Job Description

Job Title: Supervisor, Claims- Adjustments
Job ID: 648952
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: UPMC Health Plan
Department: Operations
Location: 1650 Metropolitan Street, Pittsburgh PA 15233



Are you a dynamic leader with strong health insurance experience?  If so, UPMC Health Plan's Claims Supervisor may be the perfect next step in your career.  This role will allow you to be responsible for team performance, including accurate and timely completion of assigned claim inventories while ensuring effective employee development and training. If this sounds like a perfect fit for you, apply today!

  • Enhance communication via effective team meetings, huddles, and employee one on ones
  • Ensure team performance meets or exceeds claim timeliness and quality standards for regulatory compliance and performance guarantees
  • Identify trends and partner with Support team and Management to make recommendation and improve operational performance
  • Maintain a positive work environment through employee recognition and interaction
  • Manage special projects
  • Meet deadlines and turnaround times set by management (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both)
  • Participate in interviewing, hiring, and training of team members
  • Strategize, plan, organize, and execute efficient inventory management
  • Supervise and monitor ongoing performance of team members. Continually examine team performance against department standards. This includes timely employee feedback via employee scorecards
  • Work in conjunction with other Supervisors to allocate and adjust team resources as daily needs required


  • Bachelor's degree in business, health care or management related field or equivalent experience
  • Minimum three years of health insurance experience preferred  
  • Minimum three years leadership experience (leading, mentoring, coaching, or teaching)  
  • Excellent planning, communication, documentation, organization, analytical and problem solving abilities
  • Medical Terminology or medical billing experience
  • High level of professionalism, enthusiasm, and initiative on a daily basis
  • Working knowledge of Commercial, Medicaid and Medicare plans  
  • Working knowledge regarding Coordination of Benefits  
  • Ability to maintain quality and production designated standards established for handling work, problem solve effectively and organize workflow  
  • Ability to handle multiple priorities in a fast-paced production environment
  • Some travel may be required. Must be able to serve as a positive extension of the management team
  • Previous Commercial, Medicaid, or Medicare insurance related experiences is highly preferred.

Licensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $21.94 to $37.97

Union Position: No

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