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Remote Claims Representative Jobs in Appleton, WI

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Remote Claims Representative information

See Appleton, WI salary details

$11

$23

$41

How much do remote claims representative jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for remote claims representative in Appleton, WI is $23.54, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $26.73 per hour, depending on experience, location, and employer.

What is a remote claims representative?

A Remote Claims Representative is responsible for reviewing, processing, and resolving insurance claims while working from a remote location. They assess claim details, verify coverage, and communicate with policyholders, medical providers, or other relevant parties to ensure accurate and timely claim settlements. Strong analytical skills, attention to detail, and knowledge of insurance policies are essential for this role. The job often involves using digital tools to document claims and provide customer support.

What are the key skills and qualifications needed to thrive as a remote claims representative?

To thrive as a Remote Claims Representative, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies and claim processes, often supported by a relevant associate's or bachelor's degree. Familiarity with claims management software, CRM systems, and occasionally industry certifications like AIC (Associate in Claims) is highly beneficial. Excellent communication, problem-solving skills, and the ability to work independently are important soft skills for success in this remote role. These competencies ensure accurate evaluation and efficient resolution of claims while maintaining high customer satisfaction and adherence to regulatory standards.

What are some common challenges faced by remote claims representatives, and how can they be managed?

Remote Claims Representatives often encounter challenges such as managing high caseloads, communicating complex decisions effectively with clients, and staying organized without direct in-person supervision. Successfully navigating these challenges typically involves developing strong time management, self-motivation, and clear digital communication skills. Many companies provide robust training, digital collaboration tools, and regular virtual meetings to support remote staff and maintain team cohesion. Proactively seeking feedback and utilizing available resources can help you stay on track and excel in this dynamic remote environment.

Do you need a license to be a remote claims representative?

In most cases, remote claims representatives do not need a specific license to perform their duties, but licensing requirements can vary depending on the industry and state regulations. Some roles may require a general insurance license or certification, especially if handling sensitive claims or working directly with insurance policies. It is important to check the specific employer's requirements and local regulations for the role.

What are the most commonly searched types of Claims Representative jobs in Appleton, WI?

The most popular types of Claims Representative jobs in Appleton, WI are:

What job categories do people searching Remote Claims Representative jobs in Appleton, WI look for?

The top searched job categories for Remote Claims Representative jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Remote Claims Representative jobs?

Cities near Appleton, WI with the most Remote Claims Representative job openings:

Property Field Claims Adjuster (Appleton, WI)

American Family Mutual Insurance Company Si

Appleton, WI • On-site, Remote

$57K - $94K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 11 hours ago

Posted today


American Family Insurance rating

7.5

Company rating: 7.5 out of 10

Based on 136 frontline employees who took The Breakroom Quiz

224th of 310 rated insurance


Job description

You will work in the field and report to the Property Claim Manager, handling homeowner property field claims in the Fox Valley area. You must be located within this metro area. A company fleet vehicle is provided with the position and there's an option to use the vehicle for personal use.
In this primarily field-based role, you will spend 80% of your time working in the field, directly interacting with customers. On occasion, you may be asked to travel to an office location for in-person engagement activities such as team meetings, training, and cultural events.

Position Compensation Range:

$57,000.00 - $94,000.00

Pay Rate Type:

Salary

Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates.

Primary Accountabilities

  • Investigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc.
  • Identifies complex issues and seeks assistance as needed. Handles claims on a good faith basis.
  • Handles both 1st party and 3rd party claims under multiple policy types and numerous endorsements.
  • Conducts on-site inspections when needed, evaluates damages, and handles claim negotiations with insureds, claimants, attorneys, public adjusters.
  • Responds to customer inquiries, makes appropriate decisions and closes file as needed.
  • Interprets and determines policies, leases, by-laws, declarations, articles and contract coverages and applies to all parties for assigned losses.
  • Proactively provides all parties with claim process and status as appropriate; answers questions or redirects to other areas.
  • May be required to complete other assignments, job duties, or participate in projects based upon skills, achievements, or experience.


Specialized Knowledge & Skills Requirements

  • Demonstrated experience providing customer-driven solutions, support, or service.
  • Demonstrated experience handling 1st and 3rd party, multi-line claims across our operating territories, or other equivalent experience.
  • Demonstrated experience handling moderately complex claims, or other equivalent experience.
  • Solid knowledge and understanding of policies and endorsements related to casualty coverages, or other equivalent knowledge.
  • Solid knowledge and understanding of each phase of the claim handling process, or other equivalent knowledge.

Experience with Xactimate preferred.


Licenses

  • Valid driver's license required plus an acceptable driving record.
  • Obtain state specific property casualty claims licensing as required.


Travel Requirements

  • Up to 50%.
  • Catastrophe duty up to 75% as applicable.


Physical Requirements

  • Ascending or descending ladders, stairs, scaffolding, ramps, poles and the like. This position may require employees to visit areas that have a higher hazard than a typical office such as customer homes, body shops, or other locations.
  • Moving self in different positions to accomplish tasks in various environments including tight and confined spaces.
  • Adjusting or moving objects up to 50 pounds in all directions.


Working Conditions

  • Low temperatures.
  • High temperatures.
  • Outdoor elements such as precipitation and wind.
  • Noisy environments.
  • Hazardous conditions.
  • Poor ventilation.
  • Small and/or enclosed spaces.
Additional Information
  • To ensure a strong start, all employees participate in our New Employee Orientation during their first week. This experience is held in person at our Madison, WI Headquarters or one of our AmFam core locations to help you connect with our mission, meet key team members and build relationships that support your growth. At times, sessions may be delivered virtually based on scheduling and availability.
  • Offer to selected candidate will be made contingent on the results of applicable background checks
  • Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions
  • Sponsorship will not be considered for this position unless specified in the posting

#LI-Remote

We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.

We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.

American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email AskHR@AmFam.com to request a reasonable accommodation.

#LI-JM1

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