Claims Specialist Jobs in Delaware
Claims Specialist jobs in Delaware concentrate heavily in insurance, financial services, and healthcare administration, with demand at every level from entry-level examiners to senior adjusters managing complex commercial lines. Most of the hiring is in and around Wilmington, Dover, and Newark, where large employers such as Highmark Delaware, Incyte, and ChristianaCare maintain significant back-office and claims operations. The most active specialties in Delaware are health and medical claims processing, property and casualty adjusting, and workers' compensation. Scan the live roles below and apply to whichever ones fit.
Find Claims Specialist JobsOverview
Showing 5 of 5+ Claims Specialist jobs
Looking for more claims specialist jobs?
Explore related role searches to find more openings that fit.
See related jobsWe’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
This role requires the nurse to exercise clinical judgment and perform the following duties:
Review and interpret clinical documentation obtained from medical records or systems.
Apply clinical decision-making to utilize appropriate clinical criteria and policies for post-service claims
Coordinate clinical resolutions independently, with clinician/MD support as required
Act as a resource for customer service and claims processing teams
Train new staff and provide cross-training to existing team members
Identify trends and provide feedback to leadership if discrepancies or potential fraudulent activities are identified
Remain current with applicable laws, regulations, and internal workflows to ensure full compliance with organizational and state-specific requirements
Required Qualifications:
Nursing degree (RN)
A minimum of 2–3 years of professional experience as a licensed Registered Nurse (RN), or equivalent clinical experience
Strong analytical skills to assess medical claims
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$26.01 - $68.55This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 07/08/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
This role requires the nurse to exercise clinical judgment and perform the following duties:
Review and interpret clinical documentation obtained from medical records or systems.
Apply clinical decision-making to utilize appropriate clinical criteria and policies for post-service claims
Coordinate clinical resolutions independently, with clinician/MD support as required
Act as a resource for customer service and claims processing teams
Train new staff and provide cross-training to existing team members
Identify trends and provide feedback to leadership if discrepancies or potential fraudulent activities are identified
Remain current with applicable laws, regulations, and internal workflows to ensure full compliance with organizational and state-specific requirements
Required Qualifications:
Nursing degree (RN)
A minimum of 2–3 years of professional experience as a licensed Registered Nurse (RN), or equivalent clinical experience
Strong analytical skills to assess medical claims
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$26.01 - $68.55This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 07/08/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
See All 5 Claims Specialist Jobs in Delaware
Find roles in Delaware that match your experience and apply in just a few clicks.
Find Claims Specialist JobsClaims Specialist Jobs by City in Delaware
Where Delaware roles are concentrated, by current openings.
Claims Specialist Job Market in Delaware
A snapshot from current Delaware openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Delaware Employers Look For
The qualifications that appear most often in claims specialist jobs across Delaware.
- Active Delaware adjuster license or a license recognized for reciprocity in Delaware
- Associate or bachelor's degree in business, finance, insurance, or a related field
- Two or more years of claims processing or adjusting experience in a relevant line
- Proficiency with claims management systems such as Guidewire, Xactimate, or similar platforms
- Strong written and verbal communication skills for documentation and policyholder correspondence
- Knowledge of coverage interpretation, policy language, and applicable Delaware claims regulations
Claims Specialist Jobs in Delaware: Frequently Asked Questions
How do you become a claims specialist in Delaware?
To work as a claims adjuster or specialist handling insurance claims in Delaware, you typically need to obtain a Delaware Insurance Adjuster license through the Delaware Department of Insurance. Most candidates complete a pre-licensing course, pass the state exam, and submit an application to the department. Public adjusters face additional bonding requirements. For claims roles that do not require adjustment authority, such as medical claims examiners, employers generally seek a relevant associate or bachelor's degree alongside on-the-job training.
Which companies hire claims specialists in Delaware?
Employers hiring claims specialists in Delaware right now include CVS Health, Gallagher, and Ryder System, based on current listings on Migrate Mate as of July 2026. Delaware's concentration of insurance carriers and health systems in the Wilmington corridor means hiring activity tends to be consistent throughout the year across both commercial and government-funded lines.
Which Delaware cities have the most claims specialist jobs?
The cities with the most claims specialist openings in Delaware are Dover, Delaware, and Newark. Wilmington drives the bulk of demand as the state's primary financial and insurance hub, home to major carrier offices and healthcare networks, while Dover's concentration of state government agencies and regional health plans supports a steady share of public-sector and workers' compensation claims roles.
Are there remote claims specialist jobs in Delaware?
Yes, and more than many fields, since claims review and processing are largely desk-based and documentation-driven. About 100% of claims specialist openings tied to Delaware are remote or hybrid as of July 2026, reflecting how well the core tasks translate to distributed work. Roles focused on medical billing review, liability desk adjusting, and claims intake tend to offer the most remote flexibility, while field adjuster positions requiring physical inspections remain on-site.
How can I get hired as a claims specialist in Delaware with little or no experience?
The most realistic entry point is a claims examiner or claims assistant role at one of Delaware's large insurance carriers or health systems, where structured training programs can substitute for prior experience. ChristianaCare and Highmark Delaware both hire into entry-level claims and billing coordinator roles that build toward specialist positions. Completing a Delaware Insurance Adjuster pre-licensing course before applying signals initiative even without a license in hand. Adjacent roles such as customer service representative, medical biller, or administrative coordinator at an insurer or hospital are common lateral moves that hiring managers recognize.
Where can I find and apply to claims specialist jobs in Delaware?
You can find and apply to claims specialist jobs in Delaware on Migrate Mate, which lists current Delaware openings. Search the listings, find roles that match your background and preferred location, and apply directly to the ones that fit.
See All 5 Claims Specialist Jobs in Delaware
Find roles in Delaware that match your experience and apply in just a few clicks.
Find Claims Specialist Jobs