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Insurance Claims Processing Jobs in Rhode Island

Brownhealth

Patient Accts Rep Amb ED

Providence, RI

$21.90 - $22.91/hr

Full knowledge of third party health insurance claims processing, coverage and documentation requirements.Math skills and the ability to operate on-line computer terminal.Acquired knowledge of ...

Lifespan

Patient Accts Rep Amb ED

Providence, RI · On-site

$21.90 - $22.91/hr

Full knowledge of third party health insurance claims processing, coverage and documentation requirements.Math skills and the ability to operate on-line computer terminal.Acquired knowledge of ...

Capstone ISG

Field Property Adjuster

Providence, RI · On-site

... through the claims process. 3+ Years Field Experience Preferred Why Join Capstone ISG ... Life Insurance * Sick, Vacation and Holiday Pay * Fitness Membership Reimbursement * Company paid ...

Capstone ISG Inc

Field Property Adjuster

Providence, RI · On-site

... through the claims process. 3+ Years Field Experience Preferred Why Join Capstone ISG ... Life Insurance * Sick, Vacation and Holiday Pay * Fitness Membership Reimbursement * Company paid ...

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Brown University Health

Mgr Denials Management

Providence, RI · Hybrid

$18.25 - $24.25/hr

... claims and carries out the appeals and payer audit process for the various Lifespan affiliates. Assists and participates in the review and development of all levels of appeals. Develops and maintains ...

Brownhealth

Mgr Denials Management

Providence, RI · Hybrid

$18.25 - $24.25/hr

... claims and carries out the appeals and payer audit process for the various Lifespan affiliates. Assists and participates in the review and development of all levels of appeals. Develops and maintains ...

Brown University Health

Mgr Denials Management

Providence, RI · Hybrid

$18.25 - $24.25/hr

... claims and carries out the appeals and payer audit process for the various Lifespan affiliates. Assists and participates in the review and development of all levels of appeals. Develops and maintains ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Rhode Island

Insurance Claims Processing information

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
What are popular job titles related to Insurance Claims Processing jobs in Rhode Island? For Insurance Claims Processing jobs in Rhode Island, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Rhode Island look for? The top searched job categories for Insurance Claims Processing jobs in Rhode Island are:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Rhode Island as of June 2026, with employment types broken down into 91% Full Time, 1% Part Time, and 8% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.
Senior Lost Time Workers Compensation Claims Adjuster - CT, NH, VT, RI, MA

Senior Lost Time Workers Compensation Claims Adjuster - CT, NH, VT, RI, MA

Gallagher

Providence, RI • Remote

$66K - $86K/yr

Other

Medical, Dental, Vision, Life, Retirement

Posted 11 days ago

Arthur J. Gallagher & Co. rating

7.7

Company rating: 7.7 out of 10

Based on 88 frontline employees who took The Breakroom Quiz

180th of 277 rated insurance

Job description

Introduction
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Overview

Role specifics:

  • Jurisdictions experience: CT, MA, NH, RI, VT
  • Active Adjusters’ Licenses: CT, NH, RI, VT
  • Location: This role is eligible for fully remote work

How you'll make an impact
  • Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims
  • Interact extensively with various parties involved in the claim process to ensure effective communication and resolution
  • Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process
  • Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements
  • Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file

About You

Ideal candidates for this position will have:

  • Claims Background: Workers compensation indemnity/lost time claims
  • Jurisdictional Experience: CT, MA, NH, RI, VT
  • Active Adjusters’ licenses: CT, NH, RI, VT

As a key member of our experienced Claims Adjuster team, you will:

  • Investigate, evaluate, and resolve complex indemnity/lost time workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution
  • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process
  • Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants

REQUIRED QUALIFICATIONS:

  • High School Diploma
  • Minimum of 5 years related claims experience
  • Appropriately licensed and/or certified in all states in which claims are being handled
  • Knowledge of accepted industry standards and practices
  • Computer experience with related claims and business software

DESIRED:

  • Bachelor's Degree

 

#LI-KQ1

#LI-Remote

#TST1


Compensation and benefits

We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. 

Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

  • Medical/dental/vision plans, which start from day one!
  • Life and accident insurance
  • 401(K) and Roth options
  • Tax-advantaged accounts (HSA, FSA)
  • Educational expense reimbursement
  • Paid parental leave

Other benefits include:

  • Digital mental health services (Talkspace)
  • Flexible work hours (availability varies by office and job function)
  • Training programs
  • Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
  • Charitable matching gift program
  • And more...

**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.

We value inclusion and diversity

Click Here to review our U.S. Eligibility Requirements

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Qualifications:

Ideal candidates for this position will have:

  • Claims Background: Workers compensation indemnity/lost time claims
  • Jurisdictional Experience: CT, MA, NH, RI, VT
  • Active Adjusters’ licenses: CT, NH, RI, VT

As a key member of our experienced Claims Adjuster team, you will:

  • Investigate, evaluate, and resolve complex indemnity/lost time workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution
  • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process
  • Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants

REQUIRED QUALIFICATIONS:

  • High School Diploma
  • Minimum of 5 years related claims experience
  • Appropriately licensed and/or certified in all states in which claims are being handled
  • Knowledge of accepted industry standards and practices
  • Computer experience with related claims and business software

DESIRED:

  • Bachelor's Degree

 

#LI-KQ1

#LI-Remote

#TST1

Education:UNAVAILABLEEmployment Type: UNAVAILABLE

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