COVID-19 Vaccination Information

Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Lost Time Claims Specialist I (Remote)

  • Job ID: 529420928
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: WKP Comm WC Claims Admin
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $22.56 to $38.96 / hour


UPMC Workpartners is hiring a Workers' Compensation Lost Time Claims Specialist I to join the team!

The UPMC Workpartners Workers' Compensation Lost Time Claims Specialist I reports to the Workers' Compensation Claims Supervisor. The Lost Time Claims Specialist I is responsible for coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims for the WorkPartners Workers' Compensation business unit. The Lost Time Claims Specialist I will develop litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. The Lost Time Claims Specialist I will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority within established best practices and performance standards. The Lost Time Claims Specialist I should possess strategic thought process skills to effectively and efficiently manage loss exposures.



  • Establish appropriate reserves and review on a regular basis to ensure adequacy. Make recommendations to set reserves at an appropriate level for claims outside of authority level.
  • Effectively evaluate and resolve coverage issues for all Workers' Compensation claim types.
  • Pro-actively manages the case resolution process. May participate in mediations within limit of settlement authority under supervision.
  • Provide required reports to AVP, Claims, Underwriting, Reinsurance and Actuarial on significant exposure cases.
  • Appropriate state licensing to be obtained for assigned jurisdictions.
  • Actively participate in claim reviews with clients.
  • Effectively and efficiently manage vendors and expenses.
  • Assign medical or other experts to cases and arrange for medical examinations when necessary.
  • Timely analyze information in order to evaluate assigned claims to determine the extent of loss.
  • Communicate claim status with the injured worker, clients, and broker as needed.
  • Effectively evaluate, negotiate and resolve claims within delegated authority utilizing the appropriate denials or releases.
  • Ensure proper referrals and timely updates to appropriate Reinsurer(s) if applicable.
  • Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, clients, witnesses and others having pertinent information.
  • Manage the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment.
  • Develop lost time claim disposition skills under the direction of supervisor.

This is a work-from-home position.



  • Bachelor's and/or advanced degree or a minimum of 2 years of Workers' Compensation claims handling experience.
  • A minimum of 1 year of Workers' Compensation lost time claims handling experience or 18 months of Workers' Compensation medical only claims handling experience.
  • Basic knowledge of law and insurance regulations in various jurisdictions.
  • Demonstrated strong verbal and written communications skills.
  • Demonstrated strong analytical and decision making skills.
  • Intermediate knowledge of claims handling concepts, practices and techniques, including but not limited to coverage issues, and product line knowledge.
  • Previous experience with the reserving and adjudication of Workers' compensation medical only claims Workers' compensation claim investigations and compensability decisions.
  • Previous office experience preferred.

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct

Security Alert

We are aware of scams targeting UPMC and other large companies that involve individuals posing as employees to illegitimately conduct interviews and extend false employment offers and payments to gain access to candidates' personal information. Please note that UPMC will not communicate with candidates through third-party email services like Gmail or Yahoo. While some interviews may take place via a video conferencing service, UPMC Talent Acquisition will not conduct interviews via Skype or Google Hangouts. UPMC will never ask for or disburse funds during the recruitment process. If you are hired into a role with a sign-on bonus or similar incentive, funds will be paid to you by UPMC after your start date.

If you suspect you have been a victim of a fraudulent UPMC job offer, please report the attempt using this form.