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 UPMC.com/coronavirus.

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   Current UPMC employees must apply in HR Direct

Disability Specialist

  • Job ID: 798846913
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Disability Specialists
  • Location: 600 Grant St, Pittsburgh PA 15219
  • Union Position: No
  • Salary Range: $26.58 to $46.02 / hour

Description

UPMC Workpartners is seeking a Disability Specialist. 
The Disability Specialist will provide accurate claims adjudication and superior customer service to all of UPMC and WorkPartners customers.

This role is completely remote.

Responsibilities:

 

  • Independently manages STD caseload within current process and procedures. Utilizes Clinical nurse Case Manager and/or Medical Director resources within established guidelines
  • Analyzes claims and determines benefits due on claims in accordance to the ERISA regulations and policy provisions.
  • Provide thorough claim management that includes timely notification and follow-up, thorough employee understanding, accurate documentation and appropriate referrals.
  • Participate in training activities to keep skill set updated.
  • Authorizes timely claim payments upon receipt of appropriate medical information.
  • Calculates and assigns accurate benefit calculations to each claim and monitors benefit payments.
  • Investigates claims and determines eligibility for Short-Term Disability benefits.
  • Utilizes Clinical nurse Case Manager and/or Medical Director resources within established guidelines.
  • Interact with physicians, medical providers, claimants and employers either in writing or by telephone.
  • Support partnership with vocational team to ensure proactive claims management plans are set and established return to work and Stay at Work (SAW) processes are followed
  • Maintains excellent communications with employees, employers, human resources and disability team.

 

Qualifications

  • High school graduate required
    • College degree and/or professional certifications preferred
  • A minimum of 3 years of disability claims management experience
  • Skills include: Excellent organizational and time management skills.
  • Excellent written and verbal communication skills including the ability to communicate clearly by telephone and/or in writing.
  • Working knowledge of Microsoft office products including Microsoft Outlook.
  • Strong knowledge of Short-Term Disability to ensure solid and consistent claims determinations.
  • Strong medical knowledge


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