Trinity Health · 2 weeks ago
(REMOTE) Claims Technician
United States
Full-time
Remote
Mid, Senior Level
$21.52/hr - $32.27/hr
5+ years expTrinity Health is a healthcare organization, and they are seeking a Claims Technician to support their IRMS Liability Claims operation. The role involves maintaining electronic claim files, coordinating claim processes, and providing administrative support to various claims management personnel.
DeliveryHealth Care
Responsibilities
Maintaining electronic claim files
Coordinating claim process activities
Opening and closing claim files
Securing medical records for claims and incidents
Tracking claim expenses and indemnity payments
Providing loss run and other reports for both System Office and Ministry colleagues
Assisting with data integrity and analytics
Preparing state and federal reports
Providing administrative support to the Directors, Senior Area Claim Managers, Area Claim Managers, and Claim Specialists
Reviews and processes notices of loss and other claim information in UAIR and/or STARS database
Enters claim information in database, establishes claim file numbers
Sets initial reserves, creates diaries for management review, and creates paper claim files
Selects and assigns appropriate carrier and policy number for each new file
Maintains unit’s claim files; assures completeness of claim documentation
Determines and provides needed file information in a timely and efficient manner
Coordinates Legal Hold process for each claim ensuring the information is captured in Stars
Prepares and distributes Legal Hold notices to appropriate employees and TIS
Retains electronic information in disk format
Sends appropriate information to all necessary individuals at close of each file and assures appropriate destruction of electronic information
Identifies claims to be closed, reviews file for completeness, processes claims for closure
Inputs closing claim information into STARS database and processes closure of claims file
Independently produces monthly summary claim reports and other template reports as requested
Independently prepares and submits communication with excess carriers including notice of file opening and closing
Notice of reserve increase, and removal from bordereau reporting
Prepares and submits National Practitioner Databank reporting forms for review by ACM
Independently prepares and submits Insurance Coverage Review forms for all lines of coverage
Prepares and submits check requests with appropriate documentation at request of ACM; mails checks with explanatory correspondence
Reviews all incoming correspondence and places and revises diary dates in GroupWise and in STARS
Files correspondence and documents as appropriate
Coordinates and assists with Internal Claim Review
Coordinates, schedules, and prepares material for Block Reviews
Contacts defense counsel as directed by ACM or Workers’ Compensation Claims Manager
Composes correspondence/mail and form letters as directed
Transcribes dictation and processes as directed
Completes medical record request form and obtains medical records as directed by ACM
Coordinates copying and distribution of records as appropriate
Independently coordinates claim unit’s office functions, activities and work schedules to ensure appropriate staff coverage
Timely work completion, and effective communication
Coordinates all aspects of travel arrangements for ACMs or WC Claims Managers
Including scheduling and travel changes, as needed
Performs other claims support functions as assigned by Area Claims Manager such as scheduling, calendar management, and expense tracking
Reviews and edits STARS data integrity reports as appropriate
Independently coordinates file audits with internal and external auditors; prepares file for review
Independently coordinates file retention, purge, storage and retrieval; maintains and updates file storage log
Independently maintains and updates claim procedure manual and training plans
Maintains and updates claim portion of IRMS website
Maintains and updates unit shared drive
Independently creates and implements orientation plan for new claim assistants; participates in orientation of new claim personnel
Assists in preparing Power Point presentations for Trinity Health Leadership, MOs and/or outside counsel
Acts as notary for IRMS personnel and notarizes documents as required
Coordinates meetings, conferences, webinars and seminars for large groups including creating and distributing notifications
Tracking responses and all other applicable duties associated with presentations made to large groups, in person as well as in electronic format
Maintains 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 in order to ensure adherence in a manner that reflects honest, ethical and professional behavior
Qualification
Required
Must possess a comprehensive knowledge of liability claims processing and administration
High school diploma plus a minimum of five (5) years related work experience
Experience as a paralegal, legal secretary or an executive level assistant in insurance industry and additional academic training in other general undergraduate study
Proficiency in medical and/or legal terminology
Must possess ability and willingness to plan, organize and accomplish tasks accurately, efficiently and in a timely manner for multiple team members
Strong verbal and written communication skills and the ability to effectively listen discuss and respond to inquiries and requests
Must possess proficiency with office information systems, e-mail, fax and other standard Desktop applications
Proficiency in use of IRMS STARS system
PowerPoint, Excel, GroupWise, Word and Visio familiarity
Must possess strong telephone skills and be proficient in the operating of telecommunication equipment
Proficiency in transcription typing and document formatting
Must be results and action-oriented, attentive to detail, use good judgment, and demonstrate respect for others
Must possess ability to function in a dynamic, multi-task environment, be able to cope effectively with ambiguity and change
Must be comfortable operating in a collaborative shared-leadership environment
Must possess a personal presence that 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
Must be able to set and organize own work priorities, and adapt to frequently changing priorities
Must be able to travel to the various Trinity Health sites or other related locations as assigned, i.e., court, attorney offices (less than 3%)
Moderate physical activity, lifting and bending is required
Preferred
Insurance experience is highly preferred, particularly if it was in claims
Any experience with state reporting requirements or hospital risk management would be a big plus
Basic knowledge of webinar processes and the skill necessary to plan and conduct mass electronic sessions is preferred
Company
Trinity Health
Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation.
10001+ employees
H1B Sponsorship
Trinity Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (12)
2023 (10)
2022 (9)
2021 (7)
2020 (14)
Funding
Current Stage
Late StageTotal Funding
$0.02MKey Investors
Centers for Disease Control and Prevention
2025-10-17Grant· $0.02M
Leadership Team
Dan Drake
Trinity Health PACE President and CEO
Eileen Coogan
Pres/CEO Allegany Franciscan Ministries
Recent News
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