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CCMSI
Medical Only Claims Team Supervisor
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Based on Illinois data
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What they do
A Claims Supervisor is responsible for a team of claims examiners and associated staff. Oversees team success and ensures that claims practices and procedures comply with contracts, regulations, and guidelines.
$95,238 / year median in Illinois
+4% projected growth
Job Description
Medical Only Claims Team Supervisor CCMSI
- 3.2 Lisle, IL Job Details $70,000
- $90,000 a year 3 days ago Benefits Paid holidays Visa sponsorship Disability insurance Health insurance Dental insurance 401(k) Paid time off Vision insurance Employee stock ownership plan Opportunities for advancement Life insurance Qualifications Direct client contact
Full Job Description Overview Position Title :
Medical Only Clerk Team Supervisor Location :
Lisle, IL (hybrid reporting after training duration)Schedule:
8:00 am-4:30 pmCT Salary Range:
$70,000- 90,000 CCMSI is seeking the best and brightest talent to join the Illinois Public Risk Fund who is the largest Public Entity Workers' Compensation pool in the State of Illinois.
Summary :
Responsible for the investigation, adjustment and supervision of assigned medical only claims (workers' compensation claims). This position may be used as an advanced training position for consideration or promotion to other or higher management positions. Accountable for the quality of claim services as perceived by CCMSI clients and within our Corporate Claim Standards. This role focuses heavily on workers' compensation claims and training of both medical only and clerk employees, with an eye towards growth and promotions at both levels. Plus providing daily support to Medical Only Claims Advocates (adjusters) and Administrative Support staff.Responsibilities Essential Duties & Responsibilities :
Review, assign and provide supervision of all claim activity (workers' comp and med only) for designated claims to ensure compliance with Corporate Claim Standards, client specific handling instructions and in accordance with applicable laws. Train and lead a team of Medical Only Claim Adjusters. Investigate, evaluate and adjust assigned claims in accordance with established claim handling standards and laws. Reserve establishment and/or oversight of reserves for designated claims within established reserve authority levels. Provide oversight of medical, damage estimates and miscellaneous invoices to determine if 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. Supervision of all claim activity for specified accounts. Compliance 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. Performance appraisals and objective/goal setting and attainment of claim and support staff. Conduct monthly check audit. QualificationsQUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. 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 handling experience is required. Bachelor's Degree is preferred. Three years supervisory experience preferred. Team lead experience will be considered. Nice toHave:
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required. Computer Skills Proficient with Microsoft Office programs Certificates, Licenses, Registrations AIC Preferred Why You'll Love Working Here 4 weeks ( Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year Comprehensive benefits : Medical, Dental, Vision, Life, and Disability Insurance Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP) Career growth : Internal training and advancement opportunitiesCulture :
A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact.We measure success by:
Quality claim handling- thorough investigations, strong documentation, well-supported decisions Compliance & audit performance
- adherence to jurisdictional and client standards Timeliness & accuracy
- purposeful file movement and dependable execution Client partnership
- proactive communication and strong follow-through Professional judgment
- owning outcomes and solving problems with integrity Cultural alignment
- believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us.