About Careertakes

👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, Customer Services.

Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.

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What You’ll Do

The Operations Analyst will be an integral member of the operations team, supporting client onboarding, system configuration, claims review and resolution, and quality control of client-related transactions. This role will regularly interact with other groups (e.g., customer service, data analytics, project management) and act as a key resource for questions about client data and processing.

• Record and process client setup transactions and updates to client benefit information
• Perform quality control checks on system transactions and client records
• Configure and maintain system rules to reflect client benefit changes, CDT updates, and policy updates
• Propose and document improvements to rules and workflows to increase efficiency and accuracy
• Monitor and assist with claims adjudication; research complex payments, refunds, overpayments and underpayments
• Support overpayment recovery processes and interact with providers as needed
• Coordinate with Customer Service to resolve claim-related inquiries
• Work with Data Analytics to develop or recommend operational reports and use analytical tools for process improvements
• Participate in pre-release testing and assist with evaluation of system releases
• Contribute to special projects and other duties as assigned

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Who We’re Looking For

We seek a detail-oriented, organized candidate who can manage transactional work and complex claims issues while supporting continuous improvement.

• High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred
• Strong verbal and written communication skills
• Excellent attention to detail and accuracy in data entry and review
• Comfortable using database systems and learning configuration rules (prior experience preferred)
• Ability to prioritize, plan workload, and meet production standards
• Analytical mindset; ability to collaborate with analytics teams to produce meaningful reports
• Professional, cooperative approach to cross-functional collaboration

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Compensation & Schedule

• Employment type: Full-time
• Schedule: 40-hour workweek (Monday–Friday) with occasional additional hours as required
• Estimated base pay: $42,916 per year (estimated, as listed in the source posting)

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About the Employer

If hired through this process, you will be employed by Confidential Client. This role is based in Providence, RI and sits within the Customer Services industry.

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Equal Opportunity & Hiring Transparency

Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind.
To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.

If you have questions about how your data is used, please contact us directly.