Top 36 Claims representative Jobs in Appleton Wi

Workers Compensation Claims Representative
Wisconsin Municipal Mutual Insurance Company —Wisconsin
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Residential
- Health savings account
- Health insurance
Quick Apply
Claims Representative
Auto-Owners Insurance Company —Appleton, WI
- Full-time
- Hybrid work
- Driver's License
- Bachelor's degree
- US work authorization
- Paid holidays
- Paid time off
Quick Apply
Patient Access Registrar
ThedaCare —Appleton, WI
- Full-time
- High school diploma or GED
- Ability to lift 50 pounds
- Entry level
3d
Patient Service Representative - part-time (Grand Chute)
Prevea Health —Appleton, WI
- Part-time
- Ability to climb stairs
- High school diploma or GED
- Travel
Quick Apply
10d
Health Services Operations Specialist, Post - Acute
ThedaCare —Appleton, WI
- Full-time
- 18 years or older
- Skilled nursing facility
- Mid-level
Patient Service Representative - Allouez
Prevea Health —Green Bay, WI
- Full-time
- Ability to climb stairs
- High school diploma or GED
- Travel
Quick Apply
Member Experience Representative I
Network Health, Inc —Menasha, WI
- Full-time
- High school diploma or GED
- Computer skills
- Medical terminology
4d
Patient Access Registrar - PM Shift - OB/ED
ThedaCare —Neenah, WI
- Part-time
- 18 years or older
- Office
- High school diploma or GED
Patient Access Registrar - 2nd Shift ED
ThedaCare —Appleton, WI
- Part-time
- 18 years or older
- Office
- High school diploma or GED
Insurance Claims Supervisor (Voluntary Benefits)
ManhattanLife Insurance & Annuity Company —De Pere, WI
- Overtime
- Computer literacy
- Mid-level
- Office
- Wellness program
- Health insurance
Quick Apply
Patient Access Registrar - PRN/Casual
ThedaCare —Neenah, WI
- Part-time
- 18 years or older
- Hospital
- Office
Patient Service Representative Float - Allouez
Prevea Health —Green Bay, WI
- Full-time
- Float pool
- Ability to climb stairs
- High school diploma or GED
Quick Apply
14d
Patient Service Representative Lead Float
Prevea Health —Green Bay, WI
- Full-time
- Management
- Float pool
- Mid-level
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Megan Demski - State Farm Agent —Brillion, WI
- $55,000 - $70,000 a year
- Full-time
- Office
- Organizational skills
- Communication skills
- Paid time off
- 401(k) matching
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Jake Webster - State Farm Agent —Green Bay, WI
- $40,000 - $50,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Customer Service Representative
Leudtke Agency, LLC —Kaukauna, WI
- $35,000 - $50,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid training
- 401(k)
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Tyler Wurtz - State Farm Agent —Menasha, WI
- $35,000 - $45,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Insurance Customer Service Rep
Brian Van De Hey Insurance —De Pere, WI
- $20 - $28 an hour
- Full-time
- Office
- Organizational skills
- Entry level
- Paid holidays
- Paid time off
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Tyler Wurtz - State Farm Agent —Menasha, WI
- $40,000 - $50,000 a year
- Full-time
- Office
- Organizational skills
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
12d
Life/Health Insurance Position - State Farm Agent Team Member
Zach Zimmerman - State Farm Agent —De Pere, WI
- $50,000 - $70,000 a year
- Full-time
- Office
- Organizational skills
- Communication skills
- Paid time off
Quick Apply

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Workers Compensation Claims Representative

Wisconsin Municipal Mutual Insurance Company
Wisconsin

Quick Apply

Job Details

Full-time

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Professional development assistance
Life insurance
Retirement plan

Qualifications

Computer operation
Workers' compensation law
Customer communication
Medical claims
Medicare
Customer service
Regulatory compliance in claims processing
Workers' compensation insurance knowledge
Driver's License
Bachelor's degree
Medicare regulations
Driving
Managing projects
Insurance claims management software
Productivity software
Quality data entry
Stakeholder management

Full Job Description

FLSA Status: Salary/Exempt

Reports to: Claims Manager

Revision Date: October 2025

At Wisconsin Municipal Mutual Insurance Company (WMMIC), we believe that how we work is just as important as what we do. Our culture is built on trust, respect, and a shared commitment to excellence—both individually and organizationally.

We value each team member as a respected and appreciated contributor. These Individual Values guide how we show up for one another every day:

Honesty & Integrity – Acting with truthfulness and sincerity, even when it’s not easy
Respect in Action – Treating others with kindness, courtesy, and a willingness to help
Dependability – Following through on commitments and being someone others can rely on
Receptive – Staying open to new ideas, listening with curiosity, and valuing diverse perspectives

As an organization, we exist to serve our members with excellence and purpose. These Organizational Values unite us in that mission:

Members First – Prioritizing member needs and acting in their best interest
Accountability – Owning our actions and their impact with transparency and trust
Excellence – Taking pride in our work and striving to exceed expectations
Continuous Improvement – Embracing learning, adaptability, and innovation
Ethical Conduct – Committing to honesty, honor, and doing what’s right

Position Summary:

The Worker’s Compensation Adjuster is responsible for managing the full life cycle of claims, from initial investigation to final settlement ensuring compliance, protecting organizational interests, and supporting injured workers through a challenging time. This position blends investigative rigor, regulatory expertise, and empathetic communication to ensure fair and timely outcomes for all stakeholders.

Key Responsibilities:

Claims Management & Investigation

Conduct thorough investigations to assess liability and eligibility for workers’ compensation claims.
Oversee claims from initial report through resolution, including complex medical and lost-time cases.
Ensure timely and accurate authorization of payments and documentation of claim activity.

Compliance & Documentation

Maintain compliance with federal, state, and municipal regulations, including WI Municipal Law.
Prepare and submit required reports to regulatory agencies.
Document procedures and contribute to process improvements and system upgrades.

Stakeholder Communication

Serve as the primary liaison between claimants, employers, medical providers, attorneys, and vendors.
Negotiate settlements and facilitate dispute resolution with professionalism and fairness.
Provide exceptional customer service and support during onboarding and transitional periods.

Technology & Reporting

Utilize claims management software (Origami, ISO Claim Search) and Microsoft Office Suite to process claims and generate reports.
Support system enhancements and contribute to the development of operational efficiencies.

Additional Duties

o Perform all other duties as assigned to support departmental goals and organizational success.

Qualifications & Requirements

Education & Certification

· Minimum Bachelor’s Degree or equivalent work experience of at least 3 years.

Minimum of 3 years of Workers’ Compensation claims experience to include medical only and Medicare, strong background in lost time; familiarity with Wisconsin DWD and Chapter 102 is a must.
Proficiency in Microsoft Office Suite, Origami Risk, Verisk Claim Search, and other relevant platforms.
Valid driver’s license, active insurance, and reliable transportation.

Knowledge, Skills & Abilities

Thorough understanding of Workers’ Compensation protocols, calculations, and municipal regulations.
Strong written and verbal communication skills.
Proficient in project management and analytical problem-solving.
High attention to detail with ability to maintain confidentiality and manage multiple tasks efficiently.
Skilled in software applications and accurate data entry.
Regular and reliable attendance is required.

Physical Demands

The physical demands described below are representative of those required to successfully perform the essential functions of the Claims Adjuster role. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

Regularly required to talk, hear, and sit for extended periods while reviewing claims, speaking with members, and documenting case details.
Frequent use of computer equipment including keyboard, monitor, mouse, and telephone.
Occasionally required to lift and/or move items up to 10 pounds, such as files or promotional materials.
Occasional travel for company business, including member meetings, trainings, and conferences. Travel may involve various modes of transportation (e.g., airplane, train, bus, rental car).Must be able to travel without restrictions.
Specific vision abilities required include close vision, peripheral vision, depth perception, and the ability to adjust focus.

Work Environment

Hybrid Work Model: Primarily remote, with residence in Wisconsin required (within reasonable driving distance).
In-person participation is expected for scheduled office meetings, trainings, and member-related travel.

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Professional development assistance
Retirement plan
Vision insurance

Application Question(s):

Are you familiar with Wisconsin Department of Workforce Development (DWD) regulations and Chapter 102?
"Do you have at least 3 years of experience personally managing a caseload of workers’ compensation claims, including reviewing medical records, setting reserves, and calculating indemnity payments?

Location:

Wisconsin (Required)

Work Location: Remote

Quick Apply

Refine Your Search

claims representative jobs in appleton wi

Workers Compensation Claims Representative

Claims Representative

Patient Access Registrar

Patient Service Representative - part-time (Grand Chute)

Health Services Operations Specialist, Post - Acute

Patient Service Representative - Allouez

Member Experience Representative I

Patient Access Registrar - PM Shift - OB/ED

Patient Access Registrar - 2nd Shift ED

Insurance Claims Supervisor (Voluntary Benefits)

Patient Access Registrar - PRN/Casual

Patient Service Representative Float - Allouez

Patient Service Representative Lead Float

Multi-Line Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative

Customer Service Representative - State Farm Agent Team Member

Insurance Customer Service Rep

Multi-Line Representative - State Farm Agent Team Member

Life/Health Insurance Position - State Farm Agent Team Member

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