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Claims investigator Jobs in Milwaukee, WI

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Claims investigator • milwaukee wi

Last updated: 9 days ago

Life Claims & Variable Annuity Sr Spec - FINRA Series 6 - (remote)

Northwestern MutualMilwaukee, WI, United States
$65,440.00 yearly
Full-time

Series 6 FINRA License - REQUIRED.Specialist is responsible for assessing and making decisions on variable/portfolio death claims, death under income plan, variable/fixed annuity, and Northwestern ... Show more

Director of Risk Management and Safety

GroundMastersMilwaukee, WI, United States
Full-time

Director Of Risk Management And Safety.The Director of Risk Management and Safety develops, implements, and oversees comprehensive, enterprise-wide policies for occupational health, environmental s... Show more

SIU Claims Investigator

Lemieux & Associates LLCMilwaukee, WI, USA
$25.00 hourly
Part-time
Quick Apply

Ready to put your SIU skills to work for a national leader?Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your SIU expertise.Our leadership team brin... Show more

Senior Claims Examiner, Ocean Marine Claims

Markel Service Inc.Milwaukee WI
Full-time

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it.The work we do at Markel gives people the confidence to move forward and seize opp... Show more

Senior Consultant, Supplemental Health

Sun Life Financial, Inc.Milwaukee, WI, United States
$71,100.00 yearly
Full-time

Senior Consultant, Supplemental Health Claims.Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work.Internal candidates are not required t... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Brown Deer, Wisconsin, US
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

 • Promoted

Claims Examiner

MarkelMilwaukee, WI, United States
Full-time

The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers.We're always pus... Show more

Industry Operations Investigator (Recent Grad)

Phenom PeopleMilwaukee, WI, United States
$46,696.00 yearly
Full-time +1

Industry Operations Investigator.This position is an entry-level Industry Operations Investigator responsible for conducting investigations and inspections that require knowledge of industry operat... Show more

Claims Adjuster and Investigator

Ageatia Global SolutionsMilwaukee, WI, United States
Full-time

Responsible for claims and risk management associated with property damage or personal injury claims involving the company.Has the ability to work independently while handling claims, may work with... Show more

Claims Supervisor

Erie Insurance GroupMilwaukee, WI, United States
Full-time

Supervises, trains, and monitors the activities of assigned claims adjusters and other claims personnel.Assists the Claims Leadership in the overseeing and handling of claims.There is 1 job opening... Show more

Sr Adjuster Field Claims

Hanover Insurance GroupMilwaukee, WI, United States
Full-time

Senior Field Property Adjuster.For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most.We live our values every day, demonstra... Show more

Stop Loss Claims Resolution Consultant

DentaQuestMilwaukee, WI, United States
$54,100.00 yearly
Full-time

The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and is the primary point of contact for complex claim inquiries, escalations, and resolution support.T... Show more

Pathways Recent Graduate Claims and Program Representative

US Government JobsMilwaukee, WI, United States
Full-time

This position is located in the Railroad Retirement Board's Field Service.The incumbent will be responsible for providing a full-range of client services regarding benefits available under the vari... Show more

Complex Claims Consultant - EPL, Private & NFP D&O

CNAMilwaukee, WI, United States
Full-time

You have a clear vision of where your career can go.And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something... Show more

Remote Medical Billing Manager - AI Trainer ($80-$80 per hour)

MercorGreenfield, Wisconsin, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Show more

Remote Medical Billing Manager - AI Trainer ($80-$80 per hour)

MercorWest Allis, Wisconsin, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Show more

Investigator

Ethos Risk ServicesMilwaukee, WI, USA
$25.00 hourly
Full-time
Quick Apply

ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection.At the forefront, we provide accurate data... Show more

Pathways Recent Graduate Claims and Program Representative

US Government Jobs - Other AgenciesMilwaukee, WI, United States
$52,059.00 yearly
Permanent

Pathways Recent Graduate Claims And Program Representative.The RRB Recent Graduates Program affords developmental experiences in the Federal Government intended to promote possible careers in the c... Show more

Forensic Scheduler - MICON Group, Inc.

MichelsMilwaukee, WI, United States
Full-time

Improving America's infrastructure isn't for the weak.It takes grit, determination, and hard work to execute high impact projects.Michels Corporation engages 10,000 people and 18,000 pieces of heav... Show more

Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

MercorGreenfield, Wisconsin, US
$40.00 hourly
Remote
Full-time

About the Role** We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medic... Show more

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The cities near Milwaukee, WI that boast the highest number of claims investigator jobs are:
Life Claims & Variable Annuity Sr Spec - FINRA Series 6 - (remote)

Life Claims & Variable Annuity Sr Spec - FINRA Series 6 - (remote)

Northwestern MutualMilwaukee, WI, United States
12 days ago
Salary
$65,440.00 yearly
Job type
  • Full-time
Job description

Life Claims & Annuity Sr. Specialist

Open to remote

Series 6 FINRA License - REQUIRED

The Life Claims & Annuity Sr. Specialist is responsible for assessing and making decisions on variable/portfolio death claims, death under income plan, variable/fixed annuity, and Northwestern Access Fund accounts. This role involves partnering with the contestable team on variable contestable claims. Ensuring compliance with a $2M signature authority limit involves analyzing various documents such as death certificates, claim forms, and legal documentation. Additionally, the specialist conducts routine reviews of claims by contract language and state laws.

What You'll Do:

Decision Making and Claims Review

  • Make fair, accurate, and timely decisions on variable/portfolio death claims, death under Income plans, variable/fixed annuities, and Northwestern Mutual Access Fund accounts. Maintaining compliance with a $2M signature authority limit.
  • Examine claim information obtained, including beneficiary data, policy values, policy status, and analyze information received during the claim review process, such as death certificates, claim forms, assignment forms, divorce decrees, and estate and trust documentation.
  • Research and evaluate solutions to arising situations and resolve concerns as needed. Deviate from procedures to handle unique situations effectively.
  • Exhibit empathy, professionalism, and tact in all interactions, especially when handling sensitive or contentious claims.
  • Provide exceptional customer service to policyholders, beneficiaries, and financial advisers, addressing their questions and concerns throughout the claims process.
  • Communicate claims decisions to beneficiaries and other parties clearly and sensitively, providing detailed explanations and supporting documentation as needed.
  • Manage phone and transactional responsibilities while demonstrating a strong commitment to confidentiality.
  • Maintain organization, accuracy, and timeliness in individual case management systems; capture and document claim-related information accurately and/or refer tasks as appropriate.
  • Maintain production and claim quality standards to ensure efficiency and accuracy.

Continuous Improvement and Innovation

  • Participate in continuous improvement initiatives to enhance claims handling processes, reduce turnaround times, and improve accuracy.
  • Assist with special projects and initiatives as needed to support the business.
  • Embrace new technology and serve as an advocate by educating beneficiaries and field representatives.
  • Support digital savvy capabilities in self and others and adapt to changing environments and new situations effectively and positively.

What You'll Bring to the Role:

  • Bachelor's degree or an equivalent combination of education and progressively responsible work experience.
  • A Series 6 FINRA License is required.
  • Previous experience in claims, income plan, or annuity preferred.
  • High degree of accuracy in handling detailed technical work.
  • Self-motivated with proven responsibility for work results and group goals.
  • Technically savvy with the ability to toggle between multiple applications and computer monitors simultaneously.
  • Strong organizational skills, able to independently prioritize to meet deadlines.
  • Exhibits empathy and strong client focus, with excellent customer service skills.
  • Excellent communication skills (both verbal and written) to include the proven ability to negotiate.
  • Leadership and decision-making skills, to include the abilities to evaluate/identify, diagnose, and implement decisions/solutions to questions/problems within the scope of the job.
  • Ability to analyze complex information and ask thoughtful questions.

Skills You Have:

  • Adaptive Communication: Formulates strategies to be used to convey complex information about services, products, systems, or processes to targeted audiences; communicates and liaises between technical and non-technical audiences.
  • Analytical Thinking: Organizes and compares various aspects of a situation to comprehend and identify key or underlying complex issues through the use of quantitative data and analysis; leverages strong business acumen, problem solving, and interpersonal skills to think critically about situations from multiple perspectives and consistently seeks ways to improve processes.
  • Annuity Acumen: Demonstrates a thorough understanding of the underlying financial principles and risks associated with annuity products. Accurately identifies potential fraud or misrepresentation in annuity applications.
  • Attention to Detail: Focuses on specific details to spot and correct errors in advance of them being found and surpass quality expectations. Performs work with thorough proofreading for presentation, content, accuracy, and overall quality.
  • Claims Acumen: Applies the knowledge of claims philosophy, contracts, and policies and procedures for filing claims, assessing claims for accuracy and completeness, verifying eligibility, and adjudicating claims based on established criteria to handle complex, contestable, sensitive, and large benefit amount claims. Evaluates medical, financial, and occupational information and reviews to determine if insured meets contractual provisions while taking the state regulations or other relevant contractual information into consideration to make informed decisions. Analyzes insurance claims to determine the validity/risk of the claim, and the extent of coverage.
  • Customer Centricity: Applies a customer first mindset to design and continuously improve solutions, systems, processes, and services that support enterprise strategy, impact critical business outcomes, and drive organizational success.
  • Empathetic Communication: Empathizes and relates to clients navigating difficult life situations. Handles cases with care and compassion. Practices active listening to understand the unique needs of the customer and take more informed decisions about their policies.

Compensation Range:

Pay Range - Start: $65,440.00

Pay Range - End: $98,160.00

Geographic Specific Pay Structure:

Structure 110: $72,000.00 USD - $108,000.00 USD

Structure 115: $75,280.00 USD - $112,920.00 USD

We believe in fairness and transparency. It's why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you're living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more.

Job Posting End Date: 09/14/2026

The timeline for this job posting may be shortened or extended based on organizational needs.

Grow your career with a best-in-class company that puts our clients' interests at the center of all we do. Get started now!

Northwestern Mutual is an equal opportunity employer that welcomes talented individuals of all backgrounds. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.