Claims Representative Senior - Commercial Liability Sentry InsuranceClaims Representative Senior - Commercial LiabilityMadison, WI$74,900–$112,300 / yearAs a Senior Claims Representative on our Commercial Lines - Liability teams, you'll provide superior service by conducting prompt claim investigations, which includes evaluating coverage, determining liability, and settlement of damages. Evaluate physical damages and bodily injury claims, working closely with repair shops, medical providers, automobile appraisers, and/or contractors to facilitate necessary and related services or repair work.
Claims Adjuster SchneiderClaims AdjusterGreen Bay, WIThis diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. Schneider is seeking a Claims Adjuster in Green Bay, WI to investigate, analyze and resolve claims and incidents.
NewClaims Adjuster - Workers Compensation SchneiderClaims Adjuster - Workers CompensationGreen Bay, WIThis diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. Schneider is seeking a Claims Adjuster in Green Bay, WI to investigate, analyze and resolve claims and incidents.
Claims Examiner Medical Malpractice Diedre Moire Corp.Claims Examiner Medical MalpracticeSun Prairie, WI$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
NewStorm Restoration Sales Representative DHI Roofing & SidingStorm Restoration Sales RepresentativeMadison, WI$60,000–$175,000 / yearAccord Group is at the forefront of innovation in the construction industry, rebuilding more than just exteriors– we build futures. We are a dynamic and forward-thinking company committed to excellence, exceeding expectations, and delivering impactful projects across diverse sectors.
NewChannel Marketing Analyst, Trade KOHLERChannel Marketing Analyst, TradeKohler, WI$60,000–$72,000 / yearSee Kohler Terms & Conditions at https://www.kohlercompany.com/legal/ and Privacy Policy at https://www.kohlercompany.com/privacy/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Fluency in Excel, PowerBI, Salesforce, and PowerPoint is a must, as are excellent oral and written communication skills, and the ability to communicate with leadership confidently and succinctly.
Claims COB Investigator Unity Health InsuranceClaims COB InvestigatorWI$20.72–$25.91 / hourThree years of medical claims processing experience working in an office setting or One year of claims processing experience at Quartz consistently meeting quality and quantity goals. Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.
Medical Claims Examiner - Madison, WI (On-site) Gainwell Technologies LLCMedical Claims Examiner - Madison, WI (On-site)Madison, WI$30,500–$43,500 / yearGainwell Technologies defines wages and wage rates to include all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $30,500 - $43,500 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWI$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Claims COB Investigator QuartzClaims COB InvestigatorWisconsin$20.72–$25.91 / hourFull timeThree years of medical claims processing experience working in an office setting or One year of claims processing experience at Quartz consistently meeting quality and quantity goals. Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.
Claims Experience Spec IconmaClaims Experience SpecMontreal, QC$22.52–$25.52 / hourEvaluate, investigate and resolve claims submitted across our client products (including but not limited to Host Damage Protection claims) including claims of high value and complexity that require complex investigation and negotiations to reach satisfactory outcomes. Go above and beyond to create personalized interactions and exceptional premium support throughout the end-to-end claims process, tailoring the experience offered whilst ensuring each user’s needs and preferences are met with the highest level of care and attention.
Director, Claims Operations Medica Health Plans IncDirector, Claims OperationsMadison, WI$113,400–$170,100 / yearA skilled people and operations leader, the Director, Claims Operations ensures high-quality, timely, and accurate service delivery for customers, members, and providers across all lines of business in a dynamic, growth-oriented environment. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data.
Senior Manager, Claims Services Sun Life Financial IncSenior Manager, Claims ServicesMilwaukee, WI$68,200–$102,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
NewLong Term Care Claims Representative - Payment Servicing Genworth Financial IncLong Term Care Claims Representative - Payment ServicingWI$45,500–$66,000 / yearYou will work in a fast -paced environment across multiple products, ensuring claims handling follows policy provisions, internal guidelines, and Compliance requirements and will be responsible for the processing and payment of long-term care claims. Your experience or education has provided you with knowledge of medical terminology, diseases/diagnoses, and the ability to understand and interpret contract language, disability processes, nursing home licensing, and rehabilitative requirements.
Claims Auditor, Health Plan Sanford HealthClaims Auditor, Health PlanWisconsinRemoteDevelops and maintains a knowledge base of CPT coding guidelines, ICD codes, healthcare common procedure coding system (HCPCS) codes, use of modifiers, documentation guidelines, CMS policy, Medicaid rules, and other reimbursement guidelines, to review claims for accuracy, compliance, proper billing and ensure adherence to insurance policies and regulations. Successful completion of the following courses per departmental procedures,within one year of hire required: current procedural terminology (CPT), current international classification of diseases (ICD), health care procedure coding system (HCPCS) and medical terminology.
Stop Loss Claims Resolution Consultant Sun Life Financial IncStop Loss Claims Resolution ConsultantMilwaukee, WI$54,100–$81,200 / yearThis role combines deep technical expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry resolution, including research, claim determination support, documentation review, and clear customer communication. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
Mortgage Loan Servicing Processor WESTconsin Credit Union CareersMortgage Loan Servicing ProcessorMenomonie, WisconsinPrepares and submits investor loan sale packages by accurately compiling required documentation and completing all associated data entry in accordance with investor guidelines. What You’ll Be Doing: Manage escrow accounts, including annual analyses and processing of tax, insurance, and PMI activity; initiate forceâplaced insurance or escrow actions when necessary.
NewClaims Representative II (Workers Compensation) Society InsuranceClaims Representative II (Workers Compensation)Fond du Lac, WIRemoteThis role will investigate, evaluate, and resolve moderate-to-severe complex Workers' Compensation claims by determining coverage and liability, coordinating with injured workers, employers, and medical providers, and negotiating appropriate claim resolutions in accordance with company guidelines, policy provisions, and state regulations. Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants/injured workers, insureds, and witnesses; reviewing police and hospital records; and consulting with experts when appropriate.
NewClaims Representative I (Workers' Compensation) Society InsuranceClaims Representative I (Workers' Compensation)Fond du Lac, WIRemoteThis role will investigate, evaluate, and resolve mildly complex Workers' Compensation claims by determining coverage and liability, coordinating with injured workers, employers, and medical providers, and negotiating appropriate claim resolutions in accordance with company guidelines, policy provisions, and state regulations. Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants/injured workers, insureds, and witnesses; reviewing police and hospital records; and consulting with experts when appropriate.
NewSenior Property Claims Representative-Field Job Macpower Digital Assets Edge Private LimitedSenior Property Claims Representative-Field JobBrookfield, WI$72,000–$90,000 / yearHow does a Senior Property Claims Representative make an impact: Investigates claims by determining applicable policy coverage, evaluates, negotiates and settles assigned claims. Completes physical and/or virtual inspections of damaged property (when necessary), evaluates damages, and prepares written estimates according to policy provisions and liability.
Safety & Compliance Claims Supervisor Kaiser TransportSafety & Compliance Claims SupervisorMilton, WIFull timeWorking under the direction of the Safety & Compliance Department Manager, this position plays a key role in protecting the company from financial risk, ensuring regulatory compliance, and maintaining strong customer relationships. Kaiser Transport, Inc. is a leading open-deck LTL transportation company specializing in the movement of machinery, equipment, and commodities.
NewField Property Claims Adjuster: Greater Milwaukee, MN Area Farmers Group, Inc.Field Property Claims Adjuster: Greater Milwaukee, MN AreaMilwaukee, WIRemote$23.22–$38.76 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
NewField Property Claims Adjuster: Madison, MN Farmers Group, Inc.Field Property Claims Adjuster: Madison, MNMadison, WIRemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Ops Processor III Zurich Insurance Group LtdOps Processor IIIStevens Point, WIWe are a global group of digital specialists, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance experts, customer service and corporate services professionals. Zurich Cover-More partners with many of the world's best-known brands - think major airlines, travel giants, top banks, credit card providers, and large retailers - to deliver more care, more cover, for all.
Insurance Claims Examiner II Forest County Potawatomi CommunityInsurance Claims Examiner IICRANDON, WIPart timeProvides 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. 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.
Claims Representative II Society InsuranceClaims Representative IIFond du Lac, WIRemoteSuccessful 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. 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.
PROPERTY CLAIMS ADJUSTER - INSPECTOR Grinnell Mutual ReinsurancePROPERTY CLAIMS ADJUSTER - INSPECTORMadison, Wisconsin$50,997.68–$88,395.96 / yearWhile performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; talk or hear; and taste or smell. The incumbent occasionally works with all levels of employees in the home office including management, in-house counsel, property appraisers, special investigators, underwriters, finance, and support units.
Field Claims Representative - Wisconsin (La Crosse) Acuity, A Mutual Insurance CompanyField Claims Representative - Wisconsin (La Crosse)WI$75,000–$150,000 / yearMaintains working relationship with field sales force and underwriting department in securing and giving information on claims and regarding the risk desirability of insureds. The representative evaluates liability, exposure, subrogation potential and arrange for the disposition of claims through settlement or denial, including litigation.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerMilwaukee, WIRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Staff Claims Workers Compensation Consultant Acuity, A Mutual Insurance CompanyStaff Claims Workers Compensation ConsultantSheboygan, WI$90,000–$125,000 / yearThis role conducts regular audits and communicates findings, supports claims operations through consulting and training, develops training materials, and leads training programs that may include in-field follow‑up visits. The Claims Consultant also serves as a knowledge resource to other departments, enhancing operations through cross‑functional projects and collaboration while contributing to Acuity's overall strategic direction.
Property Adjuster Insurance Claims Elevate Claims SolutionsProperty Adjuster Insurance ClaimsLa Crosse, WisconsinElevate Claims Solutions is seeking an Independent Adjuster adjusters with commercial and residential property claims in Wisconsin: Greenbay Appleton and Fox Cities area. Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves.
Senior Manager, Claims Sun Life Financial IncSenior Manager, ClaimsWI$72,500–$108,800 / yearThe Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. What you will do: Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners.
Senior Manager, LTD Claims (Remote) Sun Life Financial IncSenior Manager, LTD Claims (Remote)Milwaukee, WIRemote$72,500–$108,800 / yearThe opportunity: The Senior Manager, Life & Disability Claims is part of the Claims Management Team and is responsible for the successful management of the day-to-day operations of our Long-Term Disability claims team, as well as fostering client relations and ensuring the accurate risk management of disability claims. How you will contribute: Leads, manages, hires, trains, retains and motivates a team of claims professionals capable of and committed to providing exceptional service to clients, claimants and internal DRMS partners.
Claims Supervisor CorVel Enterprise Claims, Inc.Claims SupervisorWaukesha, WIRemote$73,345–$113,247 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Adjuster, Property Insurance Claims Elevate Claims SolutionsAdjuster, Property Insurance ClaimsJanesville, WisconsinElevate Claims Solutions is built on the knowledge that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Valuing our partnerships with our carrier clients; recognizing and maximizing the ways in which our Elevated Claims Handling can support them and their policyholders.
Field Claims Representative Auto-Owners Insurance GroupField Claims RepresentativeAppleton, WIAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
Multi-Line Claims Adjuster - Wisconsin Provencher & Company, LLCMulti-Line Claims Adjuster - WisconsinMadison, WIWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
Claims Representative Auto-Owners Insurance GroupClaims RepresentativeAppleton, WIAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.
TPA Claims Account Manager Cottingham & ButlerTPA Claims Account ManagerMadison, WIWe are seeking an experienced Account Manager with strong Third-Party Administrator (TPA) or claims experience to manage client relationships and drive performance across auto liability, general liability, and/or workers' compensation programs. This role serves as the key liaison between clients and internal claims teams, ensuring service excellence, operational efficiency, and strong program outcomes throughout the lifecycle of each account.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEMadison, WIRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
NewClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEMadison, WIRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Claims Adjuster Schneider National IncClaims AdjusterGreen Bay, WIThis diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. Job overview: Schneider is seeking a Claims Adjuster in Green Bay, WI to investigate, analyze and resolve claims and incidents.
NewClaims Adjuster - Workers Compensation Schneider National IncClaims Adjuster - Workers CompensationGreen Bay, WIThis diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. Job overview: Schneider is seeking a Claims Adjuster in Green Bay, WI to investigate, analyze and resolve claims and incidents.
NewManager - Central Claims Acuity, A Mutual Insurance CompanyManager - Central ClaimsSheboygan, WICompletes monthly report to General Manager of Claims outlining volume, pendings, productivity, seminars/training, personnel issues and miscellaneous items affecting the unit. Reports regularly to the General Manager of Claims on staff files and litigation files recommending reserve, settlement range and requesting authority in excess of his/her authority.
RCIS Crop Claims Field Adjuster I (WI Virtual) Zurich Insurance Group LtdRCIS Crop Claims Field Adjuster I (WI Virtual)WIAs a RCIS Crop Claims Field Adjuster I, your primary responsibilities will include: With minimal supervision, completes field inspections and related responsibilities such as reading maps and aerial photos, measuring fields, storage bins, and discussing findings of crop loss with farmers on the most complex non-routine, problematic claims including controversial claims. RCIS Crop Adjuster Physical Requirements: walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs. to 50 lbs., work outdoors in varying temperatures/weather conditions.
NewRCIS Crop Claims Field Adjuster I (WI) Zurich Insurance Group LtdRCIS Crop Claims Field Adjuster I (WI)WIAs a Crop Adjuster, your primary responsibilities will include: With minimal supervision, completes field inspections and related responsibilities such as reading maps and aerial photos, measuring fields, storage bins, and discussing findings of crop loss with farmers on the most complex non-routine, problematic claims including controversial claims. RCIS offers a wide range of private product coverages, including a diverse selection of named-peril options, supplemental and stand-alone insurance products as well as federal crop insurance plans through the United States Department of Agricultures Risk Management Agency.
NewLTC Claims Pending Specialist - Remote USA. Northwestern MutualLTC Claims Pending Specialist - Remote USA.WisconsinRemoteDetermines the applicability of benefits claimed by interpreting contract provisions, state regulations, and uses claim knowledge in interpreting and analyzing facts to reach claim decisions on new and continuing claims, consistent with Northwestern Long Term Care's claim philosophy. Communicate effectively verbally and in writing with Insureds and their representatives, Field Force, medical practitioners, and related service providers, attorneys, other insurance companies, and divisional resources, is involves negotiation and conflict resolution.
RCIS Seasonal Crop Claims Adjuster (WI Virtual) Zurich Insurance Group LtdRCIS Seasonal Crop Claims Adjuster (WI Virtual)WIRCIS offers a wide range of private product coverages, including a diverse selection of named-peril options, supplemental and stand-alone insurance products as well as federal crop insurance plans through the United States Department of Agricultures Risk Management Agency. As a Seasonal Crop Adjuster, your primary responsibilities will include: Complete field inspections and related responsibilities such as reading maps and aerial photos, measuring field and storage bins, and discussing findings of crop loss with farmers.
Claims Representative III West Bend Insurance CompanyClaims Representative IIIWest Bend, WIRemote$55,000–$77,000 / yearWest 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. 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.
Remote Claims Representative 613829 Metro Public AdjustmentRemote Claims Representative 613829Milwaukee, WIRemoteIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim.