{"id":3216260,"url":"https://alion.io/job/trinity-health-remote-area-claims-manager","title":"(REMOTE) Area Claims Manager","company":{"id":13921,"name":"Trinity Health","domain":"trinity-health.org","url":"https://alion.io/company/trinity-health","size_band":"5000+","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"A","score":100,"open_postings":168,"ghost_share":0.006,"stale_share":0,"repost_share":0.024,"time_to_fill_p50_days":7,"computed_at":"2026-10-28T05:59:10Z"}},"role":"Finance","role_family":"Finance","seniority":"middle","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":51,"max":85,"currency":"USD","period":"hour","gross":null,"usd_annual":170000},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-13T00:00:00Z","employer_posted_date":"2026-10-13","last_verified_at":"2026-10-28T11:46:31Z","board_verified":true,"closed_at":null,"days_open":15,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":15},"description":"Employment Type:\nFull timeShift:\nDay ShiftDescription:\nResponsible for strategizing and implementing a cost effective and successful process to manage Hospital Professional Liability (HPL), General Liability (GL) and Employment Practices Liability (EPL) claims and litigation, and co-manages uninsured litigation across the system. Designs and directs the claim investigation process; evaluates claim with respect to liability, causation and damages; develops a resolution strategy and fairly and equitably resolves claims and lawsuits.General Management Responsibilities:\nKnows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision and Values of Trinity Health in behaviors, practices, and decisions. \nEnsures adherence to Trinity Health Insurance and Risk Management Services (IRMS) Policies and Procedures. \nComplies with Best Practice protocol in management of assigned claims. \nClaim Management Responsibilities:\nReviews new incidents as assigned and opens claims as needed. Assesses coverage of all potential Trinity Health insured and obtains formal coverage analysis if indicated. \nFormulates and implements a thorough investigation plan for each claim. Evaluates claim with respect to standard of care, liability, causation, and damages. Considers witness credibility and expert opinions and determines the value of the claim. \nEstablishes and completes timely review of indemnity and expense reserves \nParticipates in the management of uninsured litigation across the system, as assigned. \nDetermines claim resolution strategy (including trial) and obtains required settlement authority per Settlement Authority Matrix. Adhering to delegated authority limits, negotiates or directs the negotiation of the claims/lawsuit to resolution. \nNotifies excess insurer of claims according to established criteria and provides file updates pursuant to reporting guidelines. \nMaintains a diary system to monitor all open claims. Updates claim files per Best Practice Protocol. \nEnsures adherence to IRMS Legal Hold policy. \nParticipates in Regional Claims Review and Large Loss meetings to ensure matters are presented consistent with the applicable policy. \nRepresents Health Ministry/Trinity Health in participating in case evaluations, settlement conferences, facilitations, mediation, and trials. \n\nRetains approved defense counsel on a per claim basis. Directs and supervises the work of outside defense counsel pursuant to the litigation protocol. Reviews and responds to attorney reports and recommendations as appropriate. Reviews and approves the defense counsel fee and litigation expenses and adherence to preferred vendor use. \nResponsible for compliance with Medicare reporting requirements. \nOther Responsibilities:\nWorks collaboratively with Loss Control Directors to identify risk management trends, issues, and opportunities. \nKeeps IRMS management apprised of significant case developments, as appropriate. \nDirects and supervises Claims staff in maintaining and updating Clearsight database.\nEnsures adherence to NPDB and State reporting requirements. \nCommunicates with Health Ministry (HM) Risk Management/Patient Safety colleagues relative to all aspects involving claims management. This includes: \nCommunication related to new matters, and potential exposure; \nPreservation of evidence, documents, electronic data as needed; \nUnsupportive reviews, or other significant case development as needed; \nRequests for authority and risk modifications as required per procedure; and \nAdherence to protocols (venue specific) for protected documents involved in litigation. \nServe as liaison for HM senior leadership relative to pending matters and potential exposure. This includes: \nRequests for authority per Settlement Authority Matrix; \nProvides updates as needed regarding high exposure claims; \nAdvises as to high profile/media sensitive matters; and \nProvides comprehensive claims review as requested for RHM senior leadership. \nDevelops individual goals in conjunction with Claims Department goals. \nAttends and participates in regularly scheduled Team and Department meetings. \nReviews monthly ClearSight reports for accuracy, data integrity and reserve assessment. \nParticipates in IRMS and/or Trinity Health committees as requested by the Director of Liability Claims to provide subject matter expertise. \nMaintains awareness of existing and proposed legislation, court decisions and emerging trends in claims litigation specific to the Team’s venue. Recommends process and/or procedure changes as appropriate. \nMaintains a working knowledge of applicable Federal, State, and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior. \n\n MINIMUM QUALIFICATIONSBachelor’s degree in a related field, or an equivalent combination of education and experience is required. A clinical health care degree and/or graduate degree in law or hospital administration are preferred. \nThree (3) to five (5) years of experience as a liability claims professional adjuster, defense malpractice attorney or hospital risk manager is necessary. Supervisory experience preferred. \nAdvanced knowledge and working relationships in risk management, quality management and improvement is helpful. \nProficiency in the use of IRMS claim database (Clearsight). \nWorking knowledge of medical terminology is required. \nStrong analytical skills are necessary as well as the ability to organize and communicate information both orally and in writing with all levels of the organization. \nInitiative and the ability to handle responsibility independently are necessary. \nAbility to meet deadlines and respond to shifting priorities is necessary. Must be comfortable operating in a collaborative, shared leadership environment. \nA personal presence which is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health is essential. \n\nPHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS Must be able to travel to the various Trinity Health sites up to 50% of the time. (Travel to meet with other related parties at various locations is expected) \n\nMust be able to work independently at a remote location. \n\nMust be able to adapt to frequently changing work priorities as well as work under pressure. \n\nMust be able to perform moderate physical activity, lifting and bending. \n\nHourly pay ranges: $51.81 - $85.49\nOur Commitment\nRooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.","description_format":"text","description_chars":7237,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["Health insurance"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Hospitals & Health Systems"],"lifecycle":[{"event":"open","at":"2026-10-24T22:36:00Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 19 · green card filings: 1","filings_12m":19,"filings_prev_12m":11,"green_card_filings_12m":1,"median_offered_wage_usd":97750,"route":null,"cap_exempt":false,"checked_at":"2026-10-15T11:24:14+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":{"score":21,"band":"cold","label":"Long shot","p_open":1,"p_active":0.587,"p_room":0.35,"age_days":15,"expected_fill_days":7,"reasons":["conf:2","win:tail","comp:brand"],"computed_at":"2026-10-28T05:59:10Z"},"pay":{"stated_usd_annual":170000,"is_top_pay":true},"html_url":"https://alion.io/job/trinity-health-remote-area-claims-manager","json_url":"https://alion.io/job/trinity-health-remote-area-claims-manager.json","meta":{"generated_at":"2026-10-28T16:22:59Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":22184,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-29T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":13921},"rest":"https://alion.io/mcp/rest/get_company?id=13921"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Ftrinity-health-remote-area-claims-manager"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Ftrinity-health-remote-area-claims-manager"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Ftrinity-health-remote-area-claims-manager"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/trinity-health-remote-area-claims-manager\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Ftrinity-health-remote-area-claims-manager"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3216260}},{"tool":"search_jobs","arguments":{"company":"trinity-health.org","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3216260},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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