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

Sr. Claims & Insurance Analyst

  • Job ID: 328402616
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Pinnacle Health Support Services
  • Department: Risk Management
  • Location: 305 North Front Street, Harrisburg PA 17101
  • Union Position: No
  • Salary Range: $19.86 to $29.82 / hour

Description

Position contributes in various capacities to the overall operation of the Insurance & Risk Management Department. Contributions include complex claims involving primary and excess insurance coverages, identifying and monitoring claims work on complicated claims throughout the department (commercial property, commercial automobile, emergency vehicle coverage, general liability, and medical malpractice); assumes responsibility for payment, including the review process for accuracy, of all expenditures within the department (bills, settlements, legal expenses); reviews the litigation services provided by all subcontracted defense attorneys; and conducts comprehensive audits of litigated files; provides administrative support to increase overall departmental efficiency; prepare and assign all reported claims, suits, events to appropriate third party handlers. 

Responsibilities:

  • Identify and negotiate cost effective claim resolutions/settlements, up to designated financial authority or prepare for review/approval by Departmental Director.
  • Complete special projects and contribute to daily Risk Management Initiatives assigned by the Director.
  • Serve as the representative of UPMC regarding communicating all legal aspects of claims activity between UPMC and the various commercial insurers and their respective defense firms.
  • Assist the Director Insurance & Risk Management with administrating all commercial lines of coverage, including all claims activities associated with the various UPMC commercial policies.
  • Review daily correspondence to maintain comprehensive claims database with settlements, dismissals, demands, financial reserves and trial dates.
  • Work with Director to evaluate and coordinate in-house and external counsel assignments for each case.
  • Analyze complex, technically challenging, and/or sensitive employee related and third-party claims that are submitted for coverage under all UPMC Central PA  (including Employment Practice Liability, General Liability, Commercial Automobile, Commercial Property and Professional (malpractice) Liability.
  • Prepare all legal correspondence to all program insured(s) and attorneys.
  • Field a wide variety of phone calls/emails from insureds regarding insurance coverage and claims questions and what to expect during the legal discovery process.
  • Coordinate and prepare all necessary information for review by Director.
  • Maintain excellent professional relationships with clients, internal as well as external.
  • Manage the litigation services provided by all subcontracted defense attorneys and conduct comprehensive audits of litigated claim files.
  • Provide direction to claims staff (insurance brokers and carriers) to ensure compliance with Claims Service Standards as well as continuously refining and improving claims handling procedures for UPMC Central PA's complex insurance programs.
  • Participate in regular claim reviews with internal and external staff/clients/defense attorneys.
  • Manage all aspects of both UPMC Central Pa's emergency vehicle and non-emergency vehicle fleets. 

 

Qualifications

  • Qualifications - Internal

  • Associate degree in Business, Communications, or a related field and 3 years of insurance/claims management, dealing with indemnity claims OR Bachelor's degree in Business, Communications, or a related field and exposure to insurance/claims management, dealing with indemnity claims.
  • Extensive technical knowledge of commercial insurance and claims management.
  • Excellent negotiating skills. Excellent interpersonal skills. Leadership abilities. Excellent written and verbal communication skills. Ability to communicate clearly via telephone. Good personal computer skills. Can work independently. 


Licensure, Certifications, and Clearances:

  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

COVID-19 Vaccination Information

Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.

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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

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