Supervisor Health Insurance

Job Description

Job Description

This position is responsible for supervising a team engaged in health insurance benefits processing, ensuring operational efficiency, accuracy, and compliance through collaboration, leadership, and process improvement within a professional office environment.

• Oversee health insurance analysts and benefits business analyst by training, setting goals, ensuring accurate benefit processing, and monitoring progress, including application review, eligibility analysis, correspondence, processing, and peer review
• Collaborate with management in hiring, supervising, motivating, and evaluating staff, and participate in strategic initiative planning focused on improving efficiency and providing key performance indicator statistics
• Manage all aspects of benefits processing, including workflow assignment, enrollment, rebate calculations, benefit review, and reporting turnaround times
• Assist in creating and improving procedures for health insurance processes
• Facilitate processing of enrollment and benefits by reviewing complex benefit calculations, documentation, payment reconciliations, address changes, vendor reports, and handling data feeds
• Act as point of contact for interdepartmental matters and support, including member escalations, training, and webinar support, and manage escalations to full resolution
• Serve as subject matter expert in interdepartmental projects, coordinating with Member Services, Finance, Benefits, Legal, and Project Management departments, including leading meetings and providing follow ups
• Serve as backup for management and business analyst roles on invoicing, reconciliations, payroll processing, adjustments, premium updates, over payment tracking, and reporting
• Engage in implementation of new systems, including providing requirements, creating test plans and test cases, and conducting testing
• Assist with various projects in addition to completing cyclical transactional duties
• Provide relevant status updates and information requests to management and Board of Trustees
• Additional duties as assigned

• Bachelor's degree with 1-3 years of experience
• Emphasis in Business, Human Resources, Finance, or Actuarial Science preferred

• Strong mathematical and critical thinking skills required to analyze and resolve benefit processing issues
• Excellent verbal and written communication skills for effective interaction with team members, management, and external stakeholders
• Strong analytical, organizational, and time management skills to manage multiple priorities and deadlines
• Ability to work well in a team and cross-departmental environment to achieve organizational goals

• Frequently remains in a stationary position for extended periods
• Frequently operates a computer and other office equipment
• Frequently exchanges accurate information
• Occasionally moves about inside the office
• Occasionally lifts and/or moves up to 10 pounds

This job is performed in an indoor office environment and involves regular use of computers and other standard office equipment. This position is required to work in a hybrid office environment with two days in the Chicago office and three days working from home. Occasional work outside the usual schedule, including evenings, weekends, or limited travel, may be required.

• Responsible for managing the day-to-day activities of a team
• May include contractors, vendors, third-party employees
• Establishes tasks for the team and receives guidance and oversight from manager
• Typically manages paraprofessional, clerical/support, or general worker classified employees.

Disclaimer:
This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees may be required to follow other job-related instructions and to perform other job-related duties as requested, subject to all applicable state and federal laws. Management reserves the right to revise or change job descriptions, job duties, functions and requirements as the need arises.

This job description does not constitute a written or implied contract of employment.

CTPF is an Equal Opportunity Employer. CTPF does not discriminate due to race, color, creed, religion, sex, sexual orientation, gender and/or gender identity or expression, marital or parental status, national origin, ethnicity, citizenship status, veteran or military status, age, disability, unemployment status, or any other legally protected basis. Qualified candidates of diverse backgrounds are encouraged to apply for any vacant positions.

CTPF Mission Statement:
To provide, protect and enhance the present and future economic well being of members, pensioners and beneficiaries through efficient and effective management of benefit programs, investment practices and customer service, and to commit to earning and keeping the respect…