(REMOTE) Area Claims Manager

Job description

Employment Type: Full time Shift: Day Shift Description: ** Position allows for work remote/work from home. ESSENTIAL FUNCTIONS: General Management Responsibilities: Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision and Values of Trinity Health in behaviors, practices, and decisions. Ensures adherence to Trinity Health Insurance and Risk Management Services (IRMS) Policies and Procedures. Complies with Best Practice protocol in management of assigned claims. Claim Management Responsibilities: Reviews new incidents as assigned and opens claims as needed. Assesses coverage of all potential Trinity Health insured and obtains formal coverage analysis if indicated. Formulates 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. Establishes and completes timely review of indemnity and expense reserves Participates in the management of uninsured litigation across the system, as assigned. Determines claim resolution strategy (including trial) and obtains required settlement a...