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Senior Claims Associate Jobs in Delaware (NOW HIRING)

Truveris

Associate Analyst

Wilmington, DE · On-site +1

$65K - $70K/yr

... with senior team members, this role supports the execution of on-going monitoring of claims ... The Associate Analyst assists in validating data, running pharmacy claims data, and preparing and ...

Dexian

DE · On-site

$122K - $161K/yr

As a Senior Product Associate in Claims, Disputes, Fraud Operations, you contribute to the team by leveraging your expertise in product development and optimization to make a significant impact ...

Elevance Health

Group Underwriter Senior

Wilmington, DE · Hybrid

$95K - $113K/yr

This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... Communicates with sales, administration and claims to assess the rating and administrative impact ...

Elevance Health

Group Underwriter Senior

Wilmington, DE · Hybrid

$95K - $113K/yr

This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... Communicates with sales, administration and claims to assess the rating and administrative impact ...

Elevance Health

Group Underwriter Senior

Wilmington, DE · On-site

$76K - $132K/yr

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Communicates with sales, administration and claims to assess the rating and administrative impact ...

Elevance Health

Group Underwriter Senior

Wilmington, DE · On-site

$76K - $132K/yr

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Communicates with sales, administration and claims to assess the rating and administrative impact ...

Elevance Health

Group Underwriter Senior

Wilmington, DE · On-site

$76K - $126K/yr

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Communicates with sales, administration and claims to assess the rating and administrative impact ...

Elevance Health

Group Underwriter Senior

Wilmington, DE · On-site

$76K - $126K/yr

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Communicates with sales, administration and claims to assess the rating and administrative impact ...

Percy Towers

Delaware Chancery Counsel

Wilmington, DE · Hybrid

$310K - $390K/yr

... designed to support senior associates through successful lateral transitions. This is an ... Claims and federal/state regulatory inquiries on behalf of financial institutions and public ...

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Senior Claims Associate information

What is the role of a claims associate?

A claims associate is responsible for reviewing, processing, and managing insurance claims to ensure accurate and timely resolution. They evaluate claim details, communicate with clients and providers, and use claims management software to document actions and decisions. Strong attention to detail and knowledge of insurance policies are essential for this role.

What does a senior claims handler do?

A senior claims handler manages and investigates insurance claims, ensuring accurate assessment and timely resolution. They review documentation, communicate with claimants and providers, and may use claims management software; often, they require knowledge of insurance policies and industry regulations.

What is the difference between Senior Claims Associate vs Claims Examiner?

AspectSenior Claims AssociateClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles prefer insurance certificationsHigh school diploma; insurance licensing or certifications often preferred
Work EnvironmentInsurance companies, claims departments, often team-basedInsurance carriers, third-party administrators, claims offices
Industry UsageCommonly used in insurance claims processingWidely used in insurance industry for claims review
Job FocusAssisting with claims, customer service, supporting claims processingReviewing claims for accuracy, compliance, and validity

The main difference is that Senior Claims Associates often handle customer interactions and support claims processing, while Claims Examiners focus on reviewing and validating claims for accuracy and compliance. Both roles require similar credentials and are integral to insurance claims operations.

What jobs pay 500,000 a year in the US?

Senior Claims Associates typically do not earn $500,000 annually; such high salaries are usually found in executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require extensive experience, advanced skills, or ownership of a business. In the insurance industry, top executives or those in leadership positions may reach this level of compensation.

What claims adjuster makes the most money?

Senior claims adjusters, especially those working in specialized areas like catastrophe or complex claims, tend to earn the highest salaries in the claims adjusting field. Factors such as experience, certifications, and geographic location can also influence compensation, with adjusters in high-cost areas or with advanced skills earning more.
Senior Claims Associate jobs near you
Associate Analyst

Associate Analyst

Truveris

Wilmington, DE • On-site, Remote

$65K - $70K/yr

Full-time

Posted 6 days ago

Job description

Description
Associate Analyst (Remote)
About Us
Truveris is a pharmacy cost containment company dedicated to reducing pharmacy costs and driving transparency for employers and benefit consultants. Our proprietary, data-driven technology and deep industry expertise empower smarter pharmacy benefit decisions through contract optimization and PBM oversight. Independent and unbiased, Truveris delivers measurable savings and accountability across every pharmacy program. For more information on our solutions, visit www.truveris.com.
Position Summary
The Associate Analyst, Insights, plays a key supporting role in helping monitor contract compliance between pharmacy benefit managers (PBMs) and clients. Working closely with senior team members, this role supports the execution of on-going monitoring of claims, reporting on findings using our proprietary tools and processes, and reconciling end of year performance. The Associate Analyst assists in validating data, running pharmacy claims data, and preparing and delivering client reporting. This position is ideal for someone with strong analytical skills, attention to detail, and an interest in learning the pharmacy benefits industry. This role will work closely and communicate with external clients and vendors on a consistent basis.
Key Responsibilities
  • Support the delivery of PBM Monitoring Insights from start to finish
  • Validate claims and support files from PBMs for clients, communicate with the PBM about any discrepancies or questions, and deliver the final report to the client
  • Use internal tools and templates to assist in configuring the contract details and analyzing the data
  • Prepare charts, reports, and presentations that summarize analytical findings for client meetings
  • Maintain accurate project documentation and workflows in project management systems; collaborate with Senior Analysts and internal teams to ensure timely, high-quality deliverables; contribute feedback on process improvements and tool enhancements
  • Communicate with external clients on projects
Qualifications & Experience
  • 1-5 years of experience in analytics, healthcare consulting, benefits administration, or a related field (internships or academic experience acceptable)
  • Strong proficiency in Microsoft Excel and SQL
  • Excellent organizational skills with a focus on accuracy and attention to detail
  • Ability to work effectively in a fast-paced, deadline-driven environment
  • Strong written and verbal communication skills
  • Bachelor's degree in a Business, Finance, or Statistics related field
Skills & Competencies
  • Analytical and data-driven mindset
  • Collaborative team player with a willingness to learn
  • Strong problem-solving and critical thinking skills
  • Effective communicator across technical and non-technical audiences
  • Highly organized, with the ability to manage multiple priorities

Base Salary Range: $65,000 - $70,000 annually
An employee's pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, travel requirements, revenue-based metrics, any contractual agreements, and business or organizational needs. The range listed is just one component of Truveris's total compensation package for employees.
Truveris provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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