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Claims Unit Manager Jobs in Delaware (NOW HIRING)

Elevance Health

Claims Auditor Lead

Wilmington, DE · Hybrid

Serves as the subject matter expert for the unit. Primary duties may include, but are not limited ... Manages projects as assigned and may work across different platforms or lines of business.

Elevance Health

Claims Auditor Lead

Wilmington, DE · Hybrid

Serves as the subject matter expert for the unit. Primary duties may include, but are not limited ... Manages projects as assigned and may work across different platforms or lines of business.

Republic Services

Ops Manager MRF

New Castle, DE · On-site

The position manages a team of Operations Supervisors, Dispatchers, Operations Clerks, Drivers ... claims. * Implement and execute plans to complement the business unit's strategic and operating ...

Republic Services

Ops Manager MRF

New Castle, DE · On-site

The position manages a team of Operations Supervisors, Dispatchers, Operations Clerks, Drivers ... claims. * Implement and execute plans to complement the business unit's strategic and operating ...

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All JobsClaims Unit JobsClaims Unit Manager JobsClaims Unit Manager Jobs in Delaware

Claims Unit Manager information

See Delaware salary details

$35K

$87.9K

$139.1K

How much do claims unit manager jobs pay per year?

As of Sep 6, 2026, the average yearly pay for claims unit 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.

What is a claims unit manager?

Claims Unit Managers are professionals who oversee a team of claims adjusters or examiners within an insurance company. They are responsible for managing daily operations, ensuring claims are processed accurately and efficiently, and maintaining compliance with company policies and legal regulations. Claims Unit Managers also handle escalated or complex cases, provide training and mentorship to staff, and monitor performance metrics to improve service quality. Their role is essential in ensuring fair and timely settlements for policyholders while minimizing risk for the company.

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

To thrive as a Claims Unit Manager, you need expertise in claims processing, insurance regulations, team leadership, and typically a bachelor's degree in business, finance, or a related field. Familiarity with claims management systems, data analysis tools, and, in some cases, certifications like AIC (Associate in Claims) are highly valued. Strong communication, problem-solving, and organizational skills help foster an effective team environment and ensure high service standards. These skills and qualities are crucial to efficiently managing claims operations, minimizing risk, and ensuring regulatory compliance.

What are some common challenges faced by claims unit managers, and how can they effectively address them?

Claims Unit Managers often encounter challenges such as balancing workloads across their teams, ensuring compliance with ever-changing regulations, and maintaining high levels of customer satisfaction. To address these, it's important to implement efficient workflow systems, provide ongoing training for staff on regulatory updates, and foster a collaborative team environment. Regular communication with both team members and upper management is also key to identifying bottlenecks early and implementing solutions proactively.

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

AspectClaims Unit ManagerClaims Adjuster
CredentialsRelevant certifications (e.g., CPCU, ARM), leadership experienceLicenses as required by state, insurance adjuster certifications
Work EnvironmentSupervisory role overseeing teams, administrative tasksField or office-based, evaluating claims and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Search & Comparison IntentManagement, leadership, team oversightClaims evaluation, settlement, investigation

The Claims Unit Manager typically oversees a team of claims adjusters, focusing on management, strategy, and administrative duties. In contrast, a Claims Adjuster directly investigates and settles claims. Both roles require insurance knowledge and certifications, but the managerial position emphasizes leadership and team coordination, while the adjuster role centers on claim assessment and resolution.

What are popular job titles related to Claims Unit Manager jobs in Delaware?

For Claims Unit Manager jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Claims Unit Manager jobs in Delaware look for?

The top searched job categories for Claims Unit Manager jobs in Delaware are:

What cities in Delaware are hiring for Claims Unit Manager jobs?

Cities in Delaware with the most Claims Unit Manager job openings:

Claims Unit Manager jobs near you
Infographic showing various Claims Unit 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.

Claims Auditor Lead

Elevance Health

Wilmington, DE • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Elevance Health rating

7.5

Company rating: 7.5 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

219th of 315 rated insurance

Job description

Claims Auditor Lead

Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unlessaccommodationis granted as required by law.

The Claims Auditor Lead is responsible for processing high dollar claims within Service Operations. Responsible for pre and post payment and adjudication audits of high dollar medical and pharmacy. Serves as the subject matter expert for the unit.

Primary duties may include, but are not limited to:

  • Responsible for all team training including but not limited to new hires, cross training, new product and system enhancements.

  • Conducts audits for new hires and/or any team member learning a new skill.

  • Reviews, interprets and maintains records of quality and productivity for entire team.

  • Coaches, mentors and develops associates to ensure processes, guidelines and tools are utilized correctly.

  • Utilizes inventory management strategies to monitor priorities and ensure timely turnaround of all claims.

  • Responsible for creating, updating and maintaining departmental policy and claims auditor procedure manuals for accuracy.

  • Independently analyzes and makes decisions on complex claim audit issues.

  • Serves as subject matter expert on policy, workflow and technical questions.

  • Interfaces with all levels of support including but not limited to production support, medical management, provider /vendor contracting and other audit teams.

  • Partners with Management on complex claims reviews and resolution.

  • Responsible for reviewing and resolving shared mailbox issues.

  • Interprets contracts, prepares monthly reports, and attends meetings as subject matter expert when requested.

  • Manages projects as assigned and may work across different platforms or lines of business.

  • Reviews and responds to external audit requests.

  • Performs audit reviews of and may adjudicate complex high dollar claims by completing an end to end audit with final approval authority.

Minimum Requirements:

Requires a HS diploma or GED and a minimum of 6 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background.

Preferred Requirements:

  • Proficiency in Microsoft Office Suite is highly preferred.

  • Commercial Claims experience is highly preferred

  • CI&W and WGS experience is highly preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

What Elevance Health employees say

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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