Manager, Claims

Salary Range: $70,338.00 To $94,705.00 Annually 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: Make an Impact Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/developmental (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives. Why Work for Us ? Trillium believes that empowering others begins with supporting our team. We offer our employees: A collaborative, mission-driven work environment Competitive benefits and work-from-home options for most positions Opportunities for professional growth in a diverse, inclusive culture Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities. If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today! What We’re Looking For Trillium 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 Qualifications Required: 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 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. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment. #Innovation #Technology #Careers #NorthCarolina #BehavioralHealth Attachments (2) CORFI036 - Manager, Claims.pdf Tips for Applying to or Interviewing with Trillium 2.3.26 .pdf