Medical Only Clerk Team Supervisor- IPRF

About the role

The Illinois Public Risk Fund, managed by CCMSI, is seeking a Medical Only Clerk Team Supervisor to join their dedicated claims team. Reporting from Lisle, IL (with a hybrid schedule after training), this position offers a competitive salary range of $70,000 - $90,000.

Responsibilities

• Review, assign, and supervise all claim activity for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions, and applicable laws.
• Investigate, evaluate, and adjust assigned claims in accordance with established claim handling standards and laws.
• Establish and/or oversee reserves for designated claims within established reserve authority levels.
• Provide oversight of medical, damage estimates, and miscellaneous invoices to determine if they are reasonable and related to designated claims.
• Negotiate any disputed bills or invoices for resolution.
• Authorize and make payments of claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority.
• Supervise all claim activity for specified accounts.
• Comply with Corporate Claim Handling Standards and special client handling instructions as established.
• Sort daily mail; remove priority mail and checks for immediate action.
• Process incoming checks.
• Work with Treasury funding and Treasury check printing.
• Conduct performance appraisals and objective/goal setting and attainment of claim and support staff.
• Conduct monthly check audit.

Qualifications

• Excellent oral and written communication skills.
• Initiative to set and achieve performance goals.
• Good analytic and negotiation skills.
• Ability to cope with job pressures in a constantly changing environment.
• Knowledge of all lower level claim position responsibilities.
• Detail oriented and a self-starter with strong organizational abilities.
• Able to coordinate and prioritize required tasks.
• Flexibility, accuracy, initiative, and the ability to work with minimum supervision.
• Discretion and confidentiality required.
• Reliable, predictable attendance within client service hours for the performance of this position.
• Responsive to internal and external client needs.

Education and/or Experience

• 5+ years claim experience is required.
• Bachelor’s Degree is preferred.
• Three years supervisory experience preferred.

Nice to have

• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.
• Proficient with Microsoft Office programs.