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Claims Operations Manager Jobs in Delaware (NOW HIRING)

Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...

... operations staff. * Manage staff, including hiring, training, coaching, performance management; develop supervisory goals and objectives; and effective resolution of safety issues and claims.

... operations staff. * Manage staff, including hiring, training, coaching, performance management; develop supervisory goals and objectives; and effective resolution of safety issues and claims.

... operations staff. * Manage staff, including hiring, training, coaching, performance management; develop supervisory goals and objectives; and effective resolution of safety issues and claims.

... Service Operations. Responsible for pre and post payment and adjudication audits of high dollar ... Manages projects as assigned and may work across different platforms or lines of business.

New

Maintains internal operational and financial controls and ensures that they are observed for all ... case management system and financial controls. Works within a team environment. Associate is ...

... Service Operations. Responsible for pre and post payment and adjudication audits of high dollar ... Manages projects as assigned and may work across different platforms or lines of business.

New

... RTVS, claims, freight processing, etc. * Fulfill the company-defined customer experience by ... Perform other tasks as assigned by management. TEAMMATE TRAITS: Our traits set the bar as to what ...

... RTVS, claims, freight processing, etc. * Fulfill the company-defined customer experience by ... Perform other tasks as assigned by management. TEAMMATE TRAITS: Our traits set the bar as to what ...

This position works closely with the care center Director of Operations and Clinical Manager, as ... Monitors care center claims and assists corporate teams with semi-monthly billing periods, as well ...

New

Operations Lead

Wilmington, DE · On-site

$23 - $27/hr

We process, manage, and move over $8B in cash every day while delivering 24/7 client support and ... Partner with claims specialist to improve training and execution in the field * Assigns vehicles to ...

Partner with claims specialist to improve training and execution in the field * Assigns vehicles to ... Consult with and accept direction from the Branch Manager on a daily basis * Supports branch during ...

Partner with claims specialist to improve training and execution in the field * Assigns vehicles to ... Consult with and accept direction from the Branch Manager on a daily basis * Supports branch during ...

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Showing results 1-20

Claims Operations Manager information

See Delaware salary details

$35K

$87.9K

$139.1K

How much do claims operations manager jobs pay per year?

As of Jul 24, 2026, the average yearly pay for claims operations manager in Delaware is $87,937.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,100.00 and $105,100.00 per year, depending on experience, location, and employer.

How does a Claims Operations Manager typically interact with cross-functional teams within an insurance organization?

A Claims Operations Manager regularly collaborates with cross-functional teams such as underwriting, customer service, legal, and IT to ensure smooth processing of claims and adherence to company policies. This role often requires coordinating process improvements, addressing compliance requirements, and resolving escalated issues that span multiple departments. Effective communication and project management skills are essential, as the manager must balance operational efficiency with customer satisfaction while ensuring regulatory standards are met.

What are the key skills and qualifications needed to thrive as a Claims Operations Manager, and why are they important?

To thrive as a Claims Operations Manager, you need expertise in insurance claims processes, analytical skills, and a background in business or finance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management systems, workflow automation tools, and regulatory compliance platforms is typically required. Strong leadership, problem-solving, and communication skills help manage teams and resolve complex claims efficiently. These abilities are vital for ensuring timely and accurate claims processing, regulatory adherence, and high levels of customer satisfaction.

What is the difference between Claims Operations Manager vs Claims Adjuster?

AspectClaims Operations ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experienceRequires a high school diploma or bachelor’s degree, licensing, and adjuster certifications
Work EnvironmentOversees teams, manages claims processes, and develops policies within an office or corporate settingInvestigates claims, assesses damages, and interacts directly with claimants, often in the field or office
Employer & Industry UsageCommon in insurance companies, large agencies, and corporate claims departmentsFound in insurance companies, independent adjusting firms, and public adjusting roles

The Claims Operations Manager focuses on managing teams and streamlining claims processes, while the Claims Adjuster handles the investigation and evaluation of individual claims. Both roles are essential in the claims lifecycle but differ in responsibilities, work environment, and required credentials.

What are Claims Operations Managers?

Claims Operations Managers are professionals responsible for overseeing and managing the daily operations of an insurance claims department. They ensure that claims are processed efficiently, accurately, and in compliance with company policies and regulations. Their duties often include supervising staff, implementing process improvements, handling escalated issues, and analyzing performance metrics. Claims Operations Managers play a key role in optimizing workflow, maintaining customer satisfaction, and minimizing risk for the organization.
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 are popular job titles related to Claims Operations Manager jobs in Delaware? For Claims Operations Manager jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Claims Operations Manager jobs in Delaware look for? The top searched job categories for Claims Operations Manager jobs in Delaware are:
What cities in Delaware are hiring for Claims Operations Manager jobs? Cities in Delaware with the most Claims Operations Manager job openings:
Infographic showing various Claims Operations Manager job openings in Delaware as of July 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $87,937 per year, or $42.3 per hour.
Pharmacy Operations Manager

Pharmacy Operations Manager

Walgreens

Newark, DE • On-site

Full-time

Posted 29 days ago


Walgreens rating

5.5

Company rating: 5.5 out of 10

Based on 2,165 frontline employees who took The Breakroom Quiz

94th of 105 rated pharmacies


Job description


  • Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience. Serves as a full-time certified pharmacy technician.
  • Responsible for operating pharmacy systems to obtain patient and drug information and process prescriptions. Under the supervision of a pharmacist, supervising pharmacy technicians and pharmacy cashiers within the guidelines of authorized company policies, laws, regulations and business ethics.
  • Responsible for the selection, scheduling, and development of pharmacy technician personnel. Leads training, coaching, and performance management of pharmacy technicians. Makes decisions regarding performance management including discipline and termination.

Customer Experience
  • Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer complaints, helps respond to customers' requests in a timely manner and answers non-clinical questions to ensure a positive customer experience. Models and shares customer service best practices.
  • Develops strong relationships with customers by anticipating customer needs and proactively offering services to provide the best experience possible when using the pharmacy. Enhances customer experience by increasing focus on healthcare services.
Operations
  • Responsible for assisting pharmacist in the delivery of patient care including patient registration, prescription data entry, preparation of medications for patients, counting, and verifying (where allowed by law). Completes patient and physician calls under the supervision of a pharmacist (where allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any health services allowed by law.
  • Within the guidelines of authorized company policies, state and federal laws/regulations, exercises independent judgment to delegate, direct, and assign non-clinical work in the pharmacy. Ensures tasks are completed on-time and holds others accountable for efficient workflow.
  • At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company and various government agencies.
  • Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and organizes pharmacy daily schedule of activities. Recommends allocation of pharmacy hours. Assures the pharmacy is clean, neat, orderly, and stocked with adequate supplies.
  • Under the direction of the pharmacist, exercises independent judgment to ensure compliance and execution of all business administrative activities and pharmacy inventory management tasks that do not require pharmacist licensure. Manages annual inventory preparation.
  • Accountable for completion of non-clinical patient calls.
  • Drives new technology/ process roll out, champions change and engages team around action planning. Assures proper operation and maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager, responsible for recordkeeping and ensuring security safeguards are in-place.
  • Under supervision of the pharmacist, strictly adheres to the Walgreen Co. policy regarding Good Faith Dispensing during all applicable prescription-dispensing activities and understands their role in ensuring that the elements of Good Faith Dispensing are met.
  • Maintains and applies knowledge of Company asset protection techniques. Supports Pharmacy Manager with diversion monitoring and reports any concerns that would compromise the security of the pharmacy to the Pharmacy Manager.
  • Communicates prescription errors to the accountable pharmacist, and adheres to Company policies and procedures in relation to pharmacy errors and the Continuous Quality Improvement Program.
  • Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit.
  • Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational quality and customer service.
  • Manages Community Outreach Portal and coordinates and, at the direction of the Pharmacy Manager, assigns pharmacists to off-site immunization clinics and community events. Builds and sustains relationships with retail partnerships.
People & Performance Management
  • Leads performance management of technicians including making decisions and recommendations regarding discipline and termination. Follows constructive discipline policy to discipline, suspend, terminate or effectively recommend the same. Uses constructive discipline policy to ensure pharmacy technicians are compliant with state and federal laws. Holds technician accountable for attendance and timeliness. Maintains and improves performance of pharmacy through team member engagement and action planning.
  • Accountable for technician hiring, on-boarding, training, and scheduling. Monitors and holds pharmacy technicians accountable for timely training completion. Follows established policies and procedures set by the company for scheduling and training.
  • Accountable for identifying gaps in pharmacy operations knowledge among team members and supporting those team members in their training, either through hands-on training or assignment of learning modules.
  • Assists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Leverages Walgreens resources such as Walgreens Online Verification System to assist in documenting licensure status.
  • Ensures proper procedures are followed for selection, recruitment, record retention, and training as required by Company policy and local, state and federal laws.
Training & Personal Development
  • Maintains PTCB certification through the designated PTCB training program and/or state required certification/registration.
  • Maintains and enhances current knowledge and skills related to pharmacy and healthcare.
  • Obtains necessary certifications, education credits and training such as LTMP e-modules as required by the Company. Follows performance improvement plans offered by Pharmacy Manager.
  • Seeks professional development by monitoring one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach.
Communication
  • Communicates with pharmacy team, relaying messages from the support center or other key emails as required.
  • Participates in key store/pharmacy meetings, including 5-minute meetings and weekly check-ins with the Store Manager

External Basic Qualifications
  • High School Diploma, GED, or equivalent.
  • PTCB or ExCPT certification (except in Puerto Rico).
  • Has one year of work experience as a pharmacy technician in a retail or hospital setting.
  • Must be fluent in reading, writing, and speaking English (except in Puerto Rico).
  • Requires willingness to work flexible schedule, including evening and weekend hours.
  • Willingness to obtain active immunization certification within 90 days of hire (except in Community Specialty Pharmacy and Health System Pharmacy locations)

Preferred Qualifications
  • Previous people management/ leadership experience.
  • Previous work experience with Walgreens with an Exceeding Expectation on last performance evaluation.
We will consider employment of qualified applicants with arrest and conviction records.
This information is being provided to promote pay transparency and equal employment opportunities at Walgreens. The current salary range for this position is $22.50 per hour - $31.00 per hour. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits

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