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Insurance Claims Representative Jobs in Wisconsin

Sedgwick

Claims Representative, Auto

Madison, WI · On-site

$50K - $55K/yr

... Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level ... Communicates claim action/processing with insured, client, and agent or broker when appropriate.

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All JobsInsurance Claims Representative JobsInsurance Claims Representative Jobs in Wisconsin

Insurance Claims Representative information

See Wisconsin salary details

$7

$24

$40

How much do insurance claims representative jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for insurance claims representative in Wisconsin is $24.79, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $29.13 per hour, depending on experience, location, and employer.

Is it hard to be an insurance claims representative?

Being an insurance claims representative involves handling complex cases, requiring strong communication, attention to detail, and knowledge of insurance policies. The job can be demanding due to the need to evaluate claims accurately and manage customer interactions, but it is generally manageable with proper training and experience.

What does an insurance claims representative do?

An Insurance Claims Representative is responsible for evaluating insurance claims submitted by policyholders. They investigate the details of each claim, determine the extent of the insurance company's liability, and help ensure that claims are processed accurately and efficiently. They may gather information from claimants, witnesses, and other parties, review documentation, and communicate decisions to customers. Their goal is to provide fair settlements while adhering to company policies and legal guidelines.

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

To thrive as an Insurance Claims Representative, you need a solid understanding of insurance policies, claims processes, and investigative techniques, typically supported by a high school diploma or associate degree. Familiarity with claims management software, CRM systems, and occasionally industry certifications such as AIC (Associate in Claims) are commonly required. Strong customer service, analytical thinking, and effective communication skills help you manage claims efficiently and support clients during stressful situations. These abilities are vital for ensuring accurate claims resolution, maintaining customer satisfaction, and upholding the company's reputation.

Do you need a degree to be an insurance claims representative?

Typically, a high school diploma or equivalent is sufficient to become an insurance claims representative. Some employers prefer candidates with post-secondary education or relevant certifications, and strong communication and customer service skills are important for the role.

What does an insurance claims representative do?

An insurance claims representative assesses customer insurance claims. Your duties in this career include visiting accident sites and interviewing witnesses or customers to determine the scope of the claim. You also determine whether or not it is worth negotiating a settlement, and if so, you ensure all settlement claims are handled quickly. In addition to assessing accidents and claims, you update customer policies depending on their history. Qualifications for the career include experience and job skills. You should have excellent customer service, a firm knowledge of all company policies, and computer literacy.

What are some common challenges insurance claims representatives face when handling complex claims?

Insurance Claims Representatives often encounter challenges such as managing high caseloads, interpreting intricate policy details, and handling sensitive conversations with policyholders during stressful situations. They must balance empathy with adherence to company policies and regulations, all while investigating and verifying the validity of claims. Effective communication, time management, and problem-solving skills are essential to navigate these complexities and deliver fair outcomes for both the client and the insurer.

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

AspectInsurance Claims RepresentativeInsurance Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require licensingLicensing often required; certifications like AIC or CPCU beneficial
Work EnvironmentOffice settings, customer service interactions, claims processingFieldwork, site inspections, or office-based assessments
Employer & Industry UsageInsurance companies, claims departmentsInsurance companies, independent adjusting firms
Common Search & ComparisonOften compared for claims handling rolesMore focused on damage assessment and investigation

The main difference between an Insurance Claims Representative and an Insurance Adjuster lies in their roles. Claims Representatives primarily handle customer interactions and process claims within an office environment, while Adjusters often conduct field inspections and assess damages. Both roles require relevant licensing and are integral to the insurance industry, but they focus on different aspects of claims management.

More about Insurance Claims Representative jobs
What are popular job titles related to Insurance Claims Representative jobs in Wisconsin? For Insurance Claims Representative jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Representative jobs in Wisconsin look for? The top searched job categories for Insurance Claims Representative jobs in Wisconsin are:
What are popular job titles related to Insurance Claims Representative jobs in WI? For Insurance Claims Representative jobs in WI, the most frequently searched job titles are:
Insurance Claims Representative jobs near you
Infographic showing various Insurance Claims Representative job openings in Wisconsin as of July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 22% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $51,569 per year, or $24.8 per hour.

Claims Representative II

Society Insurance

North Fond Du Lac, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago

Job description

Job Information
Job Title
Claims Representative II- General Liability (Bodily Injury focused)
Home Department:
Claims
Employment Status:
Exempt; Full-time
Schedule:
40 hours/week with Flexible Scheduling Opportunities
Position Location:
Home Office, Telecommuting, and Remote Opportunities in:
CO, GA, IL, IN, IA, MN, TN, TX, & WI
This position offers flexible remote/hybrid work scheduling and we are targeting candidates who are located within the 9 states which Society conducts business in. Visit us at https://societyinsurance.com/ to learn more.
Overview
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 II who excels at managing moderate-to-complex bodily injury and general liability claims. This role focuses on investigating losses, determining liability, and negotiating out-of-court settlements for mildly complex general liability claims. Successful candidates will have experience handling represented bodily injury claims, with a strong emphasis on Commercial General Liability (CGL) and premises liability exposures, along with the judgment and negotiation skills needed to navigate matters that advance into litigation.
About the Role
  • Settles mildly complex claims by determining insurance carrier's liability and reaches agreement with claimant according to policy provisions and authority level.
  • May be involved with litigation by analyzing negotiated settlement options; evaluating evidence, and overseeing attorney in the handling of discovery and settlement.
  • Handles mediations, arbitrations, subrogation, and recorded settlement agreements.
  • Determines coverage through investigations by examining claim forms, policies, and other records; interviewing claimants, insureds, and witnesses; consulting police and hospital records; inspecting damages; and consulting with experts when appropriate.
  • Mentors and trains claims representatives in claims expertise by assisting in identifying training needs and opportunities.
  • Resolves questionable claims by investigating the claim and comparing claims information with evidence.
  • Ensures proper file documentation of assigned files by complying with company and state requirements.
  • Prepares reports by collecting, analyzing, and summarizing claim information.
  • Contributes to team effort (as needed) by participating on catastrophe teams; participating in determining department investigation guidelines; 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.
What it Will Take
  • Bachelor's Degree and 3+ years of claims handling experience OR 5+ years of claims handling experience.
  • Proficiency in general liability claims demonstrated through knowledge and experience in insurance policies and coverage, claim payment procedures, insurance regulations, and legal terminology.
  • Ability to obtain and maintain proper licensing prior to handling a state that requires it.
  • Professional insurance designations highly desirable.
  • Litigation experience highly desirable.
  • Experience using Guidewire Claims System 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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