Risk & Insurance Claims Analyst

Talent Groups; Providence (RI); On-site; USD 60,000 - 80,000; Full time

Job summary

Talent Groups is seeking a detail-oriented risk management professional in Providence, RI, to manage claims activity with a TPA and oversee related insurance, billing, and documentation processes.

The role requires 2+ years in insurance, claims, or risk management, with strong communication and organizational skills. Proficiency in MS Office (Excel/Outlook) is essential, and experience with billing or contracts is a plus.

Qualifications

• 2+ years of experience in insurance, claims, risk management, or a related field preferred.
• Strong written and verbal communication skills.
• Excellent organizational skills and attention to detail.
• Proficiency with Microsoft Office, especially Excel and Outlook.
• Experience with billing, reconciliation, records management, or financial tracking is a plus.
• Working knowledge of claims handling and commercial insurance coverages.
• Ability to learn complex insurance programs and follow established processes.

Responsibilities

• Manage claims activity with the State's Third-Party Administrator (TPA), including approvals, denials, releases, and related claim activities.
• Prepare documentation for claims requiring review and approval by Risk Management leadership.
• Monitor TPA performance, claim activity, trends, and outstanding issues.
• Administer insurance billing, including premium invoicing, reconciliation, payment tracking, and allocation preparation.
• Develop working knowledge of the State's insurance program, including property, auto liability, railroad liability, and medical malpractice coverage.
• Review RFPs, contracts, and scopes of work and help establish appropriate insurance requirements.
• Serve as a point of contact for agency staff regarding routine claims, insurance requirements, and billing questions.
• Maintain accurate claim, policy, billing, and risk management records.
• Monitor broker communications and respond to inquiries through the Risk Management inbox.
• Support annual insurance renewals by gathering underwriting and exposure information.
• Assist the Head of Risk Management with strategic initiatives and process improvements.

Skills

Communication

Organization

Attention to detail

MS Office

Tools

Excel

Outlook

Billing software

Job description

Talent Groups is seeking a detail-oriented risk management professional in Providence, RI, to manage claims activity with a TPA and oversee related insurance, billing, and documentation processes.

The role requires 2+ years in insurance, claims, or risk management, with strong communication and organizational skills. Proficiency in MS Office (Excel/Outlook) is essential, and experience with billing or contracts is a plus.