Top 18 Claims representative Jobs in Sheboygan, 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
Billing and Coding Specialist
Noble Community Clinics —Sheboygan, WI
- Full-time
- CPR Certification
- Research
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
10d
Associate Customer Service Representative, B2B
Kohler —Kohler, WI
- $18.20 - $27.30 an hour
- Monday to Friday
- Remote
- Mid-level
- High school diploma or GED
- US work authorization
- Benefits from day one
4d
Patient Service Representative - part-time - Oostburg
Prevea Health —Oostburg, WI
- Part-time
- Ability to climb stairs
- High school diploma or GED
- Travel
Quick Apply
4d
Patient Service Representative - Part Time - Kohler/Woodlake
Prevea Health —Kohler, WI
- Part-time
- Ability to climb stairs
- High school diploma or GED
- Travel
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Todd Glover - State Farm Agent —Cedar Grove, WI
- $35,000 - $45,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Patient Access Specialist - Sheboygan Part Time
Ensemble RCM LLC —Sheboygan, WI
- $17.00 - $18.15 an hour
- Part-time
- Acute care
- Hospital
- Customer service
- Tuition reimbursement
Patient Access Associate Specialist - PRN
Ensemble RCM LLC —Sheboygan, WI
- $17.00 - $18.15 an hour
- Full-time
- Hospital
- Customer service
- High school diploma or GED
- Tuition reimbursement
Allstate P&C Licensed Senior Customer Service Representative (Remote - Eastern / Central Time Zone)
Partner's Insurance Group Inc —United States
- $47,000 - $67,000 a year
- Full-time
- Remote
- Mid-level
- 1 year
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
5d

More jobs to discover

Find similar jobs that you might be interested in.

Billing and Coding Specialist
Noble Community Clinics —Sheboygan, WI
Knowledge of federal and state healthcare regulations related to documentation, coding, and billing. Research and apply federal, state, payer, and regulatory…
Quick Apply
10d
Coding Audit Specialist, Health Plan
Sanford Health —Adell, WI
The Coding Audit Specialist position conducts quality assurance activities to ensure the accuracy and integrity of risk adjustment data submitted to the Centers…
$21.50 - $34.50 an hour
Quick Apply
4d

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Workers Compensation Claims Associate | Medical Only Experience | Entry Level | Hybrid Schedule - Dublin, OH
Sedgwick —Dublin, OH
Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state…
9d
Claims Analyst - REMOTE
Ryder System —Columbus, OH
Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Investigates and adjusts claims, as well as directs…
$90,000 - $100,000 a year

Show more jobs in cities nearby

I want to receive the latest job alert for claims representative in sheboygan, wi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims representative jobs near sheboygan, wi

Patient Services Representative jobs in Kohler, WI

Claims Representative jobs in Wisconsin

Customer Service Representative jobs in Kohler, WI

Patient Transport jobs in California

Patient Services Representative jobs in St. Louis, MO

Customer Service Representative Remote jobs in Rancho Cucamonga, CA

Patient Services Representative jobs in Orlando, FL

Patient Advocate jobs in Salt Lake City, UT

Patient Services Representative jobs in Maryland

Emergency Services Dispatcher jobs in Goodyear, AZ

Patient Services Representative jobs in Ashtabula, OH

Patient Services Representative jobs in Hanford, CA

Pharmaceutical Sales Representative jobs in San Diego, CA

Patient Services Representative jobs in Warren, MI

Twc Services jobs in Florida

Sharp Services jobs in Allentown, PA

Patient Care Technician jobs in San Antonio, TX

Patient Services Representative jobs in Kannapolis, NC

Patient Services Representative jobs in Elkhart, IN

Claims Adjuster jobs in Birmingham, AL

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 sheboygan, wi

Workers Compensation Claims Representative

Billing and Coding Specialist

Associate Customer Service Representative, B2B

Patient Service Representative - part-time - Oostburg

Patient Service Representative - Part Time - Kohler/Woodlake

Customer Service Representative - State Farm Agent Team Member

Patient Access Specialist - Sheboygan Part Time

Patient Access Associate Specialist - PRN

Allstate P&C Licensed Senior Customer Service Representative (Remote - Eastern / Central Time Zone)

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for claims representative in sheboygan, wi

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected