Central States Funds

Compensation

Full Description

Overview Who We AreAt Central States/TeamCare we proudly serve thousands of Teamster members and their families through two trusted organizations:TeamCare, a Central States Health PlanThe 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 500,000 members, from 1,100 different employers, making it the largest labor healthcare fund in the country.Central States Pension FundFor more than half a century, Central States Pension Fund has blazed a trail to retirement security for over 670,000 Teamsters and their family members and revolutionized the pension world of American workers. Established in 1955 to provide lifetime monthly retirement benefits to Teamsters in the trucking industry, Central States Pension Fund has paid nearly $87 billion in lifetime retirement benefits. Salary $34.78 per hour Responsibilities The successful candidate will process hospital, physician and ancillary provider claims on the Facets claims processing system. The candidate will adjudicate claims accurately in accordance with the Plan document by following appropriate claim policies and procedures. Other responsibilities include updating of various claim related information such as member notes and COB information, researching claims history and working various reports as required. The Medical Claims Adjuster may have direct communication with our PPO network through email while working closely with Management Staff in a team-oriented atmosphere to solve claims processing issues. Qualifications The successful candidate must have good numerical aptitude, excellent writing skills, and be detail and quality orientated. Good analytical and decision-making skills are also required. Excellent PC and keyboard skills are a must. Experience with Facets is preferred. A medical claims processing background is required. 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 Equal Opportunity Employer: We are committed to providing equal employment opportunities to all employees and applicants for employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.