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Claims Operations Manager Jobs in Rhode Island (NOW HIRING)

Operational Risk Manager

East Providence, RI · On-site

$110K - $135K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Operational Risk Manager (ORM) The Operational Risk Manager (ORM) serves as the regional leader for ... operations, ensuring contractual and regulatory compliance, analyzing claims and incident trends.

Operational Risk Manager

Cranston, RI · On-site

$110K - $135K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Operational Risk Manager (ORM) The Operational Risk Manager (ORM) serves as the regional leader for ... operations, ensuring contractual and regulatory compliance, analyzing claims and incident trends.

Operational Risk Manager

Pawtucket, RI · On-site

$110K - $135K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Operational Risk Manager (ORM) The Operational Risk Manager (ORM) serves as the regional leader for ... operations, ensuring contractual and regulatory compliance, analyzing claims and incident trends.

Operational Risk Manager

Providence, RI · On-site

$110K - $135K/yr

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

Operational Risk Manager (ORM) The Operational Risk Manager (ORM) serves as the regional leader for ... operations, ensuring contractual and regulatory compliance, analyzing claims and incident trends.

Medical Reviewer II - Palmetto GBA

Carolina, RI · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... coding for claims/operations. Make reasonable payment determinations based on clinical medical ... management. To Qualify for This Position, You'll Need: * License: Active RN licensure in state ...

New

Medical Reviewer II - Palmetto GBA

Carolina, RI · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... coding for claims/operations. Make reasonable payment determinations based on clinical medical ... management. To Qualify for This Position, You'll Need: * License: Active RN licensure in state ...

New

CVS Health - Pharmacy Technician $16-$22/hr

Central Falls, RI · On-site

$16 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... processing insurance claims, handling customer transactions, and assisting customers at the ... Operations Manager, or Pharmacist training programs. CVS may also assist employees with Pharmacy ...

CVS Health - Pharmacy Technician $16-$22/hr

Newport, RI · On-site

$16 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... processing insurance claims, handling customer transactions, and assisting customers at the ... Operations Manager, or Pharmacist training programs. CVS may also assist employees with Pharmacy ...

CVS Health - Pharmacy Technician $16-$22/hr

Woonsocket, RI · On-site

$16 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... processing insurance claims, handling customer transactions, and assisting customers at the ... Operations Manager, or Pharmacist training programs. CVS may also assist employees with Pharmacy ...

CVS Health - Pharmacy Technician $16-$22/hr

Providence, RI · On-site

$16 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... processing insurance claims, handling customer transactions, and assisting customers at the ... Operations Manager, or Pharmacist training programs. CVS may also assist employees with Pharmacy ...

CVS Health - Pharmacy Technician $16-$22/hr

Cranston, RI · On-site

$16 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... processing insurance claims, handling customer transactions, and assisting customers at the ... Operations Manager, or Pharmacist training programs. CVS may also assist employees with Pharmacy ...

CVS Health - Pharmacy Technician $16-$22/hr

Pawtucket, RI · On-site

$16 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... processing insurance claims, handling customer transactions, and assisting customers at the ... Operations Manager, or Pharmacist training programs. CVS may also assist employees with Pharmacy ...

CVS Health - Pharmacy Technician $16-$22/hr

Warwick, RI · On-site

$16 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... processing insurance claims, handling customer transactions, and assisting customers at the ... Operations Manager, or Pharmacist training programs. CVS may also assist employees with Pharmacy ...

Showing results 41-60

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.

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.

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.

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.

How much do claims operations managers make in the US?

Claims operations managers in the US typically earn an average salary 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.

What are popular job titles related to Claims Operations Manager jobs in Rhode Island?

For Claims Operations Manager jobs in Rhode Island, the most frequently searched job titles are:

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:

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.

Operational Risk Manager

Securitas

East Providence, RI • On-site

$110K - $135K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 24 days ago


Securitas rating

6.0

Company rating: 6.0 out of 10

Based on 996 frontline employees who took The Breakroom Quiz

64th of 116 rated security


Job description

Operational Risk Manager (ORM)

The Operational Risk Manager (ORM) serves as the regional leader for operational risk mitigation, safety, and compliance. This role is responsible for driving a culture of safety and risk awareness across field operations, ensuring contractual and regulatory compliance, analyzing 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 role supports the Northeast Region of Securitas and is a Hybrid position. The candidate is expected to work out of a Securitas Office in NY, NJ, CT, RI, MA, NH, VT, or ME 2 days a week with the other 3 days being Remote. 

You’re eligible for the Management Medical Plan (MMP), which replaces an HSA or FSA and provides up to $2,000 annually in reimbursement for eligible healthcare expenses not covered by your primary plan. In addition, this position is Bonus eligible. 

Key Responsibilities

Operational Risk & Safety Leadership

• Drive a culture of risk mitigation and safety throughout the region by implementing and reinforcing site level risk and safety initiatives.

• Serve as the primary regional point of contact for the Risk Management and Legal departments during claim investigations, providing timely documentation, incident analysis, and operational support.

• Collaborate with cross functional partners (Operations, HR, Training, Legal, and Risk) to implement standardized compliance controls and processes consistently across the region.

• Lead and facilitate regional Risk & Safety workshops.

Ongoing Compliance & Audit Oversight

• Partner with field operations to ensure all required documentation, controls, and approvals are in place prior to the start of higher risk accounts.

• Verify that all employees receive required on the job training.

• Confirm implementation of client specific contractual requirements at each site (e.g., CPR certifications, training mandates).

• Ensure all sites maintain current, accurate, and approved post orders.

• Conduct ongoing compliance audits to validate adherence to contractual, regulatory, and internal policy requirements and track remediation efforts.

Analytics, Technology & Continuous Improvement

• Analyze monthly claim trends and develop proactive action plans to mitigate emerging risks and improve regional performance.

• Communicate risk, claims, and compliance metrics to field leadership to increase awareness and accountability.

• Support and implement AI driven and technology enabled risk initiatives within the region.

• Perform monthly operational claims analysis, identifying trends, root causes, and leading risk indicators.

• Translate analytics into actionable insights and recommendations for loss prevention and operational improvement.


Weapons Program Oversight

• Assume regional ownership of the weapons program, including: 

o Conducting regular firearm audits.

o Maintaining complete and accurate weapons records.

o Promptly reporting discrepancies, changes, or incidents to the Division in accordance with policy.

Compliance & Documentation Management

• Maintain and oversee required documentation within CEP, including: 

o Post Orders (CEP format)

o Periodic Hazard Assessments (PHAs)

o Executed contracts

o Training acknowledgments and completion tracking


 Incident, Potential Claim & Large Loss Review

• Review all potential claims, Continuous Improvement Incidents, and large loss investigations.

• Identify training gaps, procedural deficiencies, and post order improvement opportunities.

• Recommend updates to risk protocols, training, and controls based on findings and lessons learned.


 Training & Regional Support

• Deliver risk related training sessions on a monthly basis, tailored to operational risks and emerging trends.

• Provide direct regional support, including: 

o Promoting risk policy compliance and awareness.

o Assisting with Risk related RFP questionnaires.

o Conducting CEP post order reviews.

o Supporting operational and compliance audits.


 Qualifications & Experience

• Bachelor’s degree preferred or equivalent relevant experience in risk management, safety, operations, or a related field.

• Demonstrated experience in operational risk management, compliance, safety, or claims related functions.

• Strong knowledge of regulatory, contractual, and operational risk controls.

• Experience analyzing claims data and translating findings into actionable risk mitigation strategies.

• Ability to partner effectively with field operations and senior leadership.

• Strong written and verbal communication skills with experience delivering training and executive summaries.

• High attention to detail with the ability to manage multiple priorities across a geographically dispersed region.

Key Competencies

• Operational risk assessment and mitigation

• Claims and incident analysis

• Compliance auditing and governance

• Cross functional collaboration

• Data driven decision making

• Training and stakeholder engagement

Securitas is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, pregnancy, genetic information, disability, status as a protected veteran, or any other applicable legally protected characteristic.

Securitas employees come from all walks of life, bringing with them a variety of distinctive skills and perspectives. United through our common purpose, we provide the security needed to safeguard our clients' assets and people. Our core values - Integrity, Vigilance and Helpfulness - are represented by the three red dots in the Securitas logo. If you live by these values, we’re looking for you to join the Securitas team.

Benefits include: 
  • Retirement plan
  • Employer-provided medical and dental coverage
  • Company-paid life insurance
  • Voluntary life and disability insurance
  • Employee assistance plan
  • Securitas Saves discount program
  • Paid holidays
  • Paid time away from work

Additionally, some populations may have the availability of accessing earned wages on a daily basis, prior to payday. Restrictions and fees may apply.
Certain waiting periods may also apply. Paid time away from work may be available either through a combination of vacation and sick time or under a PTO policy, depending on local requirements. Benefits may be different for union members.

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