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Medical Claims Manager Jobs in Delaware (NOW HIRING)

Director Claims Management

Wilmington, DE ยท On-site

$121K - $193K/yr

As Director of Claims Management , you'll play a critical leadership role in protecting one of the ... Our medical/dental/vision benefits are available to our caregivers on their first day of employment!

Medical Biller/Certified Coder

Dover, DE ยท On-site

$18.75 - $24/hr

... claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of ... Manage detailed, specifically coded information. When needed, abstracts data from patients' medical ...

Claims Monitoring Counsel

Wilmington, DE ยท On-site

$120K - $190K/yr

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

Medical Biller/Certified Coder

Dover, DE ยท On-site

$18.75 - $24/hr

... claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of ... Manage detailed, specifically coded information. When needed, abstracts data from patients' medical ...

Medical Biller/Certified Coder

Dover, DE ยท On-site

$18.75 - $24/hr

... claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of ... Manage detailed, specifically coded information. When needed, abstracts data from patients' medical ...

Medical Biller/Certified Coder

Dover, DE ยท On-site

$18.75 - $24/hr

... claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of ... Manage detailed, specifically coded information. When needed, abstracts data from patients' medical ...

Medical Biller/Certified Coder

Dover, DE ยท On-site

$18.75 - $24/hr

... claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of ... Manage detailed, specifically coded information. When needed, abstracts data from patients' medical ...

Patient Financial Services (PFS) Supervisor, Denials & Appeals manages the daily operations, staff, and regulatory compliance of appeal teams to resolve denied medical claims. The ideal candidate is ...

... manage insurance follow-up and denial resolution activities. Must have recent, hands-on AR ... Perform insurance follow-up on outstanding medical claims. * Investigate, resolve, and appeal claim ...

Management retains the discretion to add or to change the duties of the position at any time As ... A comprehensive benefits package is offered including but not limited to, medical, dental, vision ...

Acts as clinical resource to claims examiners to provide guidance on the medical management of claims including comprehension of medical terminology and substantiating claim decisions. ADDITIONAL ...

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Medical Claims Manager information

See Delaware salary details

$35K

$87.9K

$139.1K

How much do medical claims manager jobs pay per year?

As of Aug 26, 2026, the average yearly pay for medical 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 does a medical claims manager do?

A Medical Claims Manager oversees the processing of insurance claims related to healthcare services. They ensure that claims are handled efficiently, accurately, and in compliance with industry regulations. Their responsibilities include supervising claims staff, reviewing and resolving complex claims issues, and coordinating with healthcare providers and insurance companies. Medical Claims Managers also work to identify and prevent fraudulent claims and improve overall claims processing procedures.

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

To thrive as a Medical Claims Manager, you need a strong background in healthcare administration, claims processing, and knowledge of insurance regulations, typically supported by a bachelor's degree in a related field. Familiarity with claims management systems, billing software, and certification such as Certified Professional Coder (CPC) are often required. Exceptional attention to detail, problem-solving abilities, and effective communication set top performers apart. These skills ensure accurate claims processing, regulatory compliance, and efficient resolution of disputes, which are critical for organizational success.

What are some common challenges medical claims managers face when overseeing claims processing teams?

Medical Claims Managers often encounter challenges such as keeping up with changing healthcare regulations, ensuring accurate and timely claims processing, and managing workflow during periods of high claim volume. They must also address discrepancies or denials efficiently and provide ongoing training to team members to maintain compliance and quality standards. Effective communication with insurance carriers, healthcare providers, and internal teams is crucial to resolving issues and streamlining operations.

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

The most popular types of Medical Claims jobs in Delaware are:

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

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

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

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

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

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

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

Dover, DE โ€ข On-site

AllSearch Professional Staffing
Recruiting and Staffing Servicesย โ€ขย 11 - 50 employees

Full-time

Medical, Dental, Vision, Life, Retirement

This job post hasย expired today.ย Applications are no longer accepted.


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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