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Remote Denials Management Jobs in Rhode Island (NOW HIRING)

Claims Follow Up Rep

Providence, RI · On-site +1

$19.97 - $32.96/hr

SUMMARY Under general supervision of the PFS Supervisor of Claims Follow-up and Denials, performs ... WORKING CONDITIONS Position can be fully remote, hybrid or in-office. Manager will approve work ...

Field Reimbursement Manager - Hartford, CT

Cranston, RI · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... denials requirements and forms * Review patient-specific information in cases where the site has ... General office demands - Remote, Work from Home. * One to two home office days per week. * Must be ...

Field Reimbursement Manager - Hartford, CT

Warwick, RI · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... denials requirements and forms * Review patient-specific information in cases where the site has ... General office demands - Remote, Work from Home. * One to two home office days per week. * Must be ...

Remote Denials Management information

What is remote denials management?

Remote denials management refers to the process of handling and resolving denied insurance claims for healthcare providers from a remote location. Professionals in this role review denied claims, identify the reasons for denials, and work to correct errors or provide additional documentation to secure payment. This job can be performed from home or offsite, requiring strong analytical skills and knowledge of insurance policies and billing procedures. Effective remote denials management helps healthcare organizations maximize their revenue and reduce lost income due to claim denials.

What are the typical challenges faced in a remote denials management role and how can they be effectively addressed?

In a Remote Denials Management role, professionals often encounter challenges such as navigating varying payer requirements, timely follow-up on denied claims, and ensuring accurate documentation. Communication barriers can also arise when collaborating with team members virtually. To address these issues, it is helpful to stay updated on payer policies, use robust tracking systems for appeals, and maintain clear, proactive communication with both internal teams and external stakeholders. Adopting these practices can enhance efficiency and improve denial overturn rates.

What is the difference between Remote Denials Management vs Remote Claims Processing?

AspectRemote Denials ManagementRemote Claims Processing
Primary FocusHandling and appealing denied insurance claimsSubmitting and processing insurance claims for reimbursement
Skills RequiredKnowledge of insurance policies, denial codes, appeals processData entry, claim submission, basic insurance knowledge
Work EnvironmentHealthcare providers, insurance companies, remoteHealthcare providers, insurance companies, remote
CertificationsMedical billing/coding certifications often preferredMedical billing/coding certifications often preferred

Remote Denials Management focuses on addressing and appealing denied insurance claims, requiring specialized knowledge of denial reasons and appeals. Remote Claims Processing involves submitting and managing claims for reimbursement, emphasizing accuracy and data entry skills. While both roles operate remotely within healthcare and insurance industries, they serve different stages of the claims lifecycle.

What are the key skills and qualifications needed to thrive as a remote denials management specialist, and why are they important?

To thrive as a Remote Denials Management Specialist, you need expertise in medical billing, coding, insurance guidelines, and a background in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHR) systems, and certifications like Certified Professional Biller (CPB) or Certified Professional Coder (CPC) are typically required. Strong analytical skills, attention to detail, and effective written and verbal communication distinguish top performers in this role. These skills are crucial for efficiently resolving claim denials, ensuring timely reimbursement, and maintaining compliance with healthcare regulations.

What are the most commonly searched types of Denials Management jobs in Rhode Island?

The most popular types of Denials Management jobs in Rhode Island are:

What are popular job titles related to Remote Denials Management jobs in Rhode Island?

For Remote Denials Management jobs in Rhode Island, the most frequently searched job titles are:

What cities in Rhode Island are hiring for Remote Denials Management jobs?

Cities in Rhode Island with the most Remote Denials Management job openings:

Sr. Examiner, Homeowner Claims Multi-State - Remote

CSAA

Carolina, RI • Remote

Full-time

Retirement

Posted 9 days ago


Job description

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Job Title

Sr. Examiner, Homeowner Claims Multi-State - Remote

Requisition Number

R7899 Sr. Examiner, Homeowner Claims Multi-State - Remote (Open)

Location

Colorado - Home Teleworkers

Additional Locations

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - 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. Examiner, Homeowner Claims Multi-State - Remote

Your Role: Under close supervision, investigates, evaluates, negotiates, and settles homeowners property and personal property claims from first notice of loss through resolution. Serves as the owning adjuster for all assigned claims, including low- to higher-complexity losses that may require oversight of service providers conducting physical or virtual inspections. May assign, coordinate, and oversee independent adjuster assignments. This developmental role is designed to build the knowledge and skills necessary to progress to the competency level of a Level 5 Homeowner Adjuster.

Your Work:

  • Manage homeowners property claims from first notice of loss through resolution, handling low- to high-complexity losses.
  • Investigate coverage by analyzing policy language, endorsements, and applicable state regulations; communicate coverage decisions and resolve coverage-related questions.
  • Coordinate emergency mitigation services to protect property from further damage while delivering a positive customer experience.
  • Write and review repair estimates, evaluate contractor estimates, and determine appropriate claim payments and reserves.
  • Handle all applicable first-party coverages and Key Operating Losses (KOLs), escalating more complex claims when appropriate.
  • Identify subrogation and Special Investigation Unit (SIU) opportunities and prepare referrals as needed.
  • Manage relationships with independent adjusters (IAs), public adjusters (PAs), attorneys, contractors, and other external partners throughout the claim lifecycle.
  • Conduct virtual claim inspections and collaborate remotely with customers, vendors, and independent adjusters to evaluate damages.
  • Prepare clear, timely claim correspondence, including settlement letters, partial denials, and denials.
  • Maintain accurate claim documentation and ensure timely, compliant claim handling in accordance with company policies and regulatory requirements.

Required Experience, Education and Skills:

  • High school diploma or equivalent required.
  • Six years of related professional experience with transferable skills or four years of claims experience, preferably in homeowners claims.
  • A related bachelor's degree or higher may substitute for up to two years of required experience.
  • Ability to obtain and maintain Department of Insurance (DOI) adjuster licenses in applicable states.
  • Knowledge of homeowners insurance policies, coverage, and claims handling procedures.
  • Knowledge of the Xactimate estimating platform.
  • Excellent verbal and written communication skills, including the ability to explain complex coverage decisions and prepare customer correspondence.

What would make us excited about you:

  • Bachelor's degree.
  • Two years of experience handling complex property claims.
  • Knowledge of residential home construction and repair practices.

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.

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The national average hourly rate for this position is $37.26-$41.40. 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 $37.26-$49.72. This role also includes an opportunity for a company-wide annual discretionary bonus, through our Annual Incentive Plan (AIP), of up to 10% of eligible pay.This job posting will be unposted on Fri, 14 Aug 2026.