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Claim Jobs in Delaware (NOW HIRING)

Company Description A top provider of outsourcing, staffing, consulting and workforce solutions within the areas of engineering, finance and accounting, healthcare, human resources, IT, legal, life ...

Establish and maintain appropriate claim reserves based on investigation findings and projected exposure. * Prepare comprehensive reports, coverage analyses, settlement recommendations, and client ...

Medical Biller

Dover, DE · On-site

$14.50 - $18.75/hr

Work with authorization, clinical, and administrative staff to resolve claim issues. * Maintain timely and accurate follow-up on assigned accounts while protecting patient confidentiality and ...

Surveillance Investigator

Wilmington, DE · On-site

$20.75 - $25.75/hr

As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a ...

Medical Biller

Dover, DE · On-site

$14.50 - $18.75/hr

Work with authorization, clinical, and administrative staff to resolve claim issues. * Maintain timely and accurate follow-up on assigned accounts while protecting patient confidentiality and ...

Medical Biller

Wilmington, DE · On-site

$17.75 - $22.75/hr

Proficiency with ICD-10 coding and accurate claim documentation. * Experience working with insurance carriers, including commercial Insurance plans. * Knowledge of Medicare and Medicade billing ...

Surveillance Investigator

Wilmington, DE · On-site

$20.75 - $25.75/hr

As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a ...

Claim the work you want to complete and track your earnings using an industry-leading mobile app. Proof provides support through a dedicated operational specialist with every serve! Benefits of ...

Claim the work you want to complete and track your earnings using an industry-leading mobile app. Proof provides support through a dedicated operational specialist with every serve! Benefits of ...

Showing results 21-40

Claim information

See Delaware salary details

$13

$21

$28

How much do claim jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for claim in Delaware is $21.07, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What is a claim?

Claims are formal requests made by policyholders to an insurance company for coverage or compensation for a covered loss or policy event. When an insured event occurs, such as an accident or damage, the policyholder submits a claim to the insurer, who then evaluates it to determine if the loss is covered under the policy and the amount to be paid. The claims process involves documentation, assessment, and often interaction with claims adjusters. The goal is to help the insured recover from their loss as outlined in the insurance agreement.

What are the key skills and qualifications needed to thrive as a claims adjuster, and why are they important?

To thrive as a Claims Adjuster, you need analytical skills, attention to detail, and knowledge of insurance policies, typically supported by a bachelor's degree or relevant experience. Familiarity with claims management software, estimating tools, and sometimes industry certifications like AIC (Associate in Claims) is important. Strong negotiation, communication, and customer service skills help manage claimants' expectations and resolve disputes effectively. These abilities ensure accurate claim assessments, regulatory compliance, and a positive customer experience.

What are some common challenges faced by claims professionals and how can they be effectively managed?

Claims professionals often encounter challenges such as interpreting complex policy language, managing high caseloads, and addressing customer concerns during stressful situations. Staying organized, maintaining clear communication with all parties, and leveraging technology for tracking claims can help manage these challenges. Additionally, collaborating closely with underwriters, legal teams, and customers ensures accuracy and efficiency throughout the claims process.

What is the difference between Claim vs Adjuster?

AspectClaimAdjuster
CredentialsMay require basic insurance knowledge, certifications varyOften requires licensing and specific insurance adjuster certifications
Work EnvironmentTypically involves submitting claims, customer service, administrative tasksInvolves investigating, evaluating, and settling insurance claims
Industry UsageUsed across insurance sectors for filing claimsUsed for assessing and settling claims in insurance companies
Search/Comparison IntentPeople compare Claim roles to understand filing processesPeople compare Adjuster roles to understand claim evaluation

In summary, a Claim generally refers to the process of submitting an insurance request, while an Adjuster is responsible for investigating and evaluating those claims to determine coverage and settlement. Both roles are integral to the insurance industry but focus on different stages of the claims process.

What is a job in claims?

A job in claims involves reviewing, investigating, and processing insurance claims to determine coverage and payout eligibility. Claims professionals often analyze documentation, communicate with clients and providers, and use specialized software to ensure accurate and efficient claim handling.

What are the most commonly searched types of Claim jobs in Delaware?

The most popular types of Claim jobs in Delaware are:

What job categories do people searching Claim jobs in Delaware look for?

The top searched job categories for Claim jobs in Delaware are:

Infographic showing various Claim job openings in Delaware as of August 2026, with employment types broken down into 79% Full Time, 19% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution, with an average salary of $43,821 per year, or $21.1 per hour.

Medical Collections Specialist

Wilmington, DE • On-site

Center for Advanced Eye Care
11 - 50 employees

$17.75 - $22/hr

Full-time

Re-posted 24 days ago


Job description

As the Medical Collections Specialist, you will be responsible for processing insurance claims, managing patient accounts, and resolving unpaid or rejected claims for ophthalmology and optometry patients. You will maintain accurate claim and account information, post insurance and patient payments as needed, respond to account inquiries, and document all patient interactions.
What You'll Do: 
  • Process and submit electronic and paper claims daily.
  • Review and work denials in the workflow system for tasks without a payer response once past 30 days from billing
  • Follow up with insurance companies on unpaid or rejected claims. Resolve issues and re-submit claims.
  • Prepare appeal letters to insurance carriers when not in agreement with claim denial. Collect necessary information to accompany appeal
  • Prepare and submit secondary claim upon processing by primary insurer.
  • Verify patient benefits, eligibility and coverage.
  • Process patient and insurance carrier refunds.
  • Communicate with Finance and Operations Management on issues with collections.
  • Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
  • Answer patient inquiries regarding account status professionally, accurately, and timely; Maintain HIPAA confidentiality of patients.

What You'll Need:
  • Two years of full-time medical billing experience, which includes proficiency working in electronic health record systems, CPT and ICD-10 coding, posting payments and clinic billing; OR an equivalent combination of related training and experience.
  • Knowledge of electronic health record system used by department.
  • Ability to read and interpret insurance remittance advice.
  • Ability to collect, verify and enter data; present information and data in report format.
  • Ability to prioritize work to ensure established timelines are met.
  • Ability to follow directions and carry out projects independently
  • Ability to identify problems and find solutions.
  • Ability to communicate effectively, both orally and in writing.
  • Ability to maintain confidentiality of information encountered in the course of work and adhere to all HIPAA guidelines/regulations.

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