Pay Plan Title: Manager, Claims
Working Title: Manager, Claims
FLSA Status: Exempt
Posting Salary Range: $70,338 - $94,075
Office Location: Remote within North Carolina
POSTING DETAILS:What We're Looking ForTrillium Health Resources has a career opening for a Claims Manager to join our team! The Manager, Claims leads claims, analysis, and enrollment operations and is accountable for team performance, data integrity, and compliance. The role directs claims processing, reporting, and reimbursement activities and coordinates cross-functional efforts to support accurate claims payment and operational efficiency.
On a typical day, you might:- Manage day-to-day operations of claims, analysis, and enrollment teams.
- Direct claims adjudication, reconciliation, auditing, and reporting activities.
- Analyze claims data to identify trends, risks, and opportunities for improvement.
- Oversee development and maintenance of reimbursement tables and procedures.
- Manage staff performance, development, and accountability.
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
QualificationsRequired:
- Associate's degree and three (3) years of experience with extensive claims filing and data reporting or eligibility and enrollment procedures; OR
- Bachelor's degree and one (1) year of experience with extensive claims filing and data reporting or eligibility and enrollment procedures; OR
- Equivalent combination of education and 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: October 12, 2026 at 11:59pm
How to ApplyTo 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
