Manager, Risk Management and Claims

Senior Lifestyle•Chicago, IL

About The Position

The Manager, Risk Management and Claims manages incident review, factual investigations, insurance reporting, and claims and litigation coordination across Senior Lifestyle’s communities and lines of coverage. The role partners with the General Counsel, operations, clinical and HR teams, community management, providers, brokers, adjusters, carriers, and counsel to investigate incidents promptly, identify and escalate potential claims, support timely resolution, guide compliance with applicable federal, state, and local regulations, assist with dispute resolution, and implement corrective actions. This hands-on position requires substantive senior living or healthcare liability experience, sound judgment, confidentiality, and consistent follow-through. The manager reviews incident reports, coordinates investigations, preserves evidence, assists with insurance notices and litigation support, maintains claims records, monitors deadlines and developments, and analyzes trends. The role also works with clinical and operations leaders to develop corrective actions, improve reporting and claims workflows, and train community teams on reporting, documentation, and investigation expectations. Travel to communities is required.

Requirements

Minimum five years of experience.
Risk and claims management experience, including at least two years of insurance experience, such as work with a carrier, broker, or third-party administrator.
Experience with Microsoft Office, including Word, Excel, PowerPoint, and Access.
Effective verbal and written communication skills and the ability to interact effectively with internal and external business partners.
Strong analytical and problem-solving skills.
Excellent organizational skills, including the ability to prioritize and coordinate multiple tasks and projects.
Ability to make independent decisions and solve problems based on precedents and established guidelines, while knowing when to refer issues to a supervisor.
Ability to work both in a team environment and independently.
Ability to maintain confidentiality.
Ability to interact professionally and effectively with all levels of the organization.
Travel to communities is required.

Nice To Haves

Bachelor’s degree from a four-year college, or an equivalent combination of education and training.
Relevant experience in corporate or regional risk management for a senior living operator, professional liability claims for a carrier, broker, or third-party administrator, or healthcare risk consulting.
Experienced litigation paralegals with demonstrated insurance reporting and incident investigation experience will also be considered.
Nursing background.
Excellent knowledge of claims management, HR practices, principles, and workers’ compensation laws and regulations.

Responsibilities

Review incident reports for completeness, accuracy, severity, and liability exposure; obtain missing information and assist communities with accident investigations and reporting.
Conduct and coordinate factual investigations, including interviews, timelines, records, and witness identification, in partnership with clinical and operations leaders.
Escalate matters under established criteria to the General Counsel, clinical and operations leadership, or carriers; maintain organized investigation files and track open items to completion.
Preserve records, communications, video, and other evidence under established protocols and counsel’s direction.
Review claims in online systems daily; identify reportable incidents, claims, and circumstances; assist the General Counsel with timely and accurate insurance notices and supporting materials; and track acknowledgments and follow-up requests.
Maintain a claims register with status, key dates, assigned adjusters and counsel, and action items.
Monitor claims activity and deadlines, obtain updates, escalate significant developments or delays, and assist counsel in preparing factual summaries for evaluation, mediation, and resolution.
Under counsel’s direction, coordinate discovery records, factual information, and identification of witnesses and custodians.
Protect sensitive information and follow counsel’s instructions on confidentiality, privilege, and document preservation.
Analyze incident and claims trends, frequency, and severity by region and community; identify recurring causes and reporting gaps; and report significant matters, trends, and corrective actions to the General Counsel.
Partner with clinical and operations leaders to develop and track corrective actions and initiatives that reduce claim frequency and severity and improve policies, reporting, investigations, escalation criteria, and claims workflows.
Train and guide community teams on reporting, documentation, and investigation expectations.
Perform other duties as assigned.