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   Current UPMC employees must apply in HR Direct

Claims Technician, Workers Compensation - Temporary

Description

UPMC Health Plan is hiring a temporary Claims Technician to help support the Workers Compensation Claims Administration Department. This is a Monday through Friday daylight position.

The Claims Technician receive, investigate and analyze the information for a reported medical only workers' compensation claim and make a determination whether they should be paid or denied. Ongoing management of the claims will be established within parameters set by the Claims Supervisor.

Responsibilities:

  • Adjust Workers' Compensation medical claims (particularly Blood borne Pathogen Exposures).
  • Calculate and assigns accurate reserves to each claim and monitors reserves.
  • Collect Claims Examiners bills and filing and files for Assistant Claims Examiner.
  • Index claims.
  • Maintain closed file log and sends files to storage.
  • Maintain excellent relationships with clients.
  • Make timely and accurate bill payments.
  • Provide clerical support to Claims Examiners by completing all Bureau of Workers' Compensation documents accurately and promptly.
  • Set up claim including data entry into claims management system.

 

Qualifications

  • High school graduate (college degree, professional certifications, and licenses preferred).
  • 1 year of clerical experience preferred 
  • Good clerical skills.
  • Good typing skills.
  • Experience with computer software packages.
  • Good language skills (grammar, punctuation), good interpersonal and customer services skills.
  • Good written and verbal communication skills including ability to communicate clearly by telephone, good organizational skills, and attention to detail.

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life &emdash; 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