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Remote Claims Processing Jobs in Rhode Island (NOW HIRING)

Bcbsri

Director Payment Integrity

Providence, RI · On-site +1

$116K - $187K/yr

... including claims processing, contractual language, and industry standard coding conventions ... Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval ...

Ourhrconnect

Analyst, Appeals

Carolina, RI · On-site +1

This is a full-time position (40 hours per week), working Monday through Friday in a fully remote ... Experience in medical claims processing, appeals, or coding strongly preferred * Medicare Part B ...

Morley

Vehicle Return Clerk (Remote - Michigan)

Carolina, RI · Remote

$17 - $22.75/hr

We have the processes and relationships in place to make sure that our team can do this smoothly ... Patient advocacy with free 24/7 support for benefit questions and claims * Guidance for family ...

Morley

Vehicle Return Clerk (Remote - Michigan)

Carolina, RI · Remote

$17 - $22.75/hr

We have the processes and relationships in place to make sure that our team can do this smoothly ... Patient advocacy with free 24/7 support for benefit questions and claims * Guidance for family ...

Ourhrconnect

Managed Care Coordinator I

Carolina, RI · Remote

$19.25 - $26/hr

... fully remote. What You'll Do: * Performs medical or behavioral review/authorization process ... Thorough knowledge/understanding of claims/coding analysis/requirements/processes. Our ...

New

Bcbsri

Senior Medical Economics Analyst

Providence, RI · On-site +1

$93K - $140K/yr

... process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds ... It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid ...

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Showing results 21-40

All JobsClaims Processing JobsRemote Claims Processing JobsRemote Claims Processing Jobs in Rhode Island

Remote Claims Processing information

What are some common challenges faced in remote claims processing roles, and how can they be effectively managed?

Remote claims processing professionals often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Effective time management and strong organizational skills are key to handling large workloads efficiently. Regular check-ins with supervisors and using secure, company-approved communication tools can help maintain collaboration and protect sensitive information. Many organizations also provide training and support to help remote processors stay up-to-date with changing regulations and best practices.

What are the key skills and qualifications needed to thrive as a remote claims processor?

To thrive as a Remote Claims Processor, you need a strong understanding of insurance policies, attention to detail, and relevant experience or education in insurance or finance. Familiarity with claims management software, electronic document systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, time management, and problem-solving abilities help you stand out, especially when working independently. These skills ensure accurate, timely claims resolutions and effective collaboration with clients and colleagues in a remote environment.

What is remote claims processing?

Remote claims processing is the evaluation and handling of insurance claims by professionals who work from locations outside of a traditional office, often from home. These processors review claim submissions, verify information, assess coverage, and authorize payments or request additional information. Remote claims processors use secure online systems and communication tools to collaborate with colleagues and clients. This role requires strong attention to detail, confidentiality, and proficiency with digital platforms. Many insurance companies now offer remote claims processing positions to increase flexibility and efficiency.

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

AspectRemote Claims ProcessingRemote Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires insurance licenses and adjuster certifications
Work EnvironmentHome-based, administrative settingHome-based or field, investigative and evaluative tasks
Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms
Job FocusProcessing claims, data entry, customer serviceInvestigating claims, assessing damages, settlement negotiations

Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.

What are popular job titles related to Remote Claims Processing jobs in Rhode Island? For Remote Claims Processing jobs in Rhode Island, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processing jobs in Rhode Island look for? The top searched job categories for Remote Claims Processing jobs in Rhode Island are:
What cities in Rhode Island are hiring for Remote Claims Processing jobs? Cities in Rhode Island with the most Remote Claims Processing job openings:
Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in Rhode Island as of July 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Claims Casualty Adjuster

American Automobile Association (AAA)

Lincoln, RI • Remote

$33.43 - $44.53/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

AAA The Auto Club Group rating

7.4

Company rating: 7.4 out of 10

Based on 281 frontline employees who took The Breakroom Quiz

224th of 301 rated insurance

Job description

Claims Casualty Adjuster


Job Summary
The Claims Casualty Adjuster handles low to moderate-complexity claims involving material damage, property, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation and negotiation of low to moderate-complexity claims in compliance with established company technical and customer service Best Practices. Under moderate supervision, works within specific limits of authority to resolve claims with well-defined procedures.
Job Duties

  • Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address common coverage issues.
  • Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants and witnesses.
  • Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
  • Negotiate within settlement authority with insureds and claimants to resolve their first and third party claims.
  • Handle administrative functions, update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
  • Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.
  • Independently resolve claim exposures within level of authority.
  • Respond quickly to customer needs and problems.


Qualifications

  • Bachelors Equivalent combination of education and experience Preferred
  • 4-6 years Prior claims handling experience. Required
  • 4-6 years Property or Casualty claims administration experience. Preferred
  • Working knowledge of claims best practices and procedures.
  • Moderate understanding of building and vehicle repair practices.
  • General knowledge of insurance, fault assessment, negligence and subrogation principles.
  • Working knowledge of Microsoft Office suite, general computer software and claims software.
  • Advanced organization and planning recognition skills required.
  • Advanced oral and written communication skills required.
  • Advanced interpersonal skills required.
  • Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
  • Associate in Claims - Insurance Institute of America Preferred
  • An insurance/claims adjuster license may be required for claims administration in specific states. Preferred


Travel Requirements

  • Occasional travel to off-site business meetings or conferences. (5% proficiency)

The starting pay range for this position is $33.43 - $44.53 per hour. Additionally, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.

Remarkable benefits:

Health coverage for medical, dental, vision

401(K) saving plans with company match AND Pension

Tuition assistance

Floating holidays and PTO for community volunteer programs

Paid parental leave

Wellness programs

Employee discounts (membership, insurance,

travel, entertainment, services and more!)

Auto Club Enterprises is the largest club within the national AAA federation. We have nearly 17,000 employees in 24 states helping more than 18 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.

"Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value."

AAA is an Equal Opportunity Employer

Our organization participates in E-Verify

What AAA The Auto Club Group employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

American Automobile Association logo

About American Automobile Association

Sourced by ZipRecruiter

The American Automobile Association (AAA), headquartered in Heathrow, Florida, USA, is a reputable force in the automotive and insurance industry. Originating in 1902, it began as a coalition of motor clubs with the common goal of providing better roads and travel conditions for motorists. Today, AAA is a comprehensive, multifaceted organization that offers a range of services, including roadside assistance, auto repair services, travel agency services, and diverse insurance products - Auto, Home, Life and more. A significant principle for AAA is to continuously deliver value to their 61 million members through safety, security and peace of mind. The company's mission and core values focus on championing its members' rights and interests, advocating innovation, integrity, teamwork and respect.

Industry

Non-profits

Company size

10,000+ Employees

Headquarters location

Heathrow, FL, US

Year founded

1902

Social media

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