education or relevant certifications. Experience with computer software, attention to detail, and strong organizational skills are important, and familiarity with insurance policies and claims processing systems can improve job prospects.

Is an insurance claims processor job in demand?

The demand for insurance claims processors remains steady due to the ongoing need for claims management in the insurance industry. Employment is expected to grow at a rate similar to the average for all occupations, with opportunities increasing as insurance companies seek skilled workers familiar with claims processing software and regulations.

Is claims processing a stressful job?

Claims processing as an insurance claims processor can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires attention to detail, communication skills, and the ability to handle sensitive information, which can contribute to job-related stress levels.

What are popular job titles related to Insurance Claims Processor jobs in WI?

For Insurance Claims Processor jobs in WI, the most frequently searched job titles are:

Infographic showing various Insurance Claims Processor job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $46,896 per year, or $22.5 per hour.

Claims Agent

Waukesha, WI • On-site

Greenix Pest Control
Personal Services • 501 - 1,000 employees

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago


Key responsibilities

  • Communicate with customers, employees, vendors, and insurance providers via phone and email to collect information and documentation needed for claims.

  • Manage claims from initial intake through investigation, coordination, and closure, ensuring all actions are accurately recorded in the claims management system.

  • Review documentation, photos, estimates, and reports to confirm coverage, assess liability, and support fair, cost-effective resolutions.


Greenix rating

6.7

Company rating: 6.7 out of 10

Based on 16 frontline employees who took The Breakroom Quiz


Job description

Job Description:
ROLE SUMMARY
We are seeking a dedicated individual to join our Claims Department as a Claims Agent, an entry-level position pivotal to our operational success. The ideal candidate will demonstrate exceptional attention to detail, adept problem-solving abilities, and robust organizational skills, coupled with the capacity to effectively prioritize urgent tasks.
Operating within a collaborative team environment, the Claims Agent will uphold a positive and professional demeanor while executing their responsibilities. Reporting directly to the Claims Manager, this role entails the acquisition, documentation, research, and processing of claims on behalf of the company, internally.
Moreover, candidates should exhibit proficiency in navigating challenging conversations and possess negotiation skills essential for effective resolution.
If you are enthusiastic about contributing to a dynamic team and possess the requisite skills and demeanor, we encourage you to apply for this exciting opportunity.
This is a nonexempt role, with an expected schedule of 7:00am to 4:00pm Mon-Fri.
ABOUT GREENIX
Join one of the fastest growing businesses in Utah! Greenix has been recognized as one of "Utah's Fast 50" businesses for 3 years running and named "Utah's Emerging 8" businesses to watch. We have also been recognized by the Salt Lake Tribune and USA Today as a Top Workplace in 2023 and 2024! By sticking to our core values, we are redefining the pest control service industry.
  • Building Lasting Relationships
  • Going Beyond
  • Creating Opportunities
  • Doing What Is Right, Always

If our core values resonate with you, we would be excited to add you to our team.
DUTIES & RESPONSIBILITIES
  • Communicate with customers, employees, vendors, and insurance providers via phone and email to collect information and documentation needed for claims.
  • Take statements from internal and external parties to establish timelines, facts, and liability
  • Manage claims from initial intake through investigation, coordination, and closure, ensuring all actions are accurately recorded in the claims management system.
  • Review documentation, photos, estimates, and reports to confirm coverage, assess liability, and support fair, cost-effective resolutions.
  • Maintain detailed notes and supporting records to ensure complete, compliant claim files.
  • Apply general knowledge of Greenix products, services, and application methods when assessing property or service-related incidents.
  • Collaborate closely with the Claims Manager and the rest of the team to ensure claim accuracy, consistency, and timely resolution.
  • Uphold a high level of professionalism, confidentiality, and discretion when handling sensitive information.
  • Identify recurring issues or trends in claims data and share insights that support safety and process improvements.
  • Participate in ongoing training and development to maintain technical knowledge and strengthen claim-handling skills.

QUALIFICATIONS & REQUIREMENTS
Required
  • High school diploma or equivalent; some college or specialized training preferred.
  • Minimum 2 years of experience in claims, insurance, customer service, or a related field.
  • Strong organizational skills and ability to manage multiple cases simultaneously.
  • Excellent written and verbal communication skills.
  • Demonstrated ability to handle confidential information and make sound decisions.

Preferred
  • Experience handling property, auto, or workers' compensation claims.
  • Familiarity with OSHA standards and state workers' comp regulations.
  • Technical aptitude for reviewing documentation, damage assessments, or medical records.
  • Proficiency with Microsoft Office, SharePoint, and data-tracking systems.

WHAT WE OFFER
  • Medical insurance with subsidized premiums for employees and enrollees.
  • Dental, vision, disability, accident, and life insurance options.
  • 401(k) retirement program with a company match.
  • Employee assistance program (EAP), offering support for emotional, financial, legal, health, or work-related struggles for you and your dependents.
  • Paid leave for all of life's reasons.
  • Pest control company discount (if you live within our territory).

As part of our dedication to the diversity of our workforce, Greenix is committed to Equal Employment Opportunity. Applicants will receive consideration for employment without regard for race, color, gender, religion, national origin, disability, veteran status, military status, age, marital status, sexual orientation, gender identity, genetic information or any other protected group status. We are also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application and employment procedures.

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