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Head Claims Jobs in Delaware (NOW HIRING)

Head Claims information

What does a head claims do?

A Head of Claims is responsible for overseeing the entire claims process within an insurance company or organization. They manage claims teams, set policies and procedures, and ensure that claims are processed efficiently, accurately, and in accordance with legal and regulatory requirements. This role also involves analyzing claims data, implementing strategies to reduce losses, and maintaining customer satisfaction by resolving complex or high-value claims. The Head of Claims often works closely with other departments such as underwriting, legal, and customer service to streamline operations and improve claims outcomes.

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

To excel as a Head of Claims, you need extensive insurance industry knowledge, strong analytical skills, and experience in claims management, often supported by a relevant degree and professional certifications such as AIC or CPCU. Familiarity with claims management systems, data analytics tools, and regulatory compliance platforms is essential. Exceptional leadership, negotiation, and communication skills help drive team performance and manage complex stakeholder relationships. These competencies are vital for optimizing claims processes, ensuring regulatory compliance, and maintaining customer satisfaction.

What are some common challenges faced by a head claims, and how can they be addressed?

A Head of Claims often faces challenges such as managing high claim volumes, ensuring regulatory compliance, and maintaining excellent customer service standards. Balancing the need for efficient claim processing with the accuracy of assessments can be demanding, especially during peak periods or in complex cases. To address these challenges, strong leadership, effective process optimization, and fostering a culture of continuous improvement within the team are essential. Additionally, leveraging technology for automation and analytics can help streamline workflows and enhance decision-making.

What is the difference between Head Claims vs Claims Manager?

AspectHead ClaimsClaims Manager
CredentialsTypically requires insurance certifications, management experienceRequires insurance knowledge, leadership skills, often certifications
Work EnvironmentStrategic oversight, senior leadership roleOperational management, team supervision
Industry UsageUsed in large insurance companies, corporate settingsCommon across insurance firms, claims departments
Search & Comparison IntentUnderstanding senior claims leadership rolesManaging claims teams, operational roles

While both roles involve overseeing claims processes, the Head Claims typically holds a senior leadership position responsible for strategic direction and policy oversight. The Claims Manager focuses more on day-to-day operations and team management. The Head Claims sets policies and manages large teams, whereas the Claims Manager handles operational execution within those policies.

What are the most commonly searched types of Claims jobs in Delaware?

The most popular types of Claims jobs in Delaware are:

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

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

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

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

What cities in Delaware are hiring for Head Claims jobs?

Cities in Delaware with the most Head Claims job openings:

Infographic showing various Head Claims job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution.

Operations Manager - Claims and Research

pcaltd

Wilmington, DE • Hybrid

$72K/yr

Full-time

Re-posted 6 days ago


Job description

General Description:

The Research and Claims Manager is a highly knowledgeable professional with time management, critical thinking and people management skills. This role reports to the Department Head. The purpose of this role is to provide guidance and motivation to a team of research and claims associates. Also, support for initiatives, projects and audits.

Responsibilities:

  • Manage KPIs, motivate and coach Search and Claim Associates
  • Monitor, review and provide feedback on employee work output and quality
  • Manage the workload, scheduling and staffing of RCU employees
  • Ensure the team works efficiently, within required SLAs
  • Conduct and document one-one discussions with direct reports
  • Provide disciplinary actions when warranted
  • Analyze information, conduct trend analysis and report findings to the RCU department head
  • Implement process improvements that drive efficiency and impact performance
  • Use good judgment to make account level decisions and provide guidance to the team
  • Assist with audit requests for information including pre-audit deliverables and post-audit remediation
  • Responsible for daily processes
  • Become the subject matter expert for your team

Desired Experience:

  • 3-5 years of experience in the financial services field
  • Intermediate level MS Word & Excel
  • Previous supervisory experience
  • Process management experience
  • Proven track record with meeting and exceeding goals

Key attributes:

  • Motivational, driven to exceed goals
  • Excellent communication skills, both written and verbal
  • Ability to prioritize workload according to challenging deadlines
  • Ability to give constructive, balanced feedback

Schedule:

  • Full-time position, 40 hours per week
  • Monday to Friday
  • Core business hours: 8:00 am – 5:00 pm
  • Occasional overtime may be required to meet deadlines, project requirements, or audit deliverables

Hybrid Work Schedule:

  • Hybrid work arrangement available
  • Employees are expected to work in the office 3 days per week and remotely for the remaining scheduled workdays
  • In-office attendance may increase based on business needs, team meetings, training sessions, or departmental initiatives

Salary:

  • Salary: $72,000
  • Compensation will be commensurate with experience, qualifications, and demonstrated leadership capabilities.
  • Eligible for company benefits and any applicable performance-based incentives