Claims Manager

TRILLIUM HEALTH RESOURCES

$70K — $94K *
US-AnywhereRemote in North Carolina, US
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Associate's degree plus 3 years of claims experience or Bachelor's degree with 1 year of claims experience.
  • Valid driver's license required for travel.
  • Must reside in North Carolina.
  • Experience in claims filing and data reporting is essential.
  • Preferred supervisory experience of two or more employees.

Responsibilities

  • Ensure accurate and timely processing of healthcare claims.
  • Analyze claims payment reports to identify issues.
  • Develop and uphold claims processing procedures for staff.
  • Communicate with the provider community to resolve billing issues.
  • Train and mentor claims staff for improved performance.

Benefits

  • Flexible working hours and telecommuting options available.
  • Health insurance at no premium for employee coverage.
  • 24 days of PTO plus 12 paid holidays in the first year.
  • NC Local Government Retirement Pension plan available.
  • 401k with 5% employer match and immediate vesting.
Full Job Description
Pay Plan Title: Unit Manager

Working Title: Claims Manager

FLSA Status: Exempt

Posting Salary Range: $70,338 - $94,075

Office Location: Remote within North Carolina

POSTING DETAILS:

What We're Looking For

Trillium Health Resources has a career opening for a Claims Manager to join our team! In this key leadership role, the Claims Manager oversees the accurate and efficient processing of all healthcare claims, ensuring the integrity of claim data and delivering timely reporting and analysis. The Claims Manager manages claim-related inquiries, coordinates claim appeals, and work collaboratively across multiple internal teams to resolve provider issues.

On a typical day, you might:

  • Ensure claims payment reports are generated and analyzed to determine problems.
  • Ensure analysis, research, and corrections are completed in a timely manner to ensure provider payment.
  • Assist in developing and maintaining claim processing procedures and ensuring these procedures are understood and followed by claims staff.
  • Interact with the provider community to address billing issues.
  • Train and mentor staff on claims processing duties to enhance team performance.


Employee Benefits:

Trillium knows that work/life balance is essential. That's why we offer:

  • Typical working hours: 8:30 am - 5:00 pm; flexible work schedules with some roles with management approval.
  • Work-from-home options available for most positions
  • Health Insurance with no premium for employee coverage
  • Flexible Spending Accounts
  • 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
  • NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
  • 401k with 5% employer match and immediate vesting
  • Public Service Loan Forgiveness (PSLF) qualifying employer
  • Quarterly stipend for remote work supplies


Qualifications

Required:

  • Associate's degree and three (3) years of experience with extensive claims filing and data reporting; OR
  • Bachelor's degree and a minimum of one (1) year of experience with extensive claims filing and data reporting; OR
  • Equivalent combination of education/experience.
  • Must have a valid driver's license.
  • Must reside within North Carolina.
  • Must be able to travel within catchment as required.


Preferred:

  • Advanced degree
  • Supervisory experience of two (2) or more employees
  • Physical Health claims experience


Deadline for Application: August 13, 2026 at 11:59pm

How to Apply

To be considered, submit your application and resume through our ADP Career Center. Your resume must include:

  • Employer name, dates of service (month/year), average hours worked per week, and essential job duties
  • Education details (degree type, date awarded, institution, field of study)
  • Licensure/certification information, if applicable


After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You'll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.

Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.

#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth

Similar Jobs

More Jobs at TRILLIUM HEALTH RESOURCES

More Healthcare Jobs

Find similar Claims Manager jobs: