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Claims Operations Associate Jobs in Delaware (NOW HIRING)

Dick's Sporting Goods

... of operational processes. * Greet everyone (teammates and customers) and proactively approach ... RTVS, claims, freight processing, etc. * Fulfill the company-defined customer experience by ...

Dick's Sporting Goods

... of operational processes. * Greet everyone (teammates and customers) and proactively approach ... RTVS, claims, freight processing, etc. * Fulfill the company-defined customer experience by ...

Elevance Health

Claims Auditor Lead

Wilmington, DE · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week ... The Claims Auditor Lead is responsible for processing high dollar claims within Service Operations.

PSG Global Solutions

Claims Analyst

Newark, DE

Maintains internal operational and financial controls and ensures that they are observed for all ... Associate is expected to meet or exceed department level benchmarks for productivity and quality.

Elevance Health

Claims Auditor Lead

Wilmington, DE · Hybrid

Claims Auditor Lead Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 ... The Claims Auditor Lead is responsible for processing high dollar claims within Service Operations.

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All JobsClaims Operations Associate JobsClaims Operations Associate Jobs in Delaware

Claims Operations Associate information

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$13

$21

$30

How much do claims operations associate jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for claims operations associate in Delaware is $21.01, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $23.08 per hour, depending on experience, location, and employer.

What is a claims operations associate?

A Claims Operations Associate is a professional who supports the processing and administration of insurance claims. They handle tasks such as reviewing claim forms, verifying information, entering data into systems, and assisting claims adjusters or examiners with documentation and communications. Their role is crucial in ensuring that claims are processed efficiently, accurately, and in compliance with company policies and regulatory requirements. Claims Operations Associates may work for insurance companies, healthcare providers, or third-party administrators.

What skills and qualifications are needed to be a claims operations associate?

To thrive as a Claims Operations Associate, you need strong analytical abilities, attention to detail, and a solid understanding of insurance processes, often supported by a bachelor's degree or relevant experience. Familiarity with claims management systems, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, organizational skills, and problem-solving abilities help you manage complex claims and collaborate effectively with internal and external stakeholders. These competencies ensure accurate, efficient claims processing and contribute to customer satisfaction and organizational compliance.

What challenges might a claims operations associate encounter in their daily work?

As a Claims Operations Associate, you may encounter challenges such as managing a high volume of claims while ensuring accuracy and compliance with regulations. Balancing timely processing with the need to investigate discrepancies or incomplete information can be demanding. Additionally, you'll often coordinate with adjusters, customers, and other departments, so strong communication and organizational skills are essential. Staying up to date with changing policies or industry standards can also be a key part of the role.

What is the difference between Claims Operations Associate vs Claims Analyst?

AspectClaims Operations AssociateClaims Analyst
CredentialsHigh school diploma or equivalent; some roles may require relevant certificationsHigh school diploma; some roles may prefer certifications like CPCU or similar
Work EnvironmentOffice setting, handling claims processing and customer interactionsOffice or remote, analyzing claims data and making decisions
Employer & IndustryInsurance companies, third-party administratorsInsurance firms, claims departments
Search & Comparison IntentUnderstanding entry-level claims roles and responsibilitiesAnalyzing claims data and decision-making processes

The Claims Operations Associate typically handles claims processing tasks, customer service, and administrative duties within an insurance setting. In contrast, a Claims Analyst focuses more on analyzing claims data, assessing risks, and making decisions based on policy details. Both roles require knowledge of insurance policies and claims procedures, but the Claims Analyst often involves more analytical skills and data interpretation.

How much do claims operations associates make in the US?

Claims operations associates in the US typically earn an average salary ranging from $40,000 to $60,000 per year, depending on experience, location, and company size. Entry-level roles may start lower, while experienced professionals or those with specialized skills can earn higher salaries. Benefits often include health insurance, paid time off, and opportunities for advancement.

Is claims processing a stressful job?

Claims processing as a Claims Operations Associate can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling complex cases and working under time pressure, which can contribute to job-related stress. However, workload and stress levels vary depending on the employer and individual workload management skills.

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

The most popular types of Claims Operations jobs in Delaware are:

What cities in Delaware are hiring for Claims Operations Associate jobs?

Cities in Delaware with the most Claims Operations Associate job openings:

Claims Operations Associate jobs near you
Infographic showing various Claims Operations Associate job openings in Delaware as of July 2026, with employment types broken down into 1% As Needed, 70% Full Time, 27% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $43,691 per year, or $21 per hour.

Operations Manager, Research and Claims

Phillips and Cohen Associates Ltd

Wilmington, DE • On-site

Full-time

Posted 14 days ago

Job description

Position: Operations Manager, Research and Claims
Department: Client Services
Location: Wilmington, Delaware
The Research & Claims Operations Manager is responsible for leading a team that supports probate research, claims processing, legal correspondence, and bankruptcy-related workflows. Reporting to the Department Head, this role focuses on driving team performance, meeting operational goals, maintaining compliance standards, and improving processes in a fast-paced, highly regulated environment. This leader will partner closely with stakeholders across the business to ensure service commitments are met, employees are developed and supported, and operational results continue to improve. The ideal candidate is an experienced people manager who can use data, coaching, and strong business judgment to build a high-performing team and deliver consistent results.
Responsibilities:
• Lead, coach, and develop a team to achieve performance, quality, and service-level goals.
• Drive accountability for departmental KPIs, productivity metrics, and operational results.
• Manage team workload, staffing, and resource allocation to ensure business priorities are met.
• Monitor operational performance and implement strategies to improve efficiency, quality, and employee effectiveness.
• Analyze performance data and trends, providing insights and recommendations to department leadership.
• Ensure compliance with internal policies, client requirements, regulatory standards, and audit expectations.
• Serve as a subject matter expert and escalation point for complex operational and account-related matters.
• Partner with cross-functional teams to support business initiatives, process enhancements, and client deliverables.
• Lead continuous improvement efforts that enhance operational effectiveness and reduce risk.
• Foster a culture of accountability, collaboration, communication, and continuous development.
Minimum Qualifications:
• Three to five years of experience in a regulated, compliance-focused, audit-driven, or highly structured business environment such as financial services, banking, collections, legal support, claims administration, or a related industry.
• Previous experience managing teams, performance metrics, and operational processes.
• Experience managing operational workflows, priorities, and business deliverables.
• Proven success achieving operational goals and leading teams in a performance-driven environment.
• Strong analytical skills with the ability to interpret data, identify trends, and drive business decisions.
• Proficiency in Microsoft Excel, Word, and Microsoft 365 applications.
• Demonstrated ability to coach, develop, and motivate employees while driving accountability and results.
Preferred Qualifications:
• Experience in financial services, banking, collections, probate, claims administration, or related operational functions.
• Experience supporting audits, compliance initiatives, regulatory examinations, or risk-management activities.
• Experience leading process improvement or operational efficiency initiatives.
• Bachelor's degree or equivalent combination of education and relevant professional experience.
Core Competencies:
• Drives Results• Optimizes Work Processes• Talent Development • Directs Work • Ensures Accountability • Decision Quality • Collaborates• Manages Complexity• Business Insight• Managerial Courage
About Phillips & Cohen Associates, LLC PCA provides Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, disability, marital status, sexual orientation, veteran status, genetic information and any other basis protected by federal, state or local laws and reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of our jobs.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
About Phillips & Cohen Associates, Ltd.
PCA provides Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, disability, marital status, sexual orientation, veteran status, genetic information and any other basis protected by federal, state or local laws and reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of our jobs.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

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