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Insurance Claims Jobs in Plover, WI (NOW HIRING)

... health insurance claims submitted by providers and patients for processing. Responsible for the implementation and day-to-day performance of process activities related to claims research and ...

For too long, travel insurance has centered on the company and not the traveler. Were changing that ... Robin Assistis the global assistance and claims partner behind the scenes supporting not only ...

For too long, travel insurance has centered on the company and not the traveler. We're changing ... Robin Assist is the global assistance and claims partner behind the scenes supporting not only ...

For too long, travel insurance has centered on the company and not the traveler. We're changing ... Robin Assist is the global assistance and claims partner behind the scenes supporting not only ...

For too long, travel insurance has centered on the company and not the traveler. We're changing ... Robin Assistis the global assistance and claims partner behind the scenes supporting not only ...

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Insurance Claims information

See Plover, WI salary details

$12

$22

$42

How much do insurance claims jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for insurance claims in Plover, WI is $22.99, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $25.14 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an insurance claims specialist?

To thrive as an Insurance Claims Specialist, you need a strong understanding of insurance policies, claims processing, and investigative techniques, typically supported by a relevant degree or industry certification such as AIC. Familiarity with claims management software, document management systems, and regulatory compliance tools is essential. Exceptional attention to detail, strong communication skills, and empathy help you effectively assess claims and interact with policyholders. These skills ensure accurate claim evaluation, efficient processing, and high customer satisfaction in a regulated industry.

What is the difference between Insurance Claims vs Insurance Adjuster?

AspectInsurance ClaimsInsurance Adjuster
Primary RoleSubmitting and managing insurance claimsInvestigating and evaluating insurance claims
Required CredentialsBasic knowledge of insurance policies, often no formal certification neededAdjuster license, certifications like AIC or CPCU often required
Work EnvironmentOffice, remote, or on-site at claim locationsFieldwork, on-site inspections, office work
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms

While both roles are integral to the insurance industry, Insurance Claims professionals focus on submitting and managing claims, whereas Insurance Adjusters investigate and evaluate claims to determine coverage and settlement amounts. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are some common challenges encountered in an insurance claims role, and how can they be managed effectively?

Professionals in insurance claims often face challenges such as managing high caseloads, handling complex or disputed claims, and meeting strict regulatory requirements. Effective time management and strong organizational skills can help balance multiple cases, while clear communication and empathy are essential when working with clients during stressful situations. Staying up to date with industry regulations and seeking support from more experienced team members can also help address difficult cases and ensure compliant, fair outcomes.

What are insurance claims?

Insurance claims are formal requests made by policyholders to their insurance company for coverage or compensation for a covered loss or policy event. After an incident like an accident, damage, or theft, the policyholder submits a claim, and the insurer reviews it to determine whether the event is covered under the policy. If approved, the insurance company will pay out the agreed-upon amount to the policyholder or a third party. The process may involve submitting documentation, working with adjusters, and sometimes negotiating settlements. Timely and accurate filing is important to ensure claims are processed efficiently.

Is insurance claims a stressful job?

Insurance claims jobs can be stressful due to the need to handle complex cases, meet deadlines, and manage customer expectations. The role often requires strong organizational skills and attention to detail, and workload can vary depending on the employer and claim volume.

Is it hard to become an insurance claims adjuster?

Becoming an insurance claims adjuster typically requires completing a state licensing exam, which involves understanding insurance policies, laws, and claims procedures. The process can vary by state but generally involves some training, passing an exam, and gaining experience, making it moderately challenging for new entrants.

How hard is it to work in insurance claims?

Working in insurance claims can be moderately challenging, requiring strong attention to detail, communication skills, and knowledge of insurance policies and procedures. The role often involves handling complex cases, meeting deadlines, and using claims management software, which can be demanding but manageable with proper training and experience.

What job categories do people searching Insurance Claims jobs in Plover, WI look for?

The top searched job categories for Insurance Claims jobs in Plover, WI are:

What cities near Plover, WI are hiring for Insurance Claims jobs?

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

Infographic showing various Insurance Claims job openings in Plover, WI as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $47,809 per year, or $23 per hour.

Claims Representative Sr - Commercial Lines

Sentry Insurance

Stevens Point, WI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago


Sentry Insurance rating

8.7

Company rating: 8.7 out of 10

Based on 46 frontline employees who took The Breakroom Quiz

70th of 307 rated insurance


Job description

Sentry is looking for a highly experienced claims handler, who’ll be responsible for handling litigated and non-litigated claims with complex coverage, liability, and damages issues. You’ll participate in settlement negotiations and mediations, actively monitor litigation including depositions, inspections, hearings, settlement conferences, and trials. You’ll provide prompt claim investigation, evaluation and settlement or denial of claims with moderate to high complexity. You’ll authorize payments in accordance with assigned authority limit and document claim files with all pertinent information and disposition. You must be able to handle difficult interactions with empathy

This position will report to a Sentry office location or has the potential to work remotely from home.

What You’ll Do:

As a Senior Claims Representative with Sentry, this position will be assigned to a Regional General Liability/Business Auto team, or a Transportation team. You will provide superior claims handling by conducting prompt claim investigations, which includes evaluating coverage, determining liability, and settlement of damages. In addition, you will:

  • Promptly investigate new claims

  • Review coverage forms and contracts to interpret applicable coverage then communicate the analysis to our customers

  • Evaluate the facts and develop and execute plans to resolve claims

  • Review medical documentation to determine the value of bodily injury claims

  • Document all decisions, correspondence, reports, and discussions

  • Negotiate the settlement of bodily injury and property damage claims with claimants and their legal counsel

  • Assign appropriate defense counsel, monitor and approve litigation activities as appropriate

  • Control expenses through close monitoring of litigation activities

  • Pay claims within assigned authority limits

  • Present an overview of specific claims to customers and company associates as appropriate

What it Takes:

  • Bachelor’s degree or related experience

  • 5+ years of related experience required

  • Independently handling caseload of litigated claims highly preferred

  • Knowledge of insurance policies and coverage, claim payment procedures, insurance regulations, and familiarity with medical and legal terminology is preferred

  • Analytical skills to review, exercise judgment, and evaluate claims to make sound decisions

  • Ability to review and interpret complex and detailed documents

  • Effective oral and written communication skills

  • Ability to maintain confidential information

  • Effective computer and math skills beneficial

What You'll Receive:

At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you’ll receive.

  • Sentry is happy to offer flexibility through a scheduled Hybrid work model for those who work in an office. Monday and Friday work from home if you choose to, Tuesday through Thursday you’ll work in office.

  • As a Sentry associate, you will have an in-office workspace and materials for your home office. In addition to the laptop, you will receive prior to your start, Sentry will provide equipment for your home office.

  • Meal Subsidy available for associates who report to an office.

  • 401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.

  • Continue your education and career development through Sentry University (SentryU) and utilize our Tuition Reimbursement program

  • Generous Paid-Time Off plan for you to enjoy time out of the office as well as Volunteer-Time off

  • Group Medical, Dental, Vision, Life insurance, Parental leave, and our Health and Wellness benefits to encourage a healthy lifestyle.

  • Well-being and Employee Assistance programs

  • Sentry Foundation gift matching program to encourage charitable giving.

About Sentry:

We take great pride in making Forbes’ list of America’s Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction.

Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we’re one of the largest and financially strongest mutual insurance companies in the United States. We’re rated A+ by A.M. Best, the industry's leading rating authority.

Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.

Get ready to own your future at Sentry. Opportunities await!

Joe Larsen

Talent Acquisition Specialist

Joe.larsen@sentry.com

Equal Employment Opportunity

Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.


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