Area Claims Manager

Trinity Health

. Strategize and implement cost-effective processes to manage Hospital Professional Liability, General Liability, and Employment Practices Liability claims and litigation .

Posted 10/14/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $52 - $85 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Hospital Professional Liability, General Liability, and Employment Practices Liability claims, with a strong focus on strategic resolution and compliance with regulatory requirements. Proficient in utilizing the IRMS claim database (ClearSight) and possesses advanced knowledge in risk management and quality improvement.

Highest-signal resume keywords

Liability Claims ManagementIRMS Claim Database (ClearSight)Risk Management ExpertiseAnalytical SkillsMedical Terminology Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationClaim EvaluationIndemnity Reserve AssessmentNegotiation StrategiesLitigation ManagementCompliance with MedicareData Integrity ReviewClaims ReportingTrial PreparationExpert Opinion Evaluation

Soft Skills

Strong Communication SkillsOrganizational SkillsInitiativeCollaborative LeadershipAdaptability

Industry Keywords

Hospital Professional LiabilityGeneral LiabilityEmployment Practices LiabilityClaims ResolutionLoss ControlPatient SafetyEmerging Claims TrendsLegal ComplianceLitigation TrendsClaims Diary Management

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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