Area Claims Manager

🔥 6 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $51 - $85 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

🏨 Hospitality

🔥 Funding within the last year

💰 $20k Grant - Trinity Health on 2025-10

Healthcare • Non-profit • Hospitality

Trinity Health is one of the largest not-for-profit, faith-based healthcare systems in the United States. With approximately 127,000 colleagues and over 38,300 physicians and clinicians, it provides a wide range of medical services and care to diverse communities across 26 states. The organization emphasizes its mission-driven, faith-based values, community impact, employee benefits, and career opportunities including travel nursing through its FirstChoice program. Headquarters are listed in Livonia, Michigan. Trinity Health focuses on patient care, community health, and supporting a large workforce of clinical and non-clinical staff.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

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