What are the responsibilities and job description for the Claims Examiner (CHC/Medicaid) position at UPMC?
We're looking for detail-oriented problem solvers to join our CHC/Medicaid Claims team. This is a full-time hybrid position based in the Pittsburgh area. While you’ll primarily work remotely, you’ll come into the office occasionally depending on departmental needs.
Why this role matters:
As a Claims Examiner, you’ll play a key role in helping our members live healthier, more independent lives. By accurately processing claims, you ensure that people receive the care they need.
What you’ll do:
Review and process moderate to complex claims with precision and efficiency.
Meet or exceed quality and production standards—your accuracy makes a difference!
Collaborate with your team, share ideas, and help us continuously improve.
Support other departments during busy periods and participate in training to grow your skills.
Maintain confidentiality and uphold compliance standards.
Work occasional overtime when business needs arise.
Your schedule:
Daylight hours, Monday–Friday, between 6 a.m. and 5 p.m. No nights, no weekends.
Overtime may be required as need for business needs.
What we’re looking for:
Strong attention to detail and ability to prioritize tasks.
Comfort working in a fast-paced production environment.
Previous health insurance experience
Comfort working independently in a remote environment while staying connected with your team.
A commitment to accuracy, teamwork, and client satisfaction.
Salary : $1,000 - $1,000,000