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Direct Claims Jobs in Delaware (NOW HIRING)

ChristianaCare

Director Claims Management

Wilmington, DE · On-site

$121K - $193K/yr

Direct and mentor a team of Claims Specialists and litigation support professionals. * Partner with outside defense counsel to develop litigation strategy, manage legal spend, and achieve favorable ...

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Direct Claims information

What are direct claims?

Direct claims refer to insurance claims that are filed directly by the policyholder with their own insurance company, rather than going through a third party or the at-fault party's insurer. This process is common in situations like auto accidents, where the policyholder seeks compensation for damages or losses under their own policy. Direct claims help streamline the process, reduce delays, and ensure the policyholder receives prompt assistance and settlements. They are often associated with 'first-party' insurance coverage, such as collision, comprehensive, or health insurance claims.

What are some common challenges faced by professionals in Direct Claims roles, and how can they effectively manage these challenges?

Professionals in Direct Claims often face the challenge of balancing a high volume of claims with the need for thorough investigation and timely resolution. Managing customer expectations and handling sensitive situations, such as denied claims or complex cases, can also be demanding. Effective communication, strong organizational skills, and staying updated on policy guidelines are crucial for success. Building collaborative relationships with adjusters, underwriters, and other departments helps ensure accurate and efficient claims processing.

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

To thrive as a Direct Claims Specialist, you need a solid understanding of insurance policies, claims processes, and relevant legal regulations, often supported by a degree in business, finance, or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes industry certifications like AIC or CPCU is typical. Exceptional attention to detail, problem-solving abilities, and strong communication skills set top performers apart in this role. These skills and qualifications ensure claims are processed accurately and efficiently, leading to customer satisfaction and minimized risk for the insurer.

What is the difference between Direct Claims vs Claims Adjuster?

AspectDirect ClaimsClaims Adjuster
CredentialsInsurance license, knowledge of policiesInsurance license, sometimes certifications like AIC or CPCU
Work EnvironmentCustomer service, office or remoteFieldwork, office, or remote
Employer & IndustryInsurance companies, agenciesInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding direct claims handlingEvaluating claims adjustment roles

Direct Claims professionals primarily handle claims directly from policyholders, focusing on processing and resolving claims within the insurance company. Claims Adjusters evaluate, investigate, and settle claims, often working in the field or remotely. Both roles require insurance licensing, but Claims Adjusters may have additional certifications. While their work overlaps in claims processing, Direct Claims roles are more customer-facing, whereas Claims Adjusters focus on assessment and negotiation.

What are popular job titles related to Direct Claims jobs in Delaware? For Direct Claims jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Direct Claims jobs in Delaware look for? The top searched job categories for Direct Claims jobs in Delaware are:
What cities in Delaware are hiring for Direct Claims jobs? Cities in Delaware with the most Direct Claims job openings:
Direct Claims jobs near you
Director Claims Management

Director Claims Management

ChristianaCare

Wilmington, DE • On-site

$121K - $193K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

ChristianaCare rating

7.8

Company rating: 7.8 out of 10

Based on 126 frontline employees who took The Breakroom Quiz

132nd of 885 rated healthcare providers

Job description

Job Details
Lead strategy. Protect the organization. Influence outcomes.
At ChristianaCare, our mission is to serve together with love and excellence. As Director of Claims Management, you'll play a critical leadership role in protecting one of the nation's leading health systems by directing complex professional and general liability claims, shaping litigation strategy, and partnering with executive leadership to minimize organizational risk while supporting exceptional patient care.
Reporting to the Vice President of Risk Management, you'll lead the claims management function, oversee high-profile litigation, collaborate with physicians, clinical leaders, legal partners, and insurers, and help drive informed decisions that strengthen our organization.
What You'll Do
  • Lead the full lifecycle of professional and general liability claims from intake through resolution.
  • Direct and mentor a team of Claims Specialists and litigation support professionals.
  • Partner with outside defense counsel to develop litigation strategy, manage legal spend, and achieve favorable outcomes.
  • Collaborate with Risk Management, Finance, executive leadership, insurance carriers, brokers, consultants, and actuaries on claims strategy, reserve analyses, and loss projections.
  • Guide complex claims investigations while identifying opportunities for early resolution and cost containment.
  • Present claims trends, reserve analyses, and litigation metrics to executive leadership and Board committees.
  • Support enterprise initiatives focused on patient safety, risk reduction, and continuous process improvement.
  • Ensure compliance with insurance reporting requirements and contractual obligations.

Qualifications:
  • Bachelor's degree required; Juris Doctor (JD) strongly preferred.
  • Seven or more years of progressive experience in claims management, litigation management, or healthcare liability.
  • Experience managing outside defense counsel, insurance carriers, brokers, and complex litigation.
  • Demonstrated leadership experience managing professional teams.
  • Strong business judgment, negotiation, and strategic decision-making skills.
  • Healthcare experience strongly preferred.
  • CPCU, ARM, or other insurance/risk management designation.
  • Experience with captive insurance programs or reinsurance.
  • Familiarity with the London insurance market.

Why ChristianaCare?
This is an opportunity to join one of the region's premier integrated health systems where your leadership directly influences enterprise risk strategy, financial stewardship, and organizational excellence.
You'll work alongside highly respected clinical, legal, finance, and executive leaders in a collaborative environment that values innovation, integrity, and continuous improvement, while helping protect the mission of delivering exceptional care to every patient we serve.
Benefits:
ChristianaCare offers an annual incentive bonus and a collegial space where innovation is valued. We offer incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching. Fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!
Our medical/dental/vision benefits are available to our caregivers on their first day of employment! And we offer two different mechanisms toward planning for your retirement, a 403(b) and a defined contribution plan
Annual Compensation Range $121,180.80 - $193,897.60
This pay rate/range represents ChristianaCare's good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.
Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
Post End Date
Aug 1, 2026
EEO Posting Statement
ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit https://careers.christianacare.org/benefits-compensation/

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About ChristianaCare

Sourced by ZipRecruiter

ChristianaCare is one of the country's most dynamic health care organizations, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. ChristianaCare includes an extensive network of outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a free-standing emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women's health. It also includes the pioneering Gene Editing Institute and was rated by IDG Computerworld as one of the nation's Best Places to Work in IT. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. It is continually ranked by U.S. News & World Report as a Best Hospital. With the unique CareVio data-powered care coordination service and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.

Industry

Outpatient health care

Company size

10,000+ Employees

Headquarters location

Wilmington, DE, US

Year founded

1888

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