Supervisor, Health & Welfare Claims

Central States Funds/TeamCare • Chicago, IL

1d • Hybrid

About The Position

Established over 70 years ago, Central States/TeamCare jointly administers two of the largest Taft-Hartley trust funds in the United States: TeamCare (a Central States Health Plan) and Central States Pension Fund. With over $50 billion in assets and $7 billion in benefits paid each year, they provide critical health insurance and lifetime retirement benefit services to nearly one million Teamster participants and family members. TeamCare, founded in 1950, is the largest labor healthcare fund in the country, covering 550,000 members from 1,100 different employers. The Central States Pension Fund, founded in 1955, has paid over $90 billion in lifetime pension benefits for 690,000 retirees and beneficiaries. The Supervisor, Health & Welfare Claims leads a team of Claims Adjusters, overseeing the accurate, timely, and compliant processing of health and welfare claims. This role provides day-to-day direction, staff development, and escalation support, ensuring high standards of service. The Supervisor collaborates with internal teams and external partners, including PPO Network Representatives, to resolve issues, ensure process consistency, and meet claims processing deadlines.

Requirements

• Claims processing experience required.
• In-depth knowledge of Health & Welfare benefit plans.
• 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.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).

Nice To Haves

• Supervisory or team lead experience strongly preferred.
• Bachelor’s degree preferred.
• Experience with Facets claims processing system (or a similar system) strongly preferred.

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.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Manager