ZipRecruiter

Log In

1

Medical Insurance Claims Jobs in Delaware (NOW HIRING)

Sedgwick

Claims Representative , Auto

Dover, DE · On-site

$50K/yr

... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee ... Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive ...

Delaware Medical Care PA

Medical Biller

Smyrna, DE · On-site

$18 - $20/hr

As a Medical Biller, you will be working closely with clients to answer questions related to ... Responsibilities * Assist clients with processing insurance claims through both private insurance ...

Bayhealth

Insurance Follow-Up Specialist

Dover, DE · On-site

... medical records as appropriate, appealing denied claims and resolving payment variances as ... Reviews insurance company payment variances and, as needed, calculates expected reimbursement for ...

Bayhealth

Insurance Follow-Up Specialist

Dover, DE · On-site

... medical records as appropriate, appealing denied claims and resolving payment variances as ... Reviews insurance company payment variances and, as needed, calculates expected reimbursement for ...

ChristianaCare

Director Claims Management

Wilmington, DE · On-site

$121K - $193K/yr

Collaborate with Risk Management, Finance, executive leadership, insurance carriers, brokers ... Our medical/dental/vision benefits are available to our caregivers on their first day of employment!

MG+M The Law Firm

Claims Monitoring Counsel

Wilmington, DE · On-site

$120K - $190K/yr

Interface with Client, insurers and other Project participants. * Negotiate resolution of claims ... medical, dental, vision, life, disability, and 401(k). MG+M will not discriminate in its employment ...

Brandywine Urology Consultants

Medical Coder

New Castle, DE · On-site

$18.25 - $24.25/hr

Responsible for all facets of medical billing coding audits of physicians and Advanced Practice ... Submit primary and secondary insurance claims electronically each day and on HCFA semi-weekly to ...

Brandywine Urology Consultants

Medical Coder

New Castle, DE · On-site

$18.25 - $24.25/hr

Responsible for all facets of medical billing coding audits of physicians and Advanced Practice ... Submit primary and secondary insurance claims electronically each day and on HCFA semi-weekly to ...

Infusion Solutions of Delaware, LLC

Medical Biller

Dover, DE · On-site

$14.50 - $18.75/hr

... insurance carriers regarding unpaid, underpaid, or incorrectly processed claims. * Identify ... Prior medical billing or healthcare revenue-cycle experience. * Experience with insurance claim ...

Infusion Solutions of Delaware, LLC

Medical Biller

Dover, DE · On-site

$14.50 - $18.75/hr

... insurance carriers regarding unpaid, underpaid, or incorrectly processed claims. * Identify ... Prior medical billing or healthcare revenue-cycle experience. * Experience with insurance claim ...

next page

Showing results 1-20

All JobsMedical Insurance Claims JobsMedical Insurance Claims Jobs in Delaware

Medical Insurance Claims information

What is a medical insurance claims job?

A Medical Insurance Claims job involves processing and reviewing insurance claims submitted by healthcare providers or patients. Professionals in this role assess claims for accuracy, verify patient coverage, and determine the amount payable by the insurance company. They may also communicate with healthcare providers, policyholders, and adjusters to resolve discrepancies and ensure proper claim adjudication. Strong attention to detail and knowledge of medical billing codes and insurance policies are essential for success in this field.

What are the typical daily responsibilities of someone working in medical insurance claims?

Professionals in Medical Insurance Claims are responsible for reviewing and processing insurance claims submitted by healthcare providers or patients, verifying the accuracy of billing information, and ensuring compliance with policy guidelines. They regularly communicate with insurance companies, medical offices, and occasionally patients to resolve discrepancies or request additional information. The role involves considerable attention to documentation, data entry, and adhering to deadlines to expedite claim decisions. Teamwork is often essential, as collaboration with billing specialists and other administrative staff helps streamline claim resolution and maintain efficient workflow.

What are the key skills and qualifications needed to thrive in the medical insurance claims position?

To thrive in Medical Insurance Claims, a strong understanding of healthcare billing, insurance policies, and claims processing procedures is essential, typically supported by a diploma or relevant experience in medical administration. Familiarity with claims management software, medical coding systems (such as ICD-10 and CPT), and knowledge of HIPAA regulations is commonly required. Attention to detail, problem-solving skills, and effective written and verbal communication help individuals excel in this role. These competencies ensure timely, accurate claims processing and positive working relationships with providers, insurers, and patients.

How to become a medical insurance claims adjuster?

To become a medical insurance claims adjuster, you typically need a high school diploma or equivalent, with some roles preferring postsecondary education or relevant coursework in insurance or healthcare. Gaining experience in insurance claims processing or healthcare settings is beneficial, and obtaining a state license may be required depending on the jurisdiction. Strong attention to detail, communication skills, and familiarity with claims processing software are important for success in this role.

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

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

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

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

Medical Insurance Claims jobs near you
Infographic showing various Medical Insurance Claims job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

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

AllSearch Professional Staffing

Dover, DE • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

This job post has expired today. 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

#INDALL