Supervisor, Claims

UPMC; Pittsburgh (Allegheny County); Hybrid; USD 60,000 - 90,000; Full time

Job summary

UPMC in the Pittsburgh area is seeking a Supervisor, Claims in the CHC Claims Operations department. This full-time hybrid role combines remote work with periodic office presence to coordinate and guide a team.

You will lead planning, directing, and training, evaluate staff, and ensure timely, accurate claim inventories while building strong interdepartmental relationships and driving performance improvements.

Qualifications

• Management experience directing teams and training personnel.
• Ability to prepare and give evaluations to employees.
• Maintain excellent working relationships across departments.
• Responsible for team performance and inventory accuracy.

Responsibilities

• Manage special projects.
• Allocate and adjust team resources daily.
• Identify trends and advise on performance improvements.
• Participate in interviewing, hiring, and training.
• Facilitate effective team meetings and one-on-ones.
• Ensure timeliness and quality of claim processing for compliance.
• Meet deadlines; may require extended hours.
• Foster a positive work environment through recognition.
• Plan and execute efficient inventory management.
• Supervise and monitor ongoing team performance.
• Review performance against standards and provide feedback.

Skills

People management

Training & development

Employee evaluation

Stakeholder communication

Job description

UPMC Health Plan has an exciting opportunity for a Supervisor, Claims position in the CHC Claims Operations department. 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.

Requires management level experience in planning, directing, and responsible for training personnel, prepare and give evaluations to employees and maintain excellent working relationships with all departments. Responsible for team performance, including accurate and timely completion of assigned claim inventories. Ensures effective employee development and training. The Supervisor must use their knowledge and understanding of claim inventory trends and other information generated to identify opportunities to improve claim performance.

Responsibilities:

• Manage special projects
• Work in conjunction with other Supervisors to allocate and adjust team resources as daily needs required
• Identify trends and partner with Support team and Management to make recommendation and improve operational performance
• Participate in interviewing, hiring, and training of team members
• Enhance communication via effective team meetings, huddles, and employee one on ones
• Ensure team performance meets or exceeds claim timeliness and quality standards for regulatory compliance and performance guarantees
• Meet deadlines and turnaround times set by management (these deadlines and turnaround times will, at times, require the employee to work until the project is completed, meaning extended daily work hours, extended work weeks, or both)
• Maintain a positive work environment through employee recognition and interaction
• Strategize, plan, organize, and execute efficient inventory management
• Supervise and monitor ongoing performance of team members.
• Continually examine team performance against department standards.
• This includes timely employee feedback via employee scorecards