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Claims Processor Jobs in Dover, DE (NOW HIRING)

Sedgwick

Claims Representative , Auto

Dover, DE · On-site

$50K/yr

Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. * Develops and ...

Zurich NA

Claims Call Centre Representative

Dover, DE · On-site

Claims Call Centre Representative 135927 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers include individuals, small businesses, and ...

Munich Re

Property Field Adjuster

Dover, DE · On-site

Guide policyholders through the claims process with clear communication * Partner with agents and internal teams to deliver strong outcomes * Participation in catastrophe duty as needed. CAT duty can ...

Infusion Solutions of Delaware, LLC

Medical Biller

Dover, DE · On-site

$14.50 - $18.75/hr

The ideal candidate is organized, detail-oriented, and comfortable working to ensure claims are processed accurately and outstanding balances are addressed promptly, persistent in resolving denials ...

Infusion Solutions of Delaware, LLC

Medical Biller

Dover, DE · On-site

$14.50 - $18.75/hr

The ideal candidate is organized, detail-oriented, and comfortable working to ensure claims are processed accurately and outstanding balances are addressed promptly, persistent in resolving denials ...

Bayhealth

Insurance Follow-Up Specialist

Dover, DE · On-site

... claims and resolving payment variances as encountered to facilitate timely patient billing. As needed, the Specialist will make accurate recommendations for system or process changes to mitigate ...

Bayhealth

Denials And Appeals PFS Supervisor

Dover, DE · On-site

... claims. The ideal candidate is an agent for change who manages workflows in an agile manner to ... processes under the position's span of control. Ensures supporting research and documentation ...

Bayhealth

Medical Biller/Certified Coder

Dover, DE · On-site

$18.75 - $24/hr

Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of ...

Bayhealth

Medical Biller/Certified Coder

Dover, DE · On-site

$18.75 - $24/hr

Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of ...

Bayhealth

Medical Biller/Certified Coder

Dover, DE · On-site

$18.75 - $24/hr

Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of ...

Bayhealth

Medical Biller/Certified Coder

Dover, DE · On-site

$18.75 - $24/hr

Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of ...

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How much do claims processor jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for claims processor in Dover, DE is $15.22, according to ZipRecruiter salary data. Most workers in this role earn between $12.98 and $16.39 per hour, depending on experience, location, and employer.

What is a claims processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

What does a claims processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.

What are the key skills and qualifications needed to thrive as a claims processor?

To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

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

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

Do you need a degree to be a claims processor?

A degree is not typically required to become a claims processor, as most employers prioritize relevant skills such as attention to detail, communication, and familiarity with claims processing software. Many positions accept candidates with a high school diploma or equivalent, and on-the-job training is often provided. Certifications in claims or insurance can enhance job prospects but are not mandatory.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that requires attention to detail and organizational skills. While it can involve handling high volumes of claims and meeting deadlines, stress levels vary depending on workload, workplace environment, and individual resilience. Proper training and time management can help mitigate stress in this job.
More about Claims Processor jobs

What are the most commonly searched types of Claims Processor jobs in Dover, DE?

The most popular types of Claims Processor jobs in Dover, DE are:

What are popular job titles related to Claims Processor jobs in Dover, DE?

For Claims Processor jobs in Dover, DE, the most frequently searched job titles are:

Claims Processor jobs near you
Infographic showing various Claims Processor job openings in Dover, DE as of August 2026, with employment types broken down into 1% Internship, 84% Full Time, 11% Part Time, 1% Temporary, and 3% Contract. Highlights an 79% Physical, 5% Hybrid, and 16% Remote job distribution, with an average salary of $31,655 per year, or $15.2 per hour.

Property and Casualty Claims Manager - Insurance - Base Salary to 110k/year - Dover, DE

AllSearch Professional Staffing

Dover, DE • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 9 days ago

Job description

Property and Casualty Claims Manager - Insurance - Base Salary to 110k/year - Dover, DE

  • Our client, an established independent insurance agency, is seeking a Property and Casualty Claims Manager in Dover, DE. This position will manage commercial P&C claims from initial reporting through resolution, serving as the primary client contact and coordinating with insurance carriers, adjusters, claims departments, and underwriting teams. The Property and Casualty Claims Manager will provide claims advocacy, monitor claim activity, address escalations, and maintain accurate claims documentation.

Responsibilities:

  • Serve as the primary client contact throughout the property and casualty claims process
  • Manage commercial P&C claims from intake and reporting through investigation, monitoring, escalation, and resolution
  • Evaluate claims based on complexity, urgency, coverage considerations, and required level of support
  • Identify potential claim issues and coordinate with carriers and adjusters to address delays, coverage questions, or unfavorable developments
  • Advocate for clients while communicating with carrier claims representatives, adjusters, claims management, and underwriting teams
  • Track claim status, follow-up activity, documentation, and resolution details
  • Maintain accurate claim files, records, loss information, and related documentation
  • Compile claims data and assist with loss analysis, claims reporting, and process improvements
  • Coordinate with internal account management and service teams regarding claim activity and client updates

Qualifications:

  • 5+ years experience managing Property and Casualty (P&C) claims within an independent insurance agency or brokerage
  • Experience handling commercial lines insurance claims from initial reporting through resolution
  • Experience communicating with clients, insurance carriers, adjusters, claims departments, and underwriting teams
  • Experience with claims intake, claims documentation, claims tracking, coverage review, loss analysis, and claims resolution
  • Ability to commute to Dover, DE

Compensation:

  • Base salary in the 90k - 110k/year range
  • 100% employer-paid medical, life insurance, and long-term disability
  • Dental, vision, and short-term disability available with a minimal employee contribution
  • 401k with company match

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