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Claims Manager

Job in Appleton, Outagamie County, Wisconsin, 54914, USA
Listing for: Wisconsin Municipal Mutual Insurance Company
Full Time position
Listed on 2026-05-31
Job specializations:
  • Management
    Risk Manager/Analyst, Program / Project Manager, Business Management, Operations Manager
Salary/Wage Range or Industry Benchmark: 100000 - 125000 USD Yearly USD 100000.00 125000.00 YEAR
Job Description & How to Apply Below

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 Claims Manager oversees all Claims Department operations to ensure high‑quality results and alignment with operational, financial, and service goals. The role develops and implements efficient procedures and systems, monitors performance to ensure goals and budgets are met, and provides strong leadership focused on continuous team development. The Claims Manager actively coaches, supports, and strengthens individual and team capabilities to foster a high‑performing, growth‑oriented department.

Key Responsibilities Leadership & People Management
  • Leads and develops staff to meet departmental objectives through strategic planning and ongoing evaluation of work activities.
  • Oversees the recruitment, selection, onboarding, and training of Claims Department team members.
  • Sets clear expectations, monitors performance, and conducts evaluations to ensure consistent, high-quality results.
  • Provides coaching and guidance to address performance gaps and support employee growth.
  • Fosters a positive and collaborative work environment that encourages morale, quality, innovation, and teamwork.
Operational & Process Management
  • Develops, coordinates, and enforces systems, policies, procedures, and productivity standards.
  • Performs file audits to ensure compliance with best practices, policies, and legal requirements.
  • Provides oversight of claims system administration to ensure effective functionality and compliance.
  • Approves claim payments within authority limits and sets claim reserves under $500,000.
Strategic & Business Alignment
  • Supports organizational strategy by developing and achieving business objectives.
  • Collaborates across departments to improve outcomes which align with company goals.
  • Assists the Executive Director and Director of Operations with operational budget development and updates.
  • Assists the Executive Director with the Workers’ Compensation Reinsurance program.
Training, Guidance & Member Support
  • Coordinates and delivers training for members and staff on updated laws, policies, and procedures.
  • Advises members on claims and coverage matters to promote informed decision‑making and effective outcomes.
  • Leads onboarding for new members and third‑party vendors, including vendor relationship management.
Representation & External Relations
  • Represents WMMIC and its members at industry events.
  • Participates in and presents at quarterly WMMIC Board meetings.
  • Manages relationships with claim vendors.
Additional Duties
  • Perform all other duties as assigned to support departmental goals and organizational success.
Supervisory Responsibility

Workers’ Compensation and Liability Team Lead, Senior Claims Representatives, Claim Representatives.

Qualifications & Requirements Education & Experience
  • Bachelor’s degree in risk management, Business Administration, or related field.
  • Ten years of progressively responsible claims experience that includes both Wisconsin workers’ compensation and liability claims…
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