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Claims Manager Jobs in Rochester, MA (NOW HIRING)

Securitas

Operational Risk Manager

Cranston, RI · On-site

$110K - $135K/yr

... claims and incident trends. This role is part of Division Risk Management and partners closely with ... the assigned Region to proactively reduce loss exposure and improve operational performance. This ...

Securitas

Operational Risk Manager

Providence, RI · On-site

$110K - $135K/yr

... claims and incident trends. This role is part of Division Risk Management and partners closely with ... the assigned Region to proactively reduce loss exposure and improve operational performance. This ...

Securitas

Operational Risk Manager

Pawtucket, RI · On-site

$110K - $135K/yr

... claims and incident trends. This role is part of Division Risk Management and partners closely with ... the assigned Region to proactively reduce loss exposure and improve operational performance. This ...

Securitas

Operational Risk Manager

East Providence, RI · On-site

$110K - $135K/yr

... claims and incident trends. This role is part of Division Risk Management and partners closely with ... the assigned Region to proactively reduce loss exposure and improve operational performance. This ...

Crawford and Company

Property Adj

Taunton, MA · On-site

$40K - $73K/yr

Advance Your Property Claims Career - Join Our Team in Massachusetts! Position: Property Adjuster ️ Location: Bridgewater, Taunton, or Middleborough, MA (or nearby) Work Setup: Hybrid - Work From ...

Hub Technology Group

Project Manager

Providence, RI · On-site

$65 - $80/hr

Information Technology Project Manager HC Insurance Claims & Duals LOCAL W2 Only The ideal candidate will be responsible for planning, coordinating, and implementing projects within the decided-upon ...

Crawford and Company

Property Adj

Taunton, MA · Hybrid

Advance Your Property Claims Career - Join Our Team in Massachusetts! Position: Property Adjuster Location: Bridgewater, Taunton, or Middleborough, MA (or nearby) Work Setup: Hybrid - Work From Home ...

Brownhealth

Denials Appeal Representative

Pawtucket, RI

$20.96 - $34.61/hr

This position conducts monthly denial trending, partners with revenue cycle staff to appeal denied claims, and identifies patterns contributing to recurring denials. The Denials Appeal Representative ...

Hilbgroup

Stop Loss Analyst

Cranston, RI · Hybrid

$72K/yr

Manage and maintain monthly claims dashboards for assigned clients. * Review high-cost claimant activity and provide clear month-over-month updates regarding changes in claim costs, diagnoses ...

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All JobsClaims JobsClaims Manager JobsClaims Manager Jobs in Rochester, MA

Claims Manager information

See Rochester, MA salary details

$36K

$90.3K

$142.9K

How much do claims manager jobs pay per year?

As of Aug 7, 2026, the average yearly pay for claims manager in Rochester, MA is $90,323.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,900.00 and $107,900.00 per year, depending on experience, location, and employer.

How much do claims managers make in the US?

Claims managers in the US typically earn a median annual salary of around $80,000 to $100,000, with experienced professionals and those in senior roles earning higher. Salaries can vary based on location, industry, and level of experience, and many claims managers hold certifications such as the Chartered Property Casualty Underwriter (CPCU).

What is the difference between Claims Manager vs Claims Adjuster?

AspectClaims ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experienceUsually requires a high school diploma or bachelor’s degree, with certifications like AIC or CPCU preferred
Work EnvironmentOversees claims departments, manages teams, and develops policies within insurance companiesEvaluates individual claims, investigates damages, and determines settlement amounts
Employer & Industry UsageCommonly employed in insurance companies, handling claims processes and team managementFound in insurance firms, adjusting claims directly with policyholders and providers

In summary, Claims Managers oversee the claims process and manage teams, requiring leadership skills and industry certifications. Claims Adjusters focus on evaluating individual claims, investigating damages, and determining payouts. Both roles are essential in the insurance industry but differ in scope and responsibilities.

What is the role of a claims manager?

A claims manager oversees the processing and settlement of insurance claims, ensuring accuracy and compliance with policies. They evaluate claim validity, coordinate with adjusters and clients, and may use claims management software to streamline operations.

How does a claims manager balance high case volumes with thorough and accurate claim assessments?

Claims Managers often face the challenge of managing a large number of claims while maintaining quality and compliance. To address this, they implement efficient workflows, delegate tasks among team members, and use claims management software to automate routine processes. Regular team meetings and performance tracking help ensure that each claim is processed accurately and within regulatory timelines. Strong organizational skills and effective communication are key to balancing these demands and supporting both claimants and internal stakeholders.

What skills and qualifications are needed to be a claims manager?

To thrive as a Claims Manager, you need expertise in insurance policies, risk assessment, and claims processing, usually supported by a degree in business, finance, or a related field. Familiarity with claims management software, regulatory compliance tools, and industry certifications such as AIC (Associate in Claims) is typically required. Strong analytical thinking, negotiation skills, and effective communication help you manage complex cases and lead teams successfully. These skills and qualities are vital for ensuring accurate claims resolution, minimizing financial loss, and maintaining client trust.

What does a claims manager do?

A Claims Manager oversees the processing and resolution of insurance claims within an organization. Their responsibilities include evaluating claims, ensuring compliance with company policies and legal regulations, and managing a team of claims adjusters or examiners. Claims Managers work to ensure claims are handled efficiently and fairly, often acting as a point of escalation for complex or disputed cases. They also analyze data to improve claims processes and mitigate risk. Effective communication and leadership skills are essential in this role.
More about Claims Manager jobs
What cities near Rochester, MA are hiring for Claims Manager jobs? Cities near Rochester, MA with the most Claims Manager job openings:
Claims Manager jobs near you
Infographic showing various Claims Manager job openings in Rochester, MA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Hybrid job distribution, with an average salary of $90,323 per year, or $43.4 per hour.

Mailroom Clerk - Claims Operations Warwick RI, ONSITE

Gainwell Technologies LLC

Warwick, RI

$30K - $43K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 7 days ago

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

137th of 242 rated software companies

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

The Mailroom Clerk is responsible for supporting Claims Operations through the receipt, sorting, preparation, tracking, and distribution of incoming mail and documentation. The majority of incoming mail consists of healthcare claims, provider correspondence, medical records, and supporting documentation that must be accurately prepared for imaging and processing within the Medicaid Management Information System (MMIS).

This position plays a critical role in ensuring timely handling of provider submissions and requires a highly reliable, detail-oriented individual who can work independently in a fast-paced environment while maintaining accuracy and established procedures.

Your role in our mission
  • Receive, sort, and distribute incoming mail, claims, and provider documentation to the appropriate departments.
  • Prepare, batch, scan, and index healthcare claims and documents for electronic imaging and processing.
  • Log, track, and reconcile incoming checks, financial documents, and mail volumes while maintaining accurate records.
  • Research and route misdirected or incomplete mail, coordinating with internal departments to ensure timely document delivery.
  • Maintain confidentiality of Protected Health Information (PHI) and provide operational support for special projects as needed.
What we're looking for
  • High School Diploma or equivalent required.
  • 1–3 years of experience in mailroom operations, healthcare administration, records management, claims support, or a related field preferred.
  • Experience with healthcare claims, insurance documentation, provider correspondence, or medical terminology preferred.
  • Strong attention to detail, organizational skills, time management, and the ability to work independently.
  • Proficiency in Microsoft Office Suite with strong communication skills and the ability to maintain confidentiality.
What you should expect in this role
  • Full-time, on-site position located in Warwick, Rhode Island.
  • Handle high volumes of medical claims and provider documentation daily.
  • Perform physical tasks including standing, sorting, filing, and lifting mail trays and boxes.
  • Work independently to ensure business-critical documents are received, tracked, and processed accurately.
  • Support a critical function within the Rhode Island Medicaid Claims Operations team.

#LI-ONSITE

#LI-LS2

“The deadline to submit applications for this posting is 08/30/2026”

The pay range for this position is $30,500.00 - $43,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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