Area Claims Manager

🕒 il y a 11 jours

🌽 Illinois – Distant

🌽 Illinois – Remote

💵 $51 - $85 / heure

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Trinity Health

Site WebLinkedInTous les Emplois

10 000+ employés

🏥 Santé

🤝 À but non lucratif

🏨 Hôtellerie

💰 €20 000 Grant - Trinity Health en 2025-10

Healthcare • Non-profit • Hospitality

Trinity Health est l'un des plus grands systèmes de santé à but non lucratif et basé sur la foi aux États-Unis. Comptant environ 127 000 collègues et plus de 38 300 médecins et cliniciens, elle offre une large gamme de services médicaux et de soins à des communautés diversifiées dans 26 états. L'organisation met l'accent sur ses valeurs missionnaires basées sur la foi, son impact sur la communauté, les avantages sociaux pour les employés, et les opportunités de carrière, y compris le nursing itinérant via son programme FirstChoice. Le siège est situé à Livonia, Michigan. Trinity Health se concentre sur les soins aux patients, la santé communautaire et le soutien d'un vaste personnel clinique et non clinique.

Description

• Strategize and implement cost-effective processes to manage Hospital Professional Liability, General Liability, and Employment Practices Liability claims and litigation • Co-manage uninsured litigation across the system • Design and direct claim investigations • Evaluate claims for liability, causation, damages, witness credibility, expert opinions, and claim value • Establish and review indemnity and expense reserves • Determine claim resolution strategies, including trial, and negotiate or direct negotiations to resolution • Notify excess insurers and provide file updates • Maintain claim diaries and update claim files according to best-practice protocols • Participate in regional claims review and large-loss meetings • Represent Trinity Health in case evaluations, settlement conferences, facilitations, mediations, and trials • Retain, direct, and supervise outside defense counsel; review attorney reports, recommendations, fees, and litigation expenses • Ensure compliance with Medicare, NPDB, and state reporting requirements • Collaborate with Loss Control Directors and Health Ministry Risk Management/Patient Safety colleagues • Liaise with senior leadership regarding pending matters, potential exposure, authority requests, high-exposure claims, and media-sensitive matters • Direct and supervise Claims staff maintaining and updating the ClearSight database • Review monthly ClearSight reports for accuracy, data integrity, and reserve assessment • Participate in IRMS and Trinity Health committees as a subject matter expert • Monitor applicable legislation, court decisions, and emerging claims litigation trends • Develop individual goals and participate in team and department meetings

🎯 Exigences

• Bachelor’s degree in a related field, or an equivalent combination of education and experience • Three (3) to five (5) years of experience as a liability claims professional adjuster, defense malpractice attorney or hospital risk manager • Working knowledge of medical terminology • Proficiency in the use of IRMS claim database (Clearsight) • Advanced knowledge and working relationships in risk management, quality management and improvement is helpful • Strong analytical skills • Ability to organize and communicate information orally and in writing with all levels of the organization • Initiative and ability to handle responsibility independently • Ability to meet deadlines and respond to shifting priorities • Ability to work in a collaborative, shared leadership environment • Must be able to travel to various Trinity Health sites up to 50% of the time • Must be able to work independently at a remote location • Must be able to adapt to frequently changing work priorities and work under pressure • Must be able to perform moderate physical activity, lifting and bending

🏖️ Avantages

• Equal Opportunity Employer commitment • Remote work arrangement • Travel-related work across Trinity Health sites