ZipRecruiter

Log In

1

Claims Operations Manager Jobs in Rhode Island (NOW HIRING)

Walgreens

Pharmacy Operations Manager

Woonsocket, RI · On-site

Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...

Walgreens

Pharmacy Operations Manager

Warwick, RI · On-site

Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...

Walgreens

Pharmacy Operations Manager

Warwick, RI · On-site

Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...

Walgreens

Pharmacy Operations Manager

Warwick, RI · On-site

Manages core pharmacy workflow and drives excellence in pharmacy operations. Coordinates and ... Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment ...

Gilbane, Inc.

Next 150 Operations Manager

Providence, RI · On-site +1

The Next 150 Operations Manager is a senior operational leader responsible for translating Next 150 ... Supports claims avoidance and commercial discipline in alignment with enterprise expectations and ...

next page

Showing results 1-20

All JobsClaims Operations JobsClaims Operations Manager JobsClaims Operations Manager Jobs in Rhode Island

Claims Operations Manager information

See Rhode Island salary details

$34.3K

$86K

$136.1K

How much do claims operations manager jobs pay per year?

As of Aug 17, 2026, the average yearly pay for claims operations manager in Rhode Island is $86,043.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,600.00 and $102,800.00 per year, depending on experience, location, and employer.

How does a claims operations manager typically interact with cross-functional teams within an insurance organization?

A Claims Operations Manager regularly collaborates with cross-functional teams such as underwriting, customer service, legal, and IT to ensure smooth processing of claims and adherence to company policies. This role often requires coordinating process improvements, addressing compliance requirements, and resolving escalated issues that span multiple departments. Effective communication and project management skills are essential, as the manager must balance operational efficiency with customer satisfaction while ensuring regulatory standards are met.

What are the key skills and qualifications needed to thrive as a claims operations manager, and why are they important?

To thrive as a Claims Operations Manager, you need expertise in insurance claims processes, analytical skills, and a background in business or finance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management systems, workflow automation tools, and regulatory compliance platforms is typically required. Strong leadership, problem-solving, and communication skills help manage teams and resolve complex claims efficiently. These abilities are vital for ensuring timely and accurate claims processing, regulatory adherence, and high levels of customer satisfaction.

How much do claims operations managers make in the US?

Claims operations managers in the US typically earn between $70,000 and $120,000 annually, depending on experience, location, and company size. They often oversee claims processing teams, utilize claims management software, and require strong leadership and industry knowledge.

Is claims operations manager a high paying job?

Claims operations managers typically earn above-average salaries compared to entry-level roles, with compensation influenced by experience, industry, and location. They often receive benefits such as bonuses and health insurance, and the role requires strong leadership and knowledge of claims processing systems.

What is the difference between Claims Operations Manager vs Claims Adjuster?

AspectClaims Operations ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU), and management experienceRequires a high school diploma or bachelor’s degree, licensing, and adjuster certifications
Work EnvironmentOversees teams, manages claims processes, and develops policies within an office or corporate settingInvestigates claims, assesses damages, and interacts directly with claimants, often in the field or office
Employer & Industry UsageCommon in insurance companies, large agencies, and corporate claims departmentsFound in insurance companies, independent adjusting firms, and public adjusting roles

The Claims Operations Manager focuses on managing teams and streamlining claims processes, while the Claims Adjuster handles the investigation and evaluation of individual claims. Both roles are essential in the claims lifecycle but differ in responsibilities, work environment, and required credentials.

What is a claims operations manager?

Claims Operations Managers are professionals responsible for overseeing and managing the daily operations of an insurance claims department. They ensure that claims are processed efficiently, accurately, and in compliance with company policies and regulations. Their duties often include supervising staff, implementing process improvements, handling escalated issues, and analyzing performance metrics. Claims Operations Managers play a key role in optimizing workflow, maintaining customer satisfaction, and minimizing risk for the organization.

What job categories do people searching Claims Operations Manager jobs in Rhode Island look for?

The top searched job categories for Claims Operations Manager jobs in Rhode Island are:

What cities in Rhode Island are hiring for Claims Operations Manager jobs?

Cities in Rhode Island with the most Claims Operations Manager job openings:

Claims Operations Manager jobs near you
Infographic showing various Claims Operations Manager job openings in Rhode Island as of August 2026, with employment types broken down into 82% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $86,043 per year, or $41.4 per hour.

Fraud Operations Specialist - Queue Manager (Fraud & Claims Operations) - Johnston, RI 02919

Amicis Global

Johnston, RI • On-site

$21 - $23/hr

Contractor

Re-posted 14 hours ago

Job description

Job Title: Fraud Operations Specialist – Queue Manager (Fraud & Claims Operations)
Job Location: Johnston, RI 02919  (Flexible - works 4 days or less in the office)
Job Duration: 5-month contract with extension
 
Kindly send me your most updated resume
Position Summary:
  • The Queue Manager oversees daily fraud and claims inquiry queues to ensure timely, accurate, and efficient case handling.
  • This role monitors workflow, prepares and manages Salesforce cases, tracks inquiry completion, and produces operational reports to support performance management and decision-making.
  • The Queue Manager plays a critical role in maintaining service level standards and supporting overall fraud and claims operations.

Key Responsibilities:
  • Monitor and manage fraud and claims operations inquiry queues to ensure timely intake, assignment, and resolution of cases
  • Prepare, review, and maintain Salesforce cases related to fraud and claims inquiries
  • Track workflow progression and ensure inquiries are completed within established service level agreements (SLAs)
  • Identify queue trends, bottlenecks, and risks, escalating issues as appropriate
  • Generate and distribute daily, weekly, and monthly operational reports using Salesforce data
  • Ensure data accuracy and completeness within Salesforce to support reporting and audit readiness
  • Support fraud and claims operations through additional duties and projects as assigned
  • Collaborate with operations leaders and team members to improve queue performance and workflow efficiency

Required Skills & Qualifications:
  • Experience in fraud, claims, or financial services operations
  • Strong working knowledge of Salesforce case management and reporting
  • Ability to monitor multiple queues and prioritize work effectively in a fast-paced environment
  • Strong analytical skills with the ability to interpret and present operational data
  • High attention to detail and commitment to accuracy
  • Strong written and verbal communication skills
  • Proficiency in Microsoft Office tools (Excel, Outlook, PowerPoint)

Preferred Qualifications:
  • Prior experience managing or monitoring operational queues
  • Experience supporting reporting for operational performance or service level tracking
  • Familiarity with fraud and claims workflows in a banking or financial services environment