Who We Are
At Central States/TeamCare we proudly serve thousands of Teamster members and their families through two trusted organizations:

TeamCare, a Central States Health Plan
The 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 Fund
For 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

• Research and analyze requests, inquiries and predetermination of benefits/appeals utilizing strong analytical, critical-thinking and organizational skills.
• Consult Plan documents, training materials, system resources, references, guidelines and medical policies to provide sound and accurate determinations, resolutions and responses in a timely and accurate manner.
• Prepare and store back up files that compile research and analysis to support determination and resolution.
• Write and prepare documentation for submission to Committee meetings as required.
• Compose written general correspondence and quote appropriate Plan Documents, sections and language in letter writing system.
• Distribute letters in letter writing system to the appropriate parties in compliance with HIPAA guidelines.
• Update notes in systems regarding the status of inquiries and appeals to communicate effectively with transparency.
• Maintain minimum production standards as required by the Collective Bargaining Agreement.
• Other duties as assigned.

• High school education.
• College degree or equivalent work experience is a plus.
• Knowledge of Health & Welfare Plans and Fund operations strongly encouraged.
• Proficient in Microsoft Office and can quickly learn other software applications necessary to complete tasks.
• Proven analytical skills, organized with strong time management and critical-thinking skills, and the ability to multitask.
• Exceptional oral and written communication skills.
• Understanding of medical terminology, the revenue cycle, and predeterminations/appeals, as well as other healthcare industry knowledge is a plus.
• Detail oriented with an ability to deliver quality work efficiently and independently.

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.