Description

Description

Benefits Claims Supervisor

Department of Finance

(Benefits)

Number of Positions: 1

(Additional vacancies possible pending budget approval)

Starting Salary: $78,768

Applications for this position will be accepted until 11:59 pm CDT on 8/26/202 6

Under direction, oversees and manages the resolution of claims deemed ineligible by insurance carriers, and performs related duties as required

Essential Duties

• Assigns benefits claims to staff and monitors their resolution
• Reviews claims reports completed by staff for completeness and appropriateness of recommendations
• Trains staff on new and revised claims-related policies and procedures
• Interprets benefits claims policies to staff, claimants, and service providers
• Researches complex benefits claims by reviewing claims and compiling medical histories, researching medical information, and analyzing the current and future cost implications
• Acts as liaison to various parties involved in the claims resolution process, including contracted service providers, Medical Advisors, and the Benefits Committee, providing recommendations for the resolution of claims
• Oversees the City's Health plan enrollment and eligibility appeals process and claims disputes
• Draft correspondence in response to inquiries regarding eligibility of benefits
• Reviews requests for alternative coverage for individuals who missed enrollment deadlines
• Processes applications for continuation of coverage for disabled and military dependents
• Coordinates work efforts with attorneys on subrogation cases involving the recovery of benefits costs from third parties
• Interprets the City's benefits policies to staff, contracted agencies, and labor unions
• Participates in establishing and revising benefits policies and negotiating prices with contracted service providers and insurers
• Prepares status reports of pending claims cases
• Testifies in court on findings of complex claims cases, as required
• Attends vendor meetings and reviews reports.

• Manages the HIPSS HCSC ASO Disclosure Notification process and the Telligen Qualitrac Portal Form.

• Serves as the City's lead in coordinating all open enrollment annual activities, including but not limited to: OE and New Hire Guide, Postcard Announcements, Legal Notices, Updates to Employee Benefits Portal, Posters, Bulletins, and annual Benefits Fairs.

Additional duties may be required for this position

Location: 2 N LaSalle,

Days: Monday - Friday

Hours: 8:30 - 4:30

THIS POSITION IS NOT IN CAREER SERVICE

Qualifications

Minimum Qualifications

Education, Training, and Experience

• Nine (9) years of work experience in claims management, of which two (2) years are in a supervisory role related to the responsibilities of the position OR
• Graduation from an accredited college with an Associate's degree in Business Administration or a directly related field, PLUS seven (7) years of work experience in claims management, of which two (2) years are in a supervisory role related to the responsibilities of the position, OR
• Graduation from an accredited college or university with a Bachelor's degree in Business Administration or a directly related field, PLUS five (5) years of work experience in claims management, of which two (2) years are in a supervisory role related to the responsibilities of the position, OR
• Graduation from an accredited college or university with a Master's degree or higher in Business Administration or a directly related field, PLUS four (4) years of work experience in

Licensure, Certification, or Other Qualifications

• none

Educational & Employment Verification:

Please be advised that if you are selected to be hired, you must provide, upon request, adequate information regarding your education and employment history as it relates to the qualifications of the position for which you are applying. If you received your degree internationally, all international transcripts/diplomas must be accompanied by a Foreign Credential Evaluation. If the City of Chicago cannot verify this information, any offer extended to you will be withdrawn and you will not be hired.

SELECTION REQUIREMENTS

This position requires applicants to successfully complete an interview which will include an assessment.

The interviewed candidate(s) who possess the qualifications best suited to fulfill the responsibilities of the position will be selected.

For Information on our employees' benefits, please visit our benefits website at:

https://www.chicago.gov/city/en/depts/fin/benefits-office.html

For Information on our salary and title structure, visit our classifications website at:

https://www.chicago.gov/content/dam/city/depts/dhr/supp_info/JobClassification/2025_Classification_and_Pay_Plan.pdf

APPLICATION EVALUATION: Initial evaluation will be based on information provided on the application and the documents submitted. Department of Human Resources staff will review applications after the final posting date. Staff will follow any and all required Employment/Hiring Plan provisions, federal, state, and local laws, and Collective Bargaining Agreements when applicable. Staff will apply hiring preferences as required by the municipal code. Placement on an eligibility list is not an offer or guarantee of an interview or employment with the City of Chicago.

COMMITMENT TO DIVERSITY: To further our commitment to hiring applicants with diverse experience, the City of Chicago has adopted the following ordinances 2-74-020 and 2-74-075. The ordinances provide a preference to applicants who meet minimum qualifications and who are veterans of the Armed Forces, and/or residents of Socio-Economically Disadvantaged Areas (SEDA), and/or Chicago Public School (CPS) high school graduates, to be referred to departments for consideration. These hiring preferences do not apply to bidders, as Collective Bargaining Agreements define the hiring process for bidders. For positions covered by a collective bargaining agreement, bidders will be considered before external candidates. To learn more about our hiring practices, click here.

ALL REFERENCES TO POLITICAL SPONSORSHIP OR RECOMMENDATION MUST BE OMITTED FROM ALL APPLICATION MATERIALS SUBMITTED FOR CITY EMPLOYMENT.

The City of Chicago is an Equal Employment Opportunity, Military Friendly, and Fair Chance Employer.

City of Chicago

Brandon Johnson, Mayor