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Insurance Claims Representative Jobs in Wisconsin

The Silver Lining

Claims Representative I

West Bend, WI · On-site

$23.80 - $29.75/hr

Responsibilities & Qualifications Looking to launch your career in insurance claims? Join West Bend as a Claims Representative I and help customers navigate the claims process while building a strong ...

Sedgwick

Claims Representative, Auto

Milwaukee, 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.

Sedgwick

Claims Representative , Auto

Milwaukee, WI · On-site

$50K/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.

Sedgwick

Claims Representative , Auto

Wausau, WI · On-site

$50K/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.

Sedgwick

Claims Representative , Auto

Madison, WI · On-site

$50K/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.

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.

Sedgwick

Claims Representative, Auto

Wausau, 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 30, 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.

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 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 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.

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.

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

A degree is not typically required to become an insurance claims representative, but many employers prefer candidates with a high school diploma or equivalent. Relevant skills such as communication, attention to detail, and knowledge of insurance policies are important, and some roles may require industry-specific certifications or training programs.

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.
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 August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% 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 I

The Silver Lining

West Bend, WI • On-site

$23.80 - $29.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Job Title

Claims Representative I

Job Description

Manage claims of low complexity with supervision and guidance from the manager utilizing current Claims technology. Conduct thorough investigations in order to determine coverage and claim payment amounts owed. Responsibilities also include proactive file management, adequate reserving, and participating in training activities.

Work Location

This position offers a hybrid work schedule. Candidates who are located within 50 miles of a West Bend office location will work a hybrid schedule for collaboration days, team meetings or other in-person events. The position can be based in West Bend, Madison or Appleton.

Responsibilities & Qualifications

Looking to launch your career in insurance claims? Join West Bend as a Claims Representative I and help customers navigate the claims process while building a strong foundation in claims handling.

In this role, you'll investigate claims, determine coverage, evaluate payments, and maintain accurate claim files. You'll work closely with experienced team members and receive ongoing training and support as you develop your skills.

We're looking for someone with strong communication, customer service, and problem-solving abilities who enjoys helping others and managing multiple priorities.

Qualifications:

  • Bachelor's degree in Business, Insurance, or a related field preferred
  • 0-2 years of claims, customer service, or related experience
  • Strong communication and interpersonal skills
  • Solid computer and technology skills
  • Strong organizational, time management, and problem-solving abilities

If you're detail-oriented, customer-focused, and eager to grow your career, we'd love to hear from you. Apply today!

Salary Statement

The hourly range for this position is $23.80-$29.75.

The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate.

Benefits

West Bend offers a comprehensive benefit plan including but not limited to:

  • Medical & Prescription Insurance
  • Health Savings Account
  • Dental Insurance
  • Vision Insurance
  • Short and Long Term Disability
  • Flexible Spending Accounts
  • Life and Accidental Death & Disability
  • Accident and Critical Illness Insurance
  • Employee Assistance Program
  • 401(k) Plan with Company Match
  • Pet Insurance
  • Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates
  • Bonus eligible based on performance
  • West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.
EEO

West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.

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