Supervisor, Health & Welfare Claims

Central States Funds/TeamCare; Chicago (IL); Hybrid; USD 75,000 - 88,000; Full time

Benefits offered by this job

Hybrid work-from-home schedule

Job summary

Central States Funds/TeamCare seeks a Supervisor, Health & Welfare Claims to lead a team of Claims Adjusters and ensure accurate, timely processing of health and welfare claims. This role provides day-to-day direction, staff development, and escalation support while maintaining service standards for members.

The supervisor will work cross-functionally with internal teams and PPO Network Representatives to resolve issues, drive process consistency, and meet established deadlines.

Qualifications

• Supervisory or team lead experience required.
• Knowledge of health and welfare benefit plans is beneficial.
• Experience with Facets or similar claims system is a plus.
• Strong analytical and problem-solving abilities.
• Excellent communication and collaboration skills.
• Bachelor's degree is highly desirable.

Responsibilities

• Lead, mentor, and develop a team of Claims Adjusters.
• Oversee claims workflow to meet 30-day processing deadlines.
• Personally adjudicate high-dollar-value claims per thresholds and plan guidelines.
• Serve as escalation point for complex or disputed claims.
• Collaborate with PPO Network Representatives to resolve inquiries.
• Align operational strategies with other supervisors and managers.
• Design and deliver onboarding and ongoing training programs.
• Conduct annual performance evaluations and manage employee relations.

Skills

Supervisory experience

Claims processing

Analytical skills

Interpersonal skills

Organizational skills

MS Office

Facets

Education

Bachelor's degree

Tools

Facets

Job description

Who We Are

Established Over 70 Years Ago, We Are Two Of The Largest Taft-Hartley Trust Funds In The United States. With Over $50 Billion In Assets And $7 Billion In Benefits Paid Each Year, We Provide Critical Health Insurance And Lifetime Retirement Benefit Services To Nearly One Million Teamster Participants And Family Members. At Central States/TeamCare We Jointly Administer Two Trusted Organizations:

TeamCare, a Central States Health Plan

Central States Southeast and Southwest Areas Health and Welfare Fund was founded in 1950 and was one of the first non-profit labor health funds in the United States. Since 2014, the Fund has done business under the tradename TeamCare. Today TeamCare covers the lives of 550,000 members, from 1,100 different employers, making it the largest labor healthcare fund in the country.

Central States Pension Fund

Central States Southeast and Southwest Areas Pension Fund was founded in 1955 and has blazed a trail to retirement security. Paying over $90 billion in lifetime pension benefits for 690,000 retirees and beneficiaries to-date and has revolutionized the pension world of American workers.

Position Summary

The Supervisor, Health & Welfare Claims is responsible for leading a team of Claims Adjusters and overseeing the accurate, timely, and compliant processing of health and welfare claims. This role serves as a key operational resource, providing day-to-day direction, staff development, and escalation support while maintaining the high standards of service our members depend on. The Supervisor works cross-functionally with internal teams and external partners – including PPO Network Representatives – to resolve issues, drive process consistency, and ensure claims are processed within established deadlines.

Responsibilities

• Lead, mentor, and develop a team of Claims Adjusters, fostering a culture of accountability, continuous improvement, and exceptional service delivery.
• Oversee and optimize claims workflow to ensure all claims are processed accurately and within the required 30-day processing deadline.
• Personally adjudicate high-dollar-value claims in accordance with established thresholds and plan guidelines, ensuring accuracy and compliance.
• Serve as the primary escalation point for complex or disputed claims, providing guidance and resolution support to staff.
• Partner with PPO Network Representatives to resolve claims inquiries, discrepancies, and issues in a timely and professional manner.
• Collaborate with fellow supervisors and department managers to align operational strategies and drive consistency across the Claims Processing function.
• Design and deliver onboarding and ongoing training programs that equip staff with the knowledge and tools needed to perform at their best.
• Conduct annual performance evaluations and manage employee relations matters with professionalism, fairness, and a coaching mindset.

Qualifications

• Ideal candidate will possess supervisory or team lead experience.
• Candidates with claims processing experience will be viewed favorably.
• In-depth knowledge of Health & Welfare benefit plans is beneficial.
• Experience with Facets claims processing system (or a similar system) a plus.
• Strong analytical and problem-solving skills, with a demonstrated ability to research, interpret, and resolve complex claims issues.
• Exceptional interpersonal and communication skills, with the ability to effectively engage with team members, cross-functional partners, and external vendors.
• Highly organized and self-directed, with the ability to manage competing priorities in a deadline-driven environment.
• Bachelor’s degree is highly desirable.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook); experience with claims management or benefits administration software.

Compensation

Annual Salary Range: $75,000 - $88,000 annually

( The posted range of pay represents the anticipated pay scale for this position. Final pay will be determined based on a variety of job-related factors, including, but not limited to, skills, experience, education, certifications, internal equity, and organizational needs.)

Benefits

We’re Proud To Offer One Of The Most Competitive Total Rewards Packages In The Nonprofit And Benefits Administration Sectors, Including:

• 100% company-paid family insurance benefits including health, dental, RX & vision

(comprehensive coverage with low deductibles)

• 100% company-funded pension plan (at no cost to the employee)
• Health care and dependent care Flexible Spending Accounts (FSAs)
• 401(k) retirement plan with company match
• Paid vacation and PTO days
• Flexible start times & hybrid work-from-home schedule
• Lunch stipend for onsite café
• Tuition reimbursement
• Please note that, though uncommon, the benefits described above are subject to change at the company’s discretion.

Equal Opportunity Employer