294 Results for

Claims Specialist Jobs in Wisconsin

Jobs

Wausau, WI

$100,000–$140,000 / year
Full time

CONSIDERED 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.

25 days ago

Menomonee Falls, WI

$100,000–$140,000 / year
Full time

18 days ago

Stevens Point, WI

Join Sentry's team as a Corporate Business Paralegal!

Sentry’s Corporate and Transactional Paralegals perform a variety of complex legal activities, including reviewing and helping negotiate a variety of commercial agreements, assisting with maintenance of Sentry’s trademark portfolio, and mergers and acquisitions activities. Draft closing checklists and ancillary agreements necessary for closing, review regulatory requirements and advise on necessary approvals thereof, draft filings and coordinates with internal regulatory groups and regulatory authority to ensure all necessary approvals are received and processes are finalized.

3 days ago

Wausau, WI

Remote

p>As a Workers Compensation Associate Claims Specialist, you will develops the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training.

Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.

19 days ago

Wausau, WI

Remote

p>Responsibilities:

Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners.
Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the states tort laws as normally acquired through a bachelors degree (or equivalent training) plus 3 to 5 years directly related work experience.

19 days ago

Madison, WI

$51,000–$76,500 / year

5% - Maintain an awareness of departmental, legal and industry changes which may have an impact on the investigation and settlement of claims, by reading related literature and/or attending available educational programs, departmental and intra-departmental meetings within Credit Union Protection and new product development and exposures in TruStage. 10% - Engage the Account Team (Account Relationship Manager, P&C Specialist, Underwriter and/or Risk Manager) to ensure that the insureds perceived and unperceived needs are addressed across all Credit Union Protection lines of business, as well as focusing on CMG products and services as a whole that may be affected and/or come into play.

30+ days ago

Remote

$137,496–$164,934 / year

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Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C.

Essential Responsibilities:

Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.

19 days ago

Brookfield, WI

Full time

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.

30+ days ago

Appleton, WI

$85,000–$120,000 / year

Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

30+ days ago

Madison, WI

We’re hiring a Customer Claims Specialist to be the calm, confident voice that helps our clients feel seen, heard, and taken care of when damage occurs or other issues arise during a move. Your job isn’t just about processing claims - it’s about protecting our reputation, living out our values, and helping customers walk away saying, “They truly took care of me.”.

30+ days ago

Appleton, Wisconsin

$85,000–$120,000 / year

Company Details:

Berkley_Risk_Admin_Logo . Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper.

30+ days ago

Remote

p>If you enjoy working with information, solving puzzles, and being part of a team that keeps things running smoothly, this is a great opportunity to build valuable skills in a growing industry. Join Quartz as a Claims Operations Specialist and play an essential role in ensuring our members receive accurate and timely claims processing.

30+ days ago

$18.50–$42.35 / hour

p>In this role, you will:

Perform adjustments across all dollar amount levels on customer service platforms, specifically by using technical and claims processing expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

4 days ago

Stevens Point, WI

As a Claims Technical Specialist, you will play an integral role in ensuring the effective management of complex and high-exposure claims with a focus on commercial property losses. You will apply your technical expertise, regulatory knowledge, leadership skills, and a strong commitment to ensuring delivery of high-quality outcomes for both the organization and its customers.

30+ days ago

Stevens Point, WI

p>As a Claims Representative Specialist on one of Sentry's Commercial Liability teams, this highly experienced claims adjuster will provide prompt claim investigation, evaluation, and settlement or denial of highly complex claims including those in litigation.

Manage investigative process by taking recorded statements, obtaining investigative reports, evaluating damages or eligibility for benefits, and determining legal responsibility.

12 days ago

Madison, WI

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Evaluate liability by taking recorded statements from involved parties and witnesses and reviewing police reports accident scene photos and other pertinent evidence.

Investigate and resolve litigated claims in an efficient and accurate manner- negotiate settlements, and communicate effectively with policyholders, vendors, and other stakeholders.

5 days ago

Milwaukee, WI

$19–$22 / hour

p>For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. In addition to ensuring essential administrative functions run smoothly, you may also interact with customers and medical providers by phone or in person when applicable.

30+ days ago

Eau Claire, WI

As a Claims Support Specialist at M3 Insurance, youll play a vital role in supporting our P&C Risk Management team by managing claims activity, coordinating with clients and carriers, and ensuring seamless day-to-day operations. M3 is building a culture focused on learning and progression, where M3ers are empowered by education, inclusive conversations, and real action that supports the future we envision.

30+ days ago

Madison, WI

CBCSclaims.com | LinkedIn| Facebook.

This position requires strong technical knowledge, communication skills, and judgment, along with the ability to partner closely with leadership to ensure training is structured, effective, and aligned with operational expectations.

17 days ago

Madison, WI

CBCSclaims.com | LinkedIn| Facebook.

17 days ago

Hartland, WI

Full time

Apply now, it’s quick and mobile-friendly https://diversifiedbenefitservices.applytojob.com/apply. If you have experience in Client Relations, Accounts Payable, Accounts Receivable, Payroll Processing, Banking Operations, HR, Employee Benefits, or Insurance Claims, your background aligns exceptionally well with this opportunity.

30+ days ago

Milwaukee, WI

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.

Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.

24 days ago

Madison, WI

$46,800–$63,300 / year

This role is also responsible for educating members on policy provisions, exclusions, interpreting financial and non-financial information online and following claim requirements and procedures to determine what activity has transpired. We will continue to strive to offer flexibility and invest in technology and other tools that will make hybrid working normal rather than an exception, so that when "life happens," you can focus on what's most important.

5 days ago

By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.

28 days ago

Madison, WI

$62,500–$115,500 / year

p>Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment.

For NY residents please review the following state law information: Notice of Employee Rights, Protections, and Obligations LS740 (ny.gov) https://dol.ny.gov/system/files/documents/2022/02/ls740_1.pdf.

30+ days ago

Milwaukee, WI

30+ days ago

Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.

30+ days ago

Remote

$18.50–$42.35 / hour

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.

30+ days ago

Stevens Point, WI

p>What You'll Do:

As a Senior Claims Representative on our Commercial Liability teams, you'll provide superior service by conducting prompt claim investigations, which includes evaluating coverage, determining liability, and settlement of damages across multiple lines of business.

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.

12 days ago

Stevens Point, WI

Lead efficient claim decisions by assessing losses, building estimates, and securing fair settlements while collaborating with repair teams and tracking the latest repair technology. Knowledge of vehicle repairs gained from previous experience in a repair facility, appraising responsibilities, or collision repair course work preferred.

30+ days ago

Madison, WI

$17–$31.30 / hour

The 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. We are 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.

19 days ago

Milwaukee, WI

$62,400–$85,800 / year

30+ days ago

West Bend, Wisconsin

$42,000–$52,000 / year

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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..

Short and Long Term Disability  .

10 days ago

23 days ago

$89,440–$134,160 / year

p>The FCC is responsible for:

Effective claim handling and evaluation of contestable and non-contestable, Disability Income, Life and Accidental Death Benefit, Life Waiver of Premium, Long-Term Care, claims through thorough and timely contact with Policyowners, Insureds, Physicians, business partners, and other parties.
Field Claim Consultants are remote employees who conduct video, telephone, and in-person interviews (requiring travel), to evaluate and analyze the most complex contestable and non-contestable, Disability Income, Life, Long Term Care and Life Waiver of Premium claims.

14 days ago

Milwaukee, WI

Remote

Full time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

30+ days ago

$15–$20 / hour

p>By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. This position also provides support to CR1 staff during periods of high volume, which includes compiling claim packets and referring eligible claims with supporting documentation to collection vendors, excluding claims involving total losses.

14 days ago

Platteville, WI

Remote

$58,000–$74,000

The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.

11 days ago

Croix Health offers the services of 80+ providers and 20 specialties with five community clinics in Minnesota and Wisconsin all supported by a critical access hospital on the main campus in St.

While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from particular jobs and to assign other duties as necessary.

30+ days ago

Beloit, WI

p style="padding:0px;vertical-align:baseline;background-color:transparent;text-align:left">Beloit Health System is looking to add an On-Site Patient Financial Service Specialist II to our Team!. The position requires proper account documentation in facility's billing system and pursuit of aged account resolution under the minimal supervision of team lead and/or departmental leaders.

22 days ago

Milwaukee, WI

$22–$24 / hour

Performs all duties related to the timely and efficient billing and collection of private insurance receivables for a group of facilities in a central billing environment, within the parameters established by company policies and third-party billing requirements, and as necessary to achieve reasonable collection goals. Comprehensive knowledge of commercial insurance and managed care plans, including basic coverage models, billing requirements, subscriber and provider responsibilities, and coordination of benefit (COB) rules.

24 days ago

New Berlin, WI

Remote

strong>SUMMARY A Reimbursement Specialist is responsible for the timely and accurate billing and insurance processing for Atos Medical products by preparing and submitting claims, verifying coverage, resolving denials, and maintaining compliant patient records. State-of-the-art facility: Hybrid and onsite employees work from our state-of-the-art facility, thoughtfully designed with sit-stand desks, large monitors, and premium onsite amenities, including a gym and golf simulator.

30+ days ago

Milwaukee, WI
$52,770–$83,918 / year
With established guidelines, the HOD maybe delegated the authority and responsibility to exercise the Medical Center Directors prerogative in medical administrative matters and issues that may arise; represents management in (non-policy making) administrative matters; represents management in matters pertaining to the lawful retention of veterans in the VAMC; maintains continuity of functions and provides full medical administrative support during other than normal tours of duty to clinical and administrative medical center staff; is responsible for achieving management objectives and supporting the decision of management in carrying out duties; and provides technical guidance necessary to meet procedural, legal, and administrative requirements relating to the care and treatment of patients to achieve optimum use of available resources. Receives and responds to non-routine patient condition inquiries and other administrative inquiries from concerned veterans, families, visitors, law enforcement officials, representatives from private hospitals, veterans service organization representatives, VA Central Office, Congressional offices, military personnel, private physicians, media, and the general public.
19 days ago

Madison, WI
Full time
This role plays a critical part in supporting efficient clinic operations by ensuring accurate patient and insurance information prior to treatment and managing full revenue cycle to optimize reimbursement and cash flow.
Accurately document verified insurance benefits in the practice management system to ensure reliable financial and clinical workflows.
30+ days ago

Ashland, WI
The Patient Financial Specialist plays a key part in ensuring that patients are billed correctly and that the organization is reimbursed accurately by insurance companies. Assist with mail, phone coverage, and support other roles during absences (e.g., PFS Specialist, Prior Authorization Credentialing Specialist).
30+ days ago

Appleton, WI
This role communicates directly with commercial, governmental, and other third-party payers, as well as patients, guarantors, family members, and internal medical staff, to resolve claim issues and manage accounts receivable efficiently.
Job Description:
KEY ACCOUNTABLITIES:
Reviews, analyzes, and processes billed claims for accuracy upon submission, including charges, subscriber data, diagnosis and procedure codes, late charges, and supporting documentation.
12 days ago

Milwaukee, WI
$20–$24 / hour
p>Who We Are and What We're About:
Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
24 days ago

Manitowoc, WI
Remote
Part time
li style="vertical-align:middle">Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
Offers education on the healthcare revenue cycle and troubleshoots accounts through resolution by reviewing large balance accounts and other departmental insurance discovery processes..
30+ days ago

Manitowoc, Wisconsin
Remote
li style="vertical-align:middle">Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
Offers education on the healthcare revenue cycle and troubleshoots accounts through resolution by reviewing large balance accounts and other departmental insurance discovery processes..
30+ days ago

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Claims Specialist Jobs in Wisconsin

Medical Malpractice Claims Specialist - Wausau, WI Diedre Moire Corp.

Claims Examiner Medical Malpractice Diedre Moire Corp.

Corporate Business Paralegal Sentry Insurance

Associate Claims Specialist - Workers Compensation - Central Region Liberty Mutual Holding Company Inc

Senior Claims Specialist I - Workers Compensation - Central Region Liberty Mutual Holding Company Inc

Claim Specialist III, Bond/Corporate Claims (Hybrid in Madison, WI or Waverly, IA) TruStage Financial Group Inc

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Inc

Commercial Liability Claims Specialist Erie Insurance

Property Claims Specialist Wisconsin W. R. Berkley Corp

Customer Claims Specialist Badger Brothers Moving

Property Claims Specialist - Wisconsin Berkley

Claims Operations Specialist Unity Health Insurance

Senior Claims Benefit Specialist CVS Health Corp

Claims Technical Specialist - Commercial Property Sentry Insurance Group

Claims Representative Specialist - Commercial Lines Sentry Insurance Group

Claims Representative Specialist - Litigation Sentry Insurance Group

Claims Administrative Support Specialist The Progressive Corp

Claims Support Specialist M3 Insurance Solutions Inc

Auto Liability Claims Training Specialist Cottingham & Butler

Auto Liability Claims Training Specialist CBCS

Claims Account Specialist Diversified Benefit Services

Claims Examiner II Markel Group Inc

Claim Specialist I (Hybrid: Madison, WI/Waverly, IA) TruStage Financial Group Inc

Regional Senior Casualty Claim Specialist - Litigation AAA Southern New England

Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance Co

Claims Examiner II - Marine Personal Lines Markel Group Inc

Claims Examiner II, Lawyers and Financial Advisors Markel Group Inc

Senior Claim Benefit Specialist - Remote CVS Health Corp

Claims Representative Senior - Commercial Liability Sentry Insurance Group

Auto Claims Appraiser Sentry Insurance Group

Claim Benefit Specialist CVS Health Corp

Claims Examiner, Inland Marine - Transportation Claims Markel Group Inc

Claims Service Representative I West Bend Insurance Company

Senior Claims Examiner, Inland Marine Markel Group Inc

Field Claims Consultant The Northwestern Mutual Life Insurance Co

Sr Claims Reviewer TriWest Healthcare Alliance

Temporary Subrogation Claim Support Processor AAA Southern New England

Medical Billing Specialist Mi Familia & Summit Home Health and Hospice

Insurance Billing Specialist-Full Time Saint Croix Regional Medical Center

Patient Financial Services Specialist II - On Site Beloit Health System

Insurance Billing Specialist I - Full-Time North Shore Healthcare LLC

Medical Reimbursement Specialist (Remote in Wisconsin) Coloplast Corp

Medical Administration Specialist U.S. Department of Veterans Affairs

Revenue Cycle Specialist Cherry Tree Dental

Specialist | Patient Financial Services | Full Time Tamarack Health

Accounts Receivable Specialist ThedaCare Inc

Pharmacy Billing Specialist Guardian Pharmacy LLC

Remote Insurance Specialist (Collections) ARstrat, LLC

Remote Insurance Specialist (Collections) GetixHealth

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