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Insurance Claims Manager Jobs in Rhode Island (NOW HIRING)

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... insurance policies. * Effective communication skills for interacting with clients, repair shops, and internal teams. * Ability to work independently while managing multiple claims efficiently.

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Insurance Claims Manager information

See Rhode Island salary details

$34.3K

$86K

$136.1K

How much do insurance claims manager jobs pay per year?

As of Aug 6, 2026, the average yearly pay for insurance claims 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 the difference between Insurance Claims Manager vs Insurance Adjuster?

AspectInsurance Claims ManagerInsurance Adjuster
CredentialsTypically requires a bachelor’s degree; certifications like CPCU or AIC are commonHigh school diploma or bachelor’s; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, managing teams and claims processesField or office-based, investigating claims and assessing damages
Employer & IndustryInsurance companies, claims departmentsInsurance companies, independent adjusting firms
Primary FocusOverseeing claims processes, managing staff, ensuring policy complianceEvaluating damages, determining claim validity, negotiating settlements

While both roles are integral to the insurance claims process, the Insurance Claims Manager oversees the entire claims operation and manages staff, whereas the Insurance Adjuster focuses on investigating individual claims and assessing damages. The roles often work together but differ in scope and responsibilities.

What are the key skills and qualifications needed to thrive as an insurance claims manager?

To thrive as an Insurance Claims Manager, you need a solid understanding of insurance policies, claims processes, and risk assessment, typically supported by a bachelor's degree in finance, business, or a related field. Familiarity with claims management software (such as Guidewire or ClaimCenter) and certifications like Associate in Claims (AIC) are commonly required. Excellent leadership, negotiation, and problem-solving skills set top performers apart in this role. These abilities are crucial for efficiently managing claims teams, reducing fraud, and ensuring timely, fair settlements for clients.

What does an insurance claims manager do?

An Insurance Claims Manager oversees the processing of insurance claims to ensure they are handled efficiently, fairly, and in compliance with company and legal standards. They manage a team of claims adjusters and analysts, review complex or disputed claims, and develop strategies to improve claims procedures. Their role also involves liaising with policyholders, third parties, and legal professionals to resolve issues and minimize fraud or errors. Effective Claims Managers balance customer service with cost control to protect both the insurer and the policyholder.

What are some common challenges faced by insurance claims managers, and how can they be addressed?

Insurance Claims Managers often encounter challenges such as managing complex claims, addressing customer dissatisfaction, and staying up-to-date with regulatory changes. To overcome these, successful managers prioritize clear communication, maintain strong organizational systems, and foster collaboration between adjusters, underwriters, and legal teams. Proactively investing in ongoing training and leveraging technology for claims processing also helps streamline workflows and improve customer experiences.
What are the most commonly searched types of Insurance Claims jobs in Rhode Island? The most popular types of Insurance Claims jobs in Rhode Island are:
What are popular job titles related to Insurance Claims Manager jobs in Rhode Island? For Insurance Claims Manager jobs in Rhode Island, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Manager jobs in Rhode Island look for? The top searched job categories for Insurance Claims Manager jobs in Rhode Island are:
Infographic showing various Insurance Claims Manager job openings in Rhode Island as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $86,043 per year, or $41.4 per hour.

$66K - $86K/yr

Full-time

Posted 17 days ago


Job description

Position Summary:
This individual will proactively manage and consult on the overall claims process with specifically identified clients. The assigned clients will be in the Tier 1 Category or other specific clients as decided by management. This individual will serve as the primary claims contact and see claims through to conclusion. This person will advocate for their clients by participating in coverage analysis and disputing denied claims. This individual will meet with clients to review loss runs or visit large losses as needed. This role may also serve as adjuster for our TPA accounts some of which will require Medicare reporting, Worker's Compensation Consulting, Subrogation or involvement with Captive work as requested and needed.
This role strictly adheres to our Corporate Standards of Excellence and procedural guidelines spelled out in our Professional Procedure Manual.
Essential Job Functions:
  1. Function as main point of contact for client.
  2. Address general questions, provide guidance on coverage and inform/educate clients on claims process.
  3. Take insured's first notice of loss, submit to appropriate carrier.
  4. Manage diary system for follow up on claims.
  5. Manage claim life cycle for all assigned claims / accounts.
  6. Work with Clients on providing appropriate services based on the Tiered System.
  7. Act as Workers Compensation Consultant on a fee basis as requested.
  8. Analyze, consult with and review loss runs with clients when requested.
  9. Visit large loss sites and client meetings as needed.
  10. Serve as off hours Claims contact on a rotating basis.
  11. Serve as adjuster on TPA accounts and handle claims accordingly as needed.
  12. Maintain ImageRight files and document activity using claims management system.
  13. Serve as back up to Claims Manager as needed.
  14. Performs other duties as assigned.

Requirements
Skills and Abilities:
  1. Fluency in MS Office products.
  2. Superior verbal and written communication skills.
  3. Strong knowledge of insurance coverage and terminology.
  4. Ability to multitask and operate in an ever-changing environment is critical.
  5. Ability to work well in a team environment.
  6. Ability to communicate clearly, to work well with others, and to manage time effectively.
  7. Fluent with Modmaster if consulting on Worker's Compensation Claims for a fee.

Education and Experience:
  1. Bachelor's degree or equivalent in work experience.
  2. AAI, AIC, CPCU, or CIC designations preferred.
  3. 5+ years' Claims adjusting experience.
  4. Claims Adjuster license is required.
  5. Producer's license is Preferred.