ZipRecruiter

Log In

1

Life Insurance Claims Jobs in Wisconsin (NOW HIRING)

Forest County Potawatomi

Insurance Claims Examiner II

WI · On-site

Level II Level III 1 Analyzes and processes minimum of 200 claims daily to determine plan liability ... Life insurance * 401k with match Equal Opportunity Employer This employer is required to notify all ...

next page

Showing results 1-20

All JobsLife Insurance Claims JobsLife Insurance Claims Jobs in Wisconsin

Life Insurance Claims information

See Wisconsin salary details

$12

$23

$43

How much do life insurance claims jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for life insurance claims in Wisconsin is $23.72, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $25.96 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in life insurance claims?

To excel in Life Insurance Claims, you need a solid understanding of insurance policies, claims processing procedures, and legal compliance, often backed by relevant experience or certifications such as an Associate in Claims (AIC). Familiarity with claims management software, customer relationship management (CRM) systems, and document verification tools is important for efficient workflow. Outstanding attention to detail, problem-solving abilities, and strong interpersonal communication distinguish top performers in this role. These skills enable accurate claim assessment, timely resolutions, and a positive experience for policyholders during sensitive moments.

What is a life insurance claims?

A Life Insurance Claims job involves reviewing and processing claims made by beneficiaries after a policyholder's death. Professionals in this role assess policy details, verify documentation, and ensure claims meet policy terms. They may also communicate with beneficiaries, medical professionals, and legal teams to gather necessary information. The goal is to fairly and efficiently process claims while preventing fraud. This position requires attention to detail, knowledge of insurance policies, and strong customer service skills.

What does a life insurance claims professional do?

A Life Insurance Claims professional is primarily responsible for reviewing submitted claims, verifying documentation, and determining benefit eligibility according to policy terms. They communicate regularly with beneficiaries, medical professionals, and internal underwriting or legal teams to gather necessary information and resolve any discrepancies. Day-to-day tasks may also include entering data into claims management systems, investigating potential fraud, and preparing detailed reports. This role often requires balancing multiple cases simultaneously while maintaining a high level of accuracy and empathy when interacting with clients.

What are popular job titles related to Life Insurance Claims jobs in Wisconsin?

For Life Insurance Claims jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Life Insurance Claims jobs in Wisconsin look for?

The top searched job categories for Life Insurance Claims jobs in Wisconsin are:

Life Insurance Claims jobs near you
Infographic showing various Life Insurance Claims job openings in Wisconsin as of August 2026, with employment types broken down into 94% Full Time, 4% Part Time, and 2% Contract. Highlights an 90% In-person, 2% Hybrid, and 8% Remote job distribution, with an average salary of $49,342 per year, or $23.7 per hour.

Insurance Claims Examiner II

Forest County Potawatomi Community

Crandon, WI • On-site

Full-time

Re-posted 22 days ago

Job description

Here’s what you’ll be doing:

Level II

Level III

1

Analyzes and processes minimum of 200 claims daily to determine plan liability; reviews payment Purchased Referred Care, medical, dental and vision claims

Analyzes and processes minimum of 400 claims to determine plan liability; reviews payment Purchased Referred Care, medical, dental and vision claims

2

Compiles, submits documents, and tracks claims for CHEF, (Catastrophic Health Emergency Fund), for reimbursement, to Bemidji Area Contract Health for high-cost cases, following current IHS guidelines and regulations

Compiles, submits documents, and tracks claims for CHEF, (Catastrophic Health Emergency Fund), for reimbursement, to Bemidji Area Contract Health for high-cost cases, following current IHS guidelines and regulations

3

Collaborates with the Eligibility team to ensure payer of last resort stance is utilized when handling Purchased Referred Care claims and payments

Collaborates with the Eligibility team to ensure payer of last resort stance is utilized when handling Purchased Referred Care claims and payments

4

Assists with other research and development projects as directed by Management; obtains and maintains necessary certification for Health Insurance Marketplace CAC

Provides training and guidance through expert knowledge of claims administration and adjudication to Insurance Department staff; responsible for the timely response to formal appeals from members, employees, clients and providers

5

Reviews, resolves and/or escalates Level 2 claims appeals; releases claims up to the designated draft authority for Level 2 Claims Examiner

Works with the Customer Service Coordinator to manage and provide direction to the utilization review and case management vendor; identifies and manages claims with potential subrogated recovery

6

Ensures that claims adjudication complies with all FCPID standards and protocols; reviews claims for possible abuses and/or fraud and bring to the attention of management

Oversees the repricing processes to ensure the integrity of the product; investigates claims referred by staff for possible abuse and fraud

What you’ll need to be successful:

Level II

Level III

1

High School Diploma or GED

High School Diploma or GED

2

Five (5) years of experience in medical claims processing

Five (5) years of experience in medical claims processing

3

Three (3) years in customer service

Three (3) years in customer service

4

Knowledge of Indian Health Service guidelines as it pertains to payment of medical providers and health benefits claims processing standards

Two (2) years in a lead or supervisory capacity

5

Knowledge of NCCI and CMS coding/billing standards, CPT-4, ICD-9, ICD-10, DRG and HCPS and medical terminology

Knowledge of Indian Health Service guidelines as it pertains to payment of medical providers and health benefits claims processing standards

6

Knowledge of insurance principles and/or procedures

Knowledge of NCCI and CMS coding/billing standards, CPT-4, ICD-9, ICD-10, DRG and HCPS and medical terminology

7

Skill in operating various word-processing, spreadsheets, and database software programs in a Windows environment

Knowledge of insurance principles and/or procedures

8

Must successfully pass all applicable background checks and drug screens

Skill in operating various word-processing, spreadsheets, and database software programs in a Windows environment

9

Must successfully pass all applicable background checks and drug screens

Benefits you’ll love:

  • Approximately 5 weeks of paid time off annually
  • 3 weeks of paid holidays
  • Premium free health insurance
  • Flexible spending accounts
  • Short term disability
  • Life insurance
  • 401k with match

Apply