UPMC WorkPartners is hiring a full-time Medical Only Claims Specialist I to join the Workers Comp Claims team. This role follows a standard Monday through Friday schedule during daylight hours. The ...
UPMC WorkPartners is hiring a full-time Medical Only Claims Specialist I to join the Workers Comp Claims team. This role follows a standard Monday through Friday schedule during daylight hours. The ...
Lost Time Claims Specialist II (FL & GA)
Pittsburgh, PA · On-site
$27.89 - $48.21/hr
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
Lost Time Claims Specialist II (FL & GA)
Pittsburgh, PA · On-site
$27.89 - $48.21/hr
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
Lost Time Claims Specialist II (VA, MD, PA, and DC)
Pittsburgh, PA · On-site
$27.89 - $48.21/hr
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
Lost Time Claims Specialist II (VA, MD, PA, and DC)
Pittsburgh, PA · On-site
$27.89 - $48.21/hr
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist II to join the Workers Comp Claims team. This remote role ill work business hours EST Monday - Friday and will ...
UPMC Health Plan and WorkPartners is hiring a flexible full-time Professional Staff Nurse, OP to support various clinics in the Pittsburgh region! This role will work Monday - Friday daylight hours.
UPMC Health Plan and WorkPartners is hiring a flexible full-time Professional Staff Nurse, OP to support various clinics in the Pittsburgh region! This role will work Monday - Friday daylight hours.
UPMC Health Plan and WorkPartners is hiring casual EAP Specialists to support our external client, Marywood University. These roles will be employed by UPMC but will work onsite at Marywood.
UPMC Health Plan and WorkPartners is hiring casual EAP Specialists to support our external client, Marywood University. These roles will be employed by UPMC but will work onsite at Marywood.
Professional Staff Nurse, OP - Pittsburgh Float
Pittsburgh, PA · On-site
$28.48 - $41.64/hr
UPMC Health Plan and WorkPartners is hiring a flexible full-time Professional Staff Nurse, OP to support various clinics in the Pittsburgh region! This role will work Monday - Friday daylight hours.
Professional Staff Nurse, OP - Pittsburgh Float
Pittsburgh, PA · On-site
$28.48 - $41.64/hr
UPMC Health Plan and WorkPartners is hiring a flexible full-time Professional Staff Nurse, OP to support various clinics in the Pittsburgh region! This role will work Monday - Friday daylight hours.
UPMC Health Plan and WorkPartners is hiring a flexible full-time EAP Specialist to support our external client, Marywood University. This role will be employed by UPMC but will work fully onsite at ...
UPMC Health Plan and WorkPartners is hiring a flexible full-time EAP Specialist to support our external client, Marywood University. This role will be employed by UPMC but will work fully onsite at ...
UPMC Health Plan and WorkPartners is hiring a flexible full-time Professional Staff Nurse, OP to support various clinics in the Pittsburgh region! This role will work Monday - Friday daylight hours.
UPMC Health Plan and WorkPartners is hiring a flexible full-time Professional Staff Nurse, OP to support various clinics in the Pittsburgh region! This role will work Monday - Friday daylight hours.
UPMC Health Plan and WorkPartners is hiring a flexible full-time Professional Staff Nurse, OP to support various clinics in the Pittsburgh region! This role will work Monday - Friday daylight hours.
UPMC Health Plan and WorkPartners is hiring a flexible full-time Professional Staff Nurse, OP to support various clinics in the Pittsburgh region! This role will work Monday - Friday daylight hours.
EAP Specialist (Marywood University) - Casual
Dunmore, PA · On-site
$45.72/hr
UPMC Health Plan and WorkPartners is hiring casual EAP Specialists to support our external client, Marywood University. These roles will be employed by UPMC but will work onsite at Marywood.
EAP Specialist (Marywood University) - Casual
Dunmore, PA · On-site
$45.72/hr
UPMC Health Plan and WorkPartners is hiring casual EAP Specialists to support our external client, Marywood University. These roles will be employed by UPMC but will work onsite at Marywood.
UPMC's Health Plan and Workpartners are hiring an Associate Employee Assistance Program Specialist for its LifeSolutions Clinical Services team. This role will support our team at Saint Francis ...
UPMC's Health Plan and Workpartners are hiring an Associate Employee Assistance Program Specialist for its LifeSolutions Clinical Services team. This role will support our team at Saint Francis ...
EAP Specialist (Marywood University) - Flexible Full-Time
Dunmore, PA · On-site
$25.97 - $45.04/hr
UPMC Health Plan and WorkPartners is hiring a flexible full-time EAP Specialist to support our external client, Marywood University. This role will be employed by UPMC but will work fully onsite at ...
EAP Specialist (Marywood University) - Flexible Full-Time
Dunmore, PA · On-site
$25.97 - $45.04/hr
UPMC Health Plan and WorkPartners is hiring a flexible full-time EAP Specialist to support our external client, Marywood University. This role will be employed by UPMC but will work fully onsite at ...
Professional Staff Nurse, OP - Pittsburgh Float
Pittsburgh, PA · On-site
$28.48 - $41.64/hr
UPMC Health Plan and WorkPartners is hiring a flexible full-time Professional Staff Nurse, OP to support various clinics in the Pittsburgh region! This role will work Monday - Friday daylight hours.
Professional Staff Nurse, OP - Pittsburgh Float
Pittsburgh, PA · On-site
$28.48 - $41.64/hr
UPMC Health Plan and WorkPartners is hiring a flexible full-time Professional Staff Nurse, OP to support various clinics in the Pittsburgh region! This role will work Monday - Friday daylight hours.
Sr. EAP Specialist - Harrisburg (Hybrid)
Mechanicsburg, PA · On-site
$29.92 - $51.79/hr
UPMC Workpartners' LifeSolutions team is seeking a Senior Employee Assistance Program/ Virtual Behavioral Health Specialist! This is a hybrid role that will work onsite in the Harrisburg ...
Sr. EAP Specialist - Harrisburg (Hybrid)
Mechanicsburg, PA · On-site
$29.92 - $51.79/hr
UPMC Workpartners' LifeSolutions team is seeking a Senior Employee Assistance Program/ Virtual Behavioral Health Specialist! This is a hybrid role that will work onsite in the Harrisburg ...
UPMC Workpartners' LifeSolutions team is seeking a Senior Employee Assistance Program/ Virtual Behavioral Health Specialist! This is a hybrid role that will work onsite in the Harrisburg ...
UPMC Workpartners' LifeSolutions team is seeking a Senior Employee Assistance Program/ Virtual Behavioral Health Specialist! This is a hybrid role that will work onsite in the Harrisburg ...
EAP Clinical Manager - Marywood University
Dunmore, PA · On-site
$41.87 - $72.43/hr
UPMC Health Plan and WorkPartners is hiring a full-time EAP Clinical Manager to support our external client, Marywood University. This role will be employed by UPMC but will work fully on-site at ...
EAP Clinical Manager - Marywood University
Dunmore, PA · On-site
$41.87 - $72.43/hr
UPMC Health Plan and WorkPartners is hiring a full-time EAP Clinical Manager to support our external client, Marywood University. This role will be employed by UPMC but will work fully on-site at ...
Workpartners information
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$8.89 - $13.70
16% of jobs
$15.17 is the 25th percentile. Wages below this are outliers.
$13.70 - $18.51
29% of jobs
The median wage is $19.71 / hr.
$18.51 - $23.32
19% of jobs
$27.58 is the 75th percentile. Wages above this are outliers.
$23.32 - $28.13
12% of jobs
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8% of jobs
$32.93 - $37.74
5% of jobs
$37.74 - $42.55
4% of jobs
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2% of jobs
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2% of jobs
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1% of jobs
$56.97 - $61.78
1% of jobs
$8
$26
$61
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How does a Workpartners role typically collaborate with other departments within an organization?
What are the key skills and qualifications needed to thrive as a Workpartners account manager, and why are they important?
What is the difference between Workpartners vs Insurance Agents?
| Aspect | Workpartners | Insurance Agents |
|---|---|---|
| Required Credentials | Varies by role, often includes industry-specific certifications | Licenses required for selling insurance products |
| Work Environment | Office, client sites, remote options | Office, client meetings, fieldwork |
| Employer & Industry Usage | Employers in healthcare, insurance, and financial sectors | Insurance companies, brokerages, agencies |
| Common Search & Comparison | Often compared for client support roles and partnerships | Compared for sales, client management, and policy advising |
Workpartners typically refer to collaborative roles within industries like healthcare or insurance, focusing on partnership and support functions. Insurance agents are licensed professionals who sell and manage insurance policies. While both work within the insurance industry, Workpartners often emphasize collaboration and support, whereas insurance agents focus on sales and client advisement.
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Full-time
Posted 10 days ago
Job description
UPMC WorkPartners is hiring a full-time Medical Only Claims Specialist I to join the Workers Comp Claims team. This role follows a standard Monday through Friday schedule during daylight hours. The position is primarily remote, with occasional in-office presence required-typically once a month-at the U.S. Steel Tower. Candidates should reside locally in the Pittsburgh area.
The UPMC WorkPartners Workers' Compensation Medical Only Claims Specialist 1 reports to the Workers' Compensation Supervisor. This is an entry level position within the Workers' Compensation Claims Department. The Medical Only Claims Specialist 1 is responsible for coverage analysis, investigation, evaluation, communication, and disposition of assigned medical claims within the WorkPartners Workers' Compensation business unit. The Medical Only Claims Specialist 1 will ensure claims are processed within company policies, procedures, and within individual's prescribed authority following established best practices and performance standards.
Responsibilities:
- Manage non-complex and non-problematic medical-only and restricted medical only, claims under close supervision.
- Additional duties as required.Appropriate state licensing to be secured as needed.Excellent communication skills.
- Adhere to client and carrier guidelines and special handling requests.
- Communicate claim status with the injured worker, insured/employer, and broker as needed.
- Prepare and present for insured/employer claim reviews outlining claims status and action plans with oversight from supervisor
- Receives claim, confirms policy coverage and acknowledgement of the claim
- Evaluate claim, calculate and establish appropriate reserves and review on a regular basis to ensure adequacy for exposure under close supervision.
- Establish reserves and authorize payments within authority limits.
- Investigate the claims through telephone, written correspondence, and/or personal contact with injured workers, insureds/employer witnesses and others having pertinent information.
- Review invoices and medical records to determine eligibility for payment or denial.
- Determine validity and compensability of the claim.
- Participate in periodic claim reviews as needed.
- Participate in monthly account renewal meetings as needed.
- Bachelor's and/or advanced degree or a minimum of 1 year of administrative, claims, and/or customer service experience, preferably in Workers' Compensation.
- Prior workers comp claims experience strongly preferred.
- Demonstrated verbal and written communications skills.
- Demonstrated analytical and decision-making skills.
- Appropriate state licensing to be secured as needed.
- Excellent communication skills.
Licensure, Certifications, and Clearances: - Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
About UPMC Health Plan
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Pittsburgh, PA, US
Year founded
1997