• Claims Examiner - Medicare

    UPMC (Pittsburgh, PA)
    **Purpose:** UPMC Health Plan is seeking a full-time Claims Examiner to support the Medicare & Commercial Claims teams within the Claims Operations ... required in-office days for trainings, meetings, and other departmental needs. The Claims Examiner manages the adjudication of moderate-to-complex claims more
    UPMC (06/03/25)
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  • Claims Examiner - Liability

    Sedgwick (Harrisburg, PA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability **PRIMARY PURPOSE** : To analyze complex or ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
    Sedgwick (06/11/25)
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  • Claims Examiner , Bodily Injury…

    Sedgwick (Harrisburg, PA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and ... process complex auto and bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
    Sedgwick (04/24/25)
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  • Claims Examiner (CHC/Medicaid)

    UPMC (Pittsburgh, PA)
    **Purpose:** UPMC Health Plan is hiring full-time Claims Examiners to support our CHC/Medicaid Claims Department in the Pittsburgh area! The Claims Examiners ... this position, you will manage the adjudication of moderate to complex claims while meeting or exceeding production and quality-designated standards. Our objective… more
    UPMC (06/03/25)
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