Claims Examiner - (McKean, PA)

Position overview Position title: Claims Examiner Job ID: 170001II Status: Full time Regular/Temporary: Regular Hours: Shift: Day Facility: UPMC Health Plan Department: Operations Location: 380 East Bayfront Parkway, Erie PA 16507 Description Purpose: At UPMC, were exceeding production and quality of designated standards for claims processing, and we want you to join our team! UPMC Health Plan is currently seeking full time Claims Examiners. As a key member of our team, you will manage adjudication of moderate to complex claims. Additionally, you will be responsible for processing moderate to complex claims, including COB (Coordination of Benefits), in accordance with company policies and procedures in a timely manner while meeting or exceeding production and quality standards. Responsibilities: * Resolve outstanding holds in accordance with designated standards. * Maintain employee/insured confidentiality. Participate in training programs as requested.