ZipRecruiter

Log In

2

Remote Claims Processor Jobs in Cranston, RI (NOW HIRING)

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 ...

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 ...

Ourhrconnect

Reviewer II, Medical

Carolina, RI · On-site +1

Provides support and review of medical claims and utilization practices. Description Logistic ... This role is remote position for South Carolina, Georgia, North Carolina or Alabama. What You'll Do:

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 ...

Sagility LLC

Licensed Health Insurance Agents

Carolina, RI · Remote

$20/hr

... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... This is a seasonal, fully remote opportunity. Schedules, pay rates, program details, and assignment ...

Sagility

Licensed Health Insurance Agents

Carolina, RI · Remote

$20/hr

... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... This is a seasonal, fully remote opportunity. Schedules, pay rates, program details, and assignment ...

previous page

Showing results 41-60

All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Cranston, RI

Remote Claims Processor information

See Cranston, RI salary details

$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote claims processor in Cranston, RI is $18.69, according to ZipRecruiter salary data. Most workers in this role earn between $15.91 and $20.14 per hour, depending on experience, location, and employer.

What does a remote claims processor do?

The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.

What does a remote claims processor do?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

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

To thrive as a Remote Claims Processor, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

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

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

What is the difference between Remote Claims Processor vs Remote Claims Examiner?

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

More about Remote Claims Processor jobs

What cities near Cranston, RI are hiring for Remote Claims Processor jobs?

Cities near Cranston, RI with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Cranston, RI as of August 2026, with employment types broken down into 80% Full Time, 3% Part Time, and 17% Contract. Highlights an 100% Remote job distribution, with an average salary of $38,866 per year, or $18.7 per hour.

Sr. Manager, AI Lead - Semantic Layer - Remote

CSAA

Carolina, RI • Remote

Full-time

Retirement

Posted 22 days ago

Job description

External candidates: In order for your application to be correctly processed please sign-in before you apply

Internal candidates: Please go to Workday and click "Find Jobs" link under Career

Thank you for considering opportunities with us!

Job Title

Sr. Manager, AI Lead - Semantic Layer - Remote

Requisition Number

R7755 Sr. Manager, AI Lead - Semantic Layer - Remote (Open)

Location

California - Home Teleworkers

Additional Locations

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}

Job Information

CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and casualty insurance groups in the United States. Here, every employee shapes our mission. We build innovative, human-centered solutions that help AAA members prevent, prepare for, and recover from life's uncertainties. You will join a collaborative, inclusive culture where your strengths have room to grow and your ideas can drive real impact. Step into a role where you can contribute to our shared success through meaningful work.

We are actively hiring for a Sr. Manager, AI Lead - Semantic Layer - Remote

Your Role: CSAA Insurance Group is seeking an experienced AI Lead Manager to lead the development and evolution of its semantic data products-an essential enterprise capability that connects data, business concepts, and AI-driven experiences across the organization. Sitting within IT and partnering closely with business, data, and technology leaders, this role will define and operationalize a shared semantic foundation, establishing consistent definitions for core business entities such as customers, policies, and claims, and mapping their relationships across systems. As the product owner, this leader will drive vision, strategy, roadmap, and adoption, translating complex business and technical needs into a scalable, governed, and business-aligned product that powers search, analytics, automation, interoperability, and generative AI use cases. In strong alignment with Enterprise Architecture and Data leadership, this role ensures semantic capabilities support long-term enterprise strategy while applying a "data as a product" mindset. The position also includes mentoring and growing a team of product managers, strengthening product discipline and execution, and delivering measurable value through improved decision-making, intelligent workflows, and a scalable foundation for enterprise data and AI innovation.

Your Work:

Product Strategy & Vision

  • Define and drive the vision, strategy, and roadmap for enterprise semantic data and data connectivity across business domains.

  • Partner with business and IT leaders to identify high-value opportunities to connect and standardize data across systems.

  • Position the semantic data product as a product, not just a technical asset, with clear customers, outcomes, adoption goals, and success metrics.

  • Define and evolve the product's value proposition, ensuring alignment to business priorities and measurable outcomes.

  • Act as the general manager of the product, balancing user needs, technical feasibility, strategic priorities, operational constraints, and business impact.

Business & User Understanding

  • Define and manage data products aligned to key business domains, including clear ownership, users, and success metrics.

  • Define target users and use cases for data products, ensuring alignment to specific decisions, workflows, and business outcomes.

  • Partner closely with business customers to ensure data products support critical decisions, workflows, and operational outcomes.

  • Drive adoption and usage of shared data assets across business units.

  • Identify and prioritize use cases where connected data unlocks measurable business value (e.g., improved decisioning, automation, personalization).

  • Ensure solutions are aligned to real-world workflows and deliver tangible outcomes.

Semantic & Data Modeling

  • Lead the development and evolution of enterprise ontologies, taxonomies, and data models that represent key business concepts and relationships.

  • Establish a scalable semantic layer that enables reuse across analytics, AI, and operational use cases.

  • Ensure alignment of definitions across domains to reduce fragmentation and duplication.

  • Support both structured and unstructured data integration, enabling downstream AI and analytics applications.

  • Ensure data is discoverable, understandable, and usable across teams through consistent definitions and relationships.

Cross-Functional Collaboration

  • Partner deeply with business domains to understand workflows, decision points, and data dependencies, acting as a product owner for how data supports those functions.

  • Partner with data engineering, enterprise architecture, and AI/ML teams to translate business concepts into scalable technical implementations.

  • Partner with Architecture and Data teams to ensure data exposed through APIs and integration layers is consistently structured, well-governed, and aligned to shared business definitions and use cases.

  • Act as the connective layer between business partners and technical teams.

Product Delivery & Lifecycle Management

  • Own the end-to-end product lifecycle from discovery and definition to delivery and iteration.

  • Define product requirements, success metrics, and release plans.

  • Continuously refine the semantic data product based on user feedback and evolving business needs.

  • Define critical metrics to measure adoption, usability, and impact of the semantic data product.

  • Supervise usage and continuously improve accessibility and value delivery.

  • Evangelize the value of connected semantic data across the organization.

Data Governance & Standards

  • Partner with data governance teams to establish standards, definitions, and data quality expectations.

  • Promote consistency, reusability, and scalability of data assets across the enterprise.

  • Ensure compliance with regulatory and data privacy requirements.

Required Experience, Education and Skills

  • Bachelor's degree in Computer Science, Engineering, Business, Data Science, or a related field; advanced degree preferred

  • 10 + years of experience in product management, including experience delivering data or data platform products.

  • Demonstrable ability to lead others directly or indirectly, as demonstrated through 3+ years of leading teams, enterprise-wide programs, or large multi-functional programs.

  • Consistent track record of owning products end-to-end, including strategy, roadmap, delivery, and performance measurement, ideally in insurance, financial services, or another regulated industry

  • Direct experience developing or working with ontologies, semantic data models, or knowledge graphs, or defining and standardizing business entities and relationships across domains in an enterprise environment

  • Hands-on experience with enterprise data systems, data platforms, or data integration initiatives

  • Demonstrated ability to translate business concepts into structured data models and deliver data-driven products or platforms in partnership with technical teams

  • Strong understanding of data ecosystems, including how data is defined, governed, and connected across domains

  • Experience enabling AI/ML or analytics use cases through well-structured and connected data

  • Experience leading or mentoring product managers or cross-functional teams preferred

What would make us excited about you?

  • Creates a collaborative, inclusive and psychologically safe environment, demonstrating authenticity and fostering trust to inspire and empower team members and colleagues

  • Actively shapes our company culture through words and actions (e.g., supporting employee resource groups, mentoring employees, volunteering, joining cross-functional projects, encouraging team member involvement in these activities)

  • Champions our cultural norms (e.g., willing to have cameras when it matters: interviewing candidates, building relationships with team members, etc.)

  • Translates our enterprise strategy and priorities for their team members to connect to the bigger picture

  • Demonstrates a company ownership mindset, thinking beyond boundaries of their own area

  • Travels as needed for role, including enterprise meetings, divisional / team meetings, and other in-person meetings

  • Fulfills business needs, which may include investing extra time, helping other teams, etc

Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska.

Why Choose a Career at CSAA IG?

At CSAA IG, we are a mission-driven organization proudly committed to empowering our members, our employees, and our communities to thrive.

Recognition: We offer a total compensation package, annual bonus eligibility for most roles, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at https://careers.csaainsurance.aaa.com/us/en/benefits.

Career Growth: We believe in growth for everyone. Here at CSAA IG, leaders and mentors partner with employees to align interests, unlock development opportunities, and support longterm success.

Flexible Workplace: We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices. Our flexible workplace empowers you to balance remote work with intentional inperson moments that deepen connection and collaboration.

Inclusion and Belonging: An inclusive and welcoming workplace is the cornerstone of our success. By fostering an environment where people feel valued and heard, we deepen our ability to understand and meet the unique needs of our members. This strengthens innovation and enhances our products and services, giving us a competitive edge in the market.

Sustainability: As climate change leads to more frequent and severe weather events, we are taking bold action to build more resilient communities and reduce our environmental impact. Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don't miss important updates from us.

CSAA is committed to providing reasonable accommodations to qualified applicants and employees with disabilities or other limitations. If you would like to request an accommodation to participate in the job application or interview process, please contact TalentAcquistion@csaa.com

If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education.

CSAA does not provide visa sponsorship for this role. Applicants must have authorization to work indefinitely in the US. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

CSAA Insurance Group is an equal opportunity employer.

#LI-JR1

.

The national average salary range for this position is $168,300.00-$187,000.00. However, we have a location-based compensation structure. Our salary ranges vary and are calculated based on work location. The starting pay range for this position across all the states we hire in is $168,300.00-$224,300.00. This role also includes an opportunity for a company-wide annual discretionary bonus, through our Annual Incentive Plan (AIP), of up to 20% of eligible pay.This job posting will be unposted on Fri, 4 Sep 2026.

Apply