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Disability Claims Manager Jobs in Delaware (NOW HIRING)

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Disability Determination Adjudicator I Disability Determination Service (DDS) is the state agency ... Requests consultative medical examinations to adjudicate claims and manages scheduling arrangements ...

Director Claims Management

Wilmington, DE · On-site

$121K - $193K/yr

As Director of Claims Management , you'll play a critical leadership role in protecting one of the ... status, disability, pregnancy, citizenship status, or any other characteristic protected under ...

Claims Monitoring Counsel

Wilmington, DE · On-site

$120K - $190K/yr

The Consulting Group provides risk management and claims monitoring services and strategic advice ... life, disability, and 401(k). MG+M will not discriminate in its employment practices due to an ...

Manages projects as assigned and may work across different platforms or lines of business ... disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and ...

Claims Representative , Auto

Dover, DE · On-site

$50K - $55K/yr

Management retains the discretion to add or to change the duties of the position at any time As ... PTO, disability and life insurance, employee assistance, flexible spending or health savings ...

Monitors care center claims and assists corporate teams with semi-monthly billing periods, as well ... disability, military status, sexual orientation, genetic predisposition or carrier status or any ...

Manages projects as assigned and may work across different platforms or lines of business ... disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and ...

Business Office Manager

Milford, DE · On-site

$28 - $31/hr

Monitors care center claims and assists corporate teams with semi-monthly billing periods, as well ... disability, military status, sexual orientation, genetic predisposition or carrier status or any ...

Disability and Life Insurance options * On Site Child Care * Educational Reimbursement * Health ... Specific duties involve researching unpaid claims, responding to insurance company information ...

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Disability Claims Manager information

See Delaware salary details

$35K

$87.9K

$139.1K

How much do disability claims manager jobs pay per year?

As of Jul 26, 2026, the average yearly pay for disability claims 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 are the key skills and qualifications needed to thrive in the Disability Claims Manager position, and why are they important?

To excel as a Disability Claims Manager, you need strong knowledge of insurance regulations, claims processing, risk assessment, and a background in healthcare, business, or a related field. Familiarity with claims management software, regulatory compliance systems, and certifications such as Associate in Claims (AIC) or Certified Professional in Disability Management (CPDM) is often beneficial. Key soft skills include attention to detail, empathetic communication, and effective leadership for managing teams and resolving sensitive cases. These skills ensure accurate, efficient claims handling and provide essential support to claimants while upholding organizational standards and compliance.

What are the typical challenges faced by Disability Claims Managers in their day-to-day work?

Disability Claims Managers often encounter challenges such as evaluating complex medical information, balancing compliance requirements with compassionate service, and making tough decisions regarding claim approvals or denials. They frequently work under tight deadlines while ensuring accuracy and fairness for both claimants and their employer. Additionally, managing a caseload and coordinating with physicians, legal teams, and other stakeholders can be demanding. Successfully navigating these challenges requires strong organizational skills, up-to-date regulatory knowledge, and excellent communication to support fair and timely outcomes.

What does a Disability Claims Manager do?

A Disability Claims Manager oversees the processing and evaluation of disability claims, ensuring they comply with company policies and legal regulations. They review medical records, collaborate with healthcare providers, and assess claim validity based on policy guidelines. Additionally, they communicate with claimants, provide updates, and address inquiries. Their role also involves fraud detection, dispute resolution, and implementing best practices to improve efficiency. Effective decision-making, empathy, and regulatory knowledge are key to success in this role.

What are popular job titles related to Disability Claims Manager jobs in Delaware? For Disability Claims Manager jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Disability Claims Manager jobs in Delaware look for? The top searched job categories for Disability Claims Manager jobs in Delaware are:
What cities in Delaware are hiring for Disability Claims Manager jobs? Cities in Delaware with the most Disability Claims Manager job openings:
Disability Determination Administrator

Disability Determination Administrator

State of Delaware

New Castle, DE • On-site

$72K - $86K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


State Of Delaware rating

7.9

Company rating: 7.9 out of 10

Based on 80 frontline employees who took The Breakroom Quiz

13th of 50 rated states


Job description

Introduction
Disability Determination Service (DDS) is the state agency that processes Social Security Disability claims under Titles II and XVI of the Social Security Act. We are the only DDS in Delaware and receive all disability claims in our state. We provide quality customer service to Delawareans through timely and accurate disability decisions.
Summary Statement
The Disability Determination Administrator supervises the Quality Assurance Unit, provides policy guidance, develops and recommends training resources based on trends, submits formal rebuttals of federal returns, and represents DDS on quality meetings. You will be responsible for conducting reviews of disability claims by adjudicator staff. This involves identifying deficiencies in case work, documenting findings, and citing the relevant policies to provide next-step actions to bring claims into compliance. As the Administrator, you will work as the Vocational Specialist within the agency.
Essential Functions
Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.
  • Reviews claims and plans case development to adjudicate claims.
  • Gathers necessary medical, vocational and other evidence by telephone and letter contact to clarify initially submitted information and obtain additional information needed to adjudicate a case.
  • Reviews and analyzes medical, psychological, psychiatric, social, educational and vocational evidence to determine the severity of medically determinable impairments, justifiable onset date, and credible work-related limitations in accordance with Federal regulations and programmatic mandates.
  • Requests consultative medical examinations to adjudicate claims and manages scheduling arrangements with medical providers and claimants to ensure that claimants attend examinations.
  • Researches the affects of disease processes and resulting impact on the ability to perform work-related activities.
  • Prepares documentation for favorable decisions; prepares written decision rationales and letters to inform claimants of unfavorable decisions made on their disability applications; and explains due-process and appeal rights.
  • Authorizes payment of medical invoices.
  • Maintains up-to-date reference materials and manuals necessary to the adjudication process.

Job Requirements
JOB REQUIREMENTS for Disability Determination Administrator
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
  1. Three years experience in evaluating disability claims and making disability determinations.
  2. Three years experience in interpreting Social Security Administration laws, rules, regulations, standards, policies and procedures.
  3. Six months experience in narrative report writing.
  4. Knowledge of program administration such as overseeing and directing the development, implementation and evaluation of programs and services; planning and establishing short and long range program goals and objectives. Providing advice to other agency organizational units through consultation.
  5. Knowledge of budget development which includes developing a budget, analyzing financial data and making long and short range plans and projections.
  6. Knowledge of staff supervision acquired through course work, academic training, training provided through an employer, or performing as a lead worker overseeing the work of others; OR supervising staff which may include planning, assigning, reviewing, and evaluating the work of others; OR supervising through subordinate supervisors a group of professional, technical, and clerical employees.

Additional Posting Information
The State of Delaware recognizes the value of telework and flexible working schedules. This position is eligible for Telework and Alternative Work Schedules after the probationary period as according to the State of Delaware's Alternative Work Arrangement Policy. More information will be shared at the time of interview.
Conditions of Hire
Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our job seeker resources.
All new hires are required to report to the Statewide New Employee Orientation (SNEO) on their first day of employment. Sessions are held at designated locations in Kent or New Castle County.
Criminal background check: A satisfactory criminal background check is required as a condition of hire. The recruiting agency may require the applicant to pay for the criminal background check as part of the conditional offer of hire.
Benefits
To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/
At the State of Delaware, we invest in our people and support them in and outside of the office. Our employees enjoy a total compensation package that far exceeds the value of their base salary. We offer comprehensive benefit plans that will give you peace of mind and security. Below is a list of benefits that are offered to eligible employees:
Health and Well Being
*Health Benefits, Dental Insurance, Vision Insurance
Just In Case
*Disability Insurance, Group Universal Life Insurance
Your Future
*Retirement Benefits, Deferred Compensation
Professional Growth
*Training and Development Programs
Work Life Balance
*Paid Leave, Paid Holidays, Paid Parental Leave, Alternative Work Schedules
More Benefits
*Flexible Spending, Pre-Tax Commuter Benefits, Accident and Critical Illness Insurance
Visit Statewide Benefits for more information!
Selection Process
The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.
Once you have submitted your application on-line, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the "My Applications" tab at StateJobs.Delaware.gov.
Accommodations
Accommodations are available for applicants with disabilities in all phases of the application and employment process.
Individuals who use TDD may request auxiliary aid or service by calling (800) 232-5470 or by visiting delawarerelay.com.
If you need assistance with an accommodation under the Americans with Disabilities Act (ADA) or general applicant support, you may call (302) 739-5458 or email jobs@delaware.gov.
The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.

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