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Claims Risk Manager Jobs in Rhode Island (NOW HIRING)

Ethos Risk Services

Investigator

Providence, RI · On-site

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

Providence, RI

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

West Greenwich, RI · On-site

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

Providence, RI · On-site

$30 - $35/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

Providence, RI · On-site

$30 - $35/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

West Greenwich, RI · On-site

$30 - $35/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

West Greenwich, RI

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

West Greenwich, RI · On-site

$30 - $35/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

West Greenwich, RI · On-site

$30 - $35/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

Ethos Risk Services

Investigator

Providence, RI · On-site

$30 - $35/hr

Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and ...

LeoForce

Senior Counsel

Johnston, RI · On-site

$135 - $250/hr

This attorney will provide strategic legal guidance to claims professionals, manage outside counsel ... Advise claims leadership and examiners regarding liability, damages, coverage, litigation risk, and ...

FM

Accountant

Johnston, RI · On-site

... risk management and the resilience of its policyholder-owners. These owners, who share the belief ... The individual will work closely with Underwriting, Claims, Treasury, Financial Reporting ...

FM

Accountant

Johnston, RI · On-site

$75K - $106K/yr

... risk management and the resilience of its policyholder-owners. These owners, who share the belief ... The individual will work closely with Underwriting, Claims, Treasury, Financial Reporting ...

FM

Accountant

Johnston, RI · On-site

$75K/yr

... risk management and the resilience of its policyholder-owners. These owners, who share the belief ... The individual will work closely with Underwriting, Claims, Treasury, Financial Reporting ...

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All JobsClaims Risk JobsClaims Risk Manager JobsClaims Risk Manager Jobs in Rhode Island

Claims Risk Manager information

What does a claims risk manager do?

A Claims Risk Manager is responsible for identifying, assessing, and managing risks associated with insurance claims within an organization. They analyze claims data to detect patterns, prevent fraudulent activity, and develop strategies to minimize financial losses. Additionally, they work closely with claims adjusters, legal teams, and other departments to ensure compliance with regulations and to optimize claims processes. Their goal is to protect the company from unnecessary losses while ensuring legitimate claims are handled efficiently.

What are the key skills and qualifications needed to thrive as a claims risk manager?

To thrive as a Claims Risk Manager, you need expertise in insurance claims processes, risk assessment, and regulatory compliance, typically backed by a bachelor’s degree in a relevant field and experience in claims management. Familiarity with claims management systems, risk modeling software, and certifications such as CPCU (Chartered Property Casualty Underwriter) or ARM (Associate in Risk Management) are often required. Strong analytical thinking, attention to detail, and effective communication skills help you investigate claims and collaborate with stakeholders. These skills enable accurate risk evaluation, minimize losses, and ensure the organization’s compliance and financial stability.

How does a claims risk manager typically collaborate with other departments to minimize organizational risk?

A Claims Risk Manager works closely with departments such as underwriting, legal, compliance, and operations to identify potential risk exposures and implement effective mitigation strategies. They often participate in cross-functional meetings to review claims trends, share insights, and develop risk management policies. This collaborative approach ensures that the organization proactively addresses risks, maintains regulatory compliance, and continually improves claims processes for better outcomes.

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

AspectClaims Risk ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree in risk management, insurance, or related field; certifications like CPCU or ARM are commonRequires a high school diploma or bachelor’s degree; insurance licenses may be needed depending on state
Work EnvironmentOffice-based, strategic planning, risk assessment, policy developmentField or office-based, investigating claims, assessing damages, negotiating settlements
Industry UsageUsed across insurance companies, risk management firms, and large corporationsPrimarily in insurance companies, adjusting claims for auto, property, or health insurance

The Claims Risk Manager focuses on identifying and mitigating risks related to claims, developing policies, and overseeing risk strategies. In contrast, a Claims Adjuster handles the day-to-day investigation and settlement of individual claims. Both roles are essential in the insurance industry but differ in scope and responsibilities.

How much do claims risk managers make in the US?

Claims risk 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 over $120,000. Salaries vary based on location, industry, experience, and certifications such as CPCU or ARM.

Is Claims Risk Manager a good career?

A Claims Risk Manager oversees the assessment and mitigation of insurance claim risks, often requiring strong analytical skills and knowledge of insurance policies. The role offers opportunities for advancement and typically involves working in insurance, risk management, or corporate environments. It can be a stable and rewarding career for those interested in risk analysis and insurance processes.

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

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

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

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

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

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

Claims Risk Manager jobs near you
Infographic showing various Claims Risk Manager job openings in Rhode Island as of September 2026, with employment types broken down into 88% Full Time, 8% Part Time, and 4% Temporary. Highlights an 58% In-person, 21% Hybrid, and 21% Remote job distribution.

Investigator

Providence, RI • On-site

Ethos Risk Services
Insurance Services • 11 - 50 employees
Learn more about Ethos Risk Servicesexternal

Part-time

Re-posted 29 days ago

Job description

ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for our clients.

JOB SUMMARY:

Our dynamic Ethos team is seeking an Experienced Field Investigator to conduct surveillance and investigative activities to identify potential fraudulent insurance claims. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.

KEY RESPONSIBILITIES:

  • Case Preparation: Prepare for surveillance assignment by reviewing Ethos' preliminary reports and case information.
  • Field Surveillance: Perform covert surveillance from your vehicle by tracking and capturing high-quality video evidence of surveillance targets.
  • Report Writing: Draft detailed and court-ready investigative reports summarizing activity and key findings.
  • Documentation: Finalize case file by submitting case reports and uploading video footage via personal laptop at the end of the day.
  • Communication: Work closely with the field supervisor and operations teams, receiving regular guidance and mentorship.


REQUIREMENTS:

  • Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
  • Driver's License: Valid driver's license and proof of automobile insurance.
  • Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows).
  • Surveillance Equipment: A handheld camcorder with high-quality zoom and a covert camera device. Use of stabilization equipment (gimbals, tripods, etc.) is strongly encouraged.
  • Technology: A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks.
  • Private Investigator License: Active Private Investigator license or willingness to obtain one (where required by state).


WORKING CONDITIONS:

  • While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be required
  • Most surveillance cases start at 6:00AM. End time can vary depending on activity and a typical workday can vary from 3-12 hours.
  • Weekends/holidays are common workdays as claimants are more likely to be active.
  • This is an independent role often requiring long hours alone in your vehicle, regardless of weather conditions.
  • Must remain alert with no external distractions, ready to use videography equipment to document subjects.


Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.


A background check will be conducted, in accordance to the local state law and regulations.

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