Top 131 Claims manager Jobs in Pittsburgh Pa

Senior Specialist, Integrated Absence Manager
New York Life —Pittsburgh, PA
- $50,000 - $73,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Writing skills
- Mid-level
- Free parking
- Health insurance
8d
Parts Manager - Aggregate Equipment - Western PA
MMC —New Stanton, PA
- From $90,000 a year
- Urgently hiring
- Background check
- Sales
- Dealership
Quick Apply
LTD (Long Term Disability) Claim Manager
New York Life —Pittsburgh, PA
- $50,000 - $71,500 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Outlook
- Mid-level
- Free parking
- Disability insurance
Commercial Lines Account Manager
InsuranceStaffing.com —Canonsburg, PA
- $55,000 - $85,000 a year
- Full-time
- Mid-level
- Office
- In-person
- Paid holidays
- Disability insurance
Quick Apply
Route Supervisor
Noble Environmental Specialty Services —Mc Kees Rocks, PA
- Full-time
- CDL B
- Background check
- CDL A
- Health savings account
- Health insurance
Quick Apply
Project Manager - Nuclear
Hatch —Pittsburgh, PA
- Engineering
- Office
- Mentoring
Quick Apply
Field Reimbursement Manager
McKesson —Pennsylvania
- $80,300 - $133,800 a year
- Clean driving record
- Computer literacy
- Research
Regional Selling Branch Manager - Adecco Staffing - Greater Pittsburgh
TAG Adecco —Cranberry Township, PA
- 5 years
- Organizational skills
- Fair chance
Operations Manager
Temco Logistics —Pittsburgh, PA
- $75,000 - $80,000 a year
- Full-time
- Mid-level
- Leadership
- Health insurance
- Dental insurance
Quick Apply
Mission Critical Project Manager
McClure Company —Pennsylvania
- Full-time
- Construction site
- Computer literacy
- Engineering
- Health insurance
- Dental insurance
Quick Apply
Senior Manager, Contract Management
Fluor Enterprises, Inc-FD —Pittsburgh, PA
- $119,500 - $222,500 a year
- 11+ years
- Bachelor's degree
- US work authorization
- AD&D insurance
- Disability insurance
Program Manager, Microsoft
Eaton —Moon Township, PA
- $129,000 - $189,000 a year
- Remote
- Background check
- Engineering
- Master's degree
- Retirement plan
8d
Assistant Payroll Manager
84 Lumber Company —Eighty Four, PA
- Full-time
- Word processing
- Research
- Mid-level
Office Manager
Brayman Construction —Pittsburgh, PA
- Weekends as needed
- 7 years
- Microsoft Outlook
- Construction site
Quick Apply
6d
Human Resources Manager
Chromalox, Inc. —Pittsburgh, PA
- Full-time
- Mid-level
- Office
- 401(k)
Quick Apply
Assistant Business Office Manager
Allegheny County Pennsylvania —Allegheny County, PA
- $60,000 a year
- Online Application
- Background check
- Skilled nursing facility
- Writing skills
Manager Financial Planning and Cost Analysis
enGen —Pittsburgh, PA
- Full-time
- Hybrid work
- CPA
- Writing skills
- Office
Multi-Tenant Data Center (MTDC) Project Management Manager
Eaton —Moon Township, PA
- $187,500 - $275,000 a year
- Full-time
- Remote
- Background check
- 5 years
- Engineering
- Retirement plan
1d
Legal Operations Supervisor - PA (Hybrid)
Selective Insurance Company of America —Canonsburg, PA
- $92,000 - $119,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Employee stock purchase plan
- Health insurance
Compliance & Payroll Manager
Dunkin' —Pittsburgh, PA
- Full-time
- Microsoft Excel
- Employment & labor law
- Mid-level
Quick Apply

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claims manager jobs near pittsburgh pa

Senior Specialist, Integrated Absence Manager

New York Life -
Pittsburgh, PA

Apply Now

Job Details

Full-time
$50,000 - $73,000 a year
8 days ago

Benefits

Free parking
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Professional development assistance
Life insurance
Retirement plan

Qualifications

Customer communication
Microsoft Outlook
High school diploma or GED
Attention to detail
Organizational skills
Technical Proficiency
Time management

Full Job Description

Work Schedule:
The first 7 weeks of training will take place onsite at The Vision (116 15th Street, Pittsburgh, PA 15222), Monday through Friday. After training, employees will be evaluated. Once they demonstrate proficiency, the role will transition to a hybrid schedule: Remote: Mondays and Fridays, and Onsite: Tuesday, Wednesday & Thursday.

Role Overview:

As an Integrated Absence Manager, you will be assigned a caseload of concurrent cases (paid/unpaid leave and Short-Term disability plans) managing all aspects of an employee’s absence. The Integrated Absence Manager will conduct thorough investigations, determine eligibility for our customers, provide ongoing Absence administration, and communicate decisions and status updates. This role is responsible for collaborating with customers, health care providers and clients to ensure timely, accurate Absence administration and payments. Upon approval of Absences, you will provide ongoing Absence management services, assist with return-to-work needs, and communicate decisions and status updates with customers and clients both verbal and written.

The Integrated Absence Manager plays a critical role in executing the New York Life Group Benefit Solutions (GBS) promise to our customers and has a direct impact on our customers in the moments that matter. The ability to work in a fast-paced and detail-oriented environment while integrating knowledge of medical conditions, customer contracts, New York Life GBS, and corporate compliance are critical for success.

What You’ll Do:

Responsible for managing a caseload of Absence cases including the management of Short-Term Disability (STD), Paid Family Medical Leave (PFML), Family Medical Leave Act (FMLA), Company Paid Leave (CPL), and Americans with Disability Act of 1990 (ADA) and providing service excellence to GBS customers.
Own and review assigned cases. This includes verifying eligibility, capturing medical information, applying appropriate contractual provisions, following legal guidelines, and leveraging expert resources.
Evaluate available information to make claim and leave determinations within compliance guidelines; pay all covered claims accurately and timely.
Coordinate multiple leave and disability plans using integrated technology.
Support ongoing claim management including extensions and reviewing of additional information as needed to support ongoing claim decisions.
Effectively communicate with claimants, employers, and various medical professionals both verbally and in writing to gather information regarding the application for, payment of, and ongoing management of short-term disability benefits and applicable leave plans.
Respond to all telephonic and email inquiries within customer service protocols and adhere to standard timeframes for processing mail, tasks, and outliers. Execute all customer performance guarantees as defined.
Document clear absence notes in the system based on medical received or conversations with the customer, provider, and client.
Proactively work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis.
Network with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information.
Execution of New York Life and Corporate Compliance, Policies and Procedures and best practices.
Ongoing development via training associated with role and business unit objectives.

What You’ll Bring:

HS Diploma or GED required. Bachelor’s degree strongly preferred.
2+ years’ experience administering Disability strongly preferred.
Experience administering FMLA and/or State Leaves experience strongly preferred.
Proficiency with MS Office applications is required (Word, Outlook, Excel.)
Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously.
Strong critical thinking, analytical, and investigative skills; ability to gather information, analyze facts, and draw conclusions.
Ability to understand complex absence scenarios and apply them to work.
Ability to work with a bias for action and be a self-starter with a customer-focus mindset.
Effective interpersonal, written, and verbal communication skills including the ability to articulate complex claim scenarios and translate them to easily understandable for customers and clients.
Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously.
Attention to detail is critical to effectively handle the technical aspects of the job.
Excellent planning, time management and organizational skills. Ability to manage multiple and changing priorities.
Strong critical thinking and analytical skills to effectively multi-task and prioritize work to meet tight deadlines.
Strong negotiation skills.
Must be able to work with urgency and be a self-starter with a customer focus mindset.
Ability to build and maintain effective relationships.
Knowledge of legal liability, insurance coverage and medical terminology is helpful.
A proven track record of successfully driving results in a complex matrix environment is required.
Ability to work well under pressure.

Work Schedule:

The first 7 weeks of training will take place onsite at The Vision (116 15th Street, Pittsburgh, PA 15222), Monday through Friday. After training, employees will be evaluated. Once they demonstrate proficiency, the role will transition to a hybrid schedule: Remote: Mondays and Fridays, and Onsite: Tuesday, Wednesday & Thursday.

Onsite Amenities:
Employees working onsite will have access to the following amenities:

Fitness center
Tenant lounge
Nearby retail
Bike storage
Outdoor space
Concierge services
Dry cleaning
EV charging stations
Puttery mini golf
The Roaming Bean Coffee
Tapville Social
Onsite free parking

Pay: $50,000.00 - $73,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Professional development assistance
Retirement plan
Tuition reimbursement
Vision insurance

Work Location: In person

Apply Now

Refine Your Search

claims manager jobs in pittsburgh pa

Senior Specialist, Integrated Absence Manager

Parts Manager - Aggregate Equipment - Western PA

LTD (Long Term Disability) Claim Manager

Commercial Lines Account Manager

Route Supervisor

Project Manager - Nuclear

Field Reimbursement Manager

Regional Selling Branch Manager - Adecco Staffing - Greater Pittsburgh

Operations Manager

Mission Critical Project Manager

Senior Manager, Contract Management

Program Manager, Microsoft

Assistant Payroll Manager

Office Manager

Human Resources Manager

Assistant Business Office Manager

Manager Financial Planning and Cost Analysis

Multi-Tenant Data Center (MTDC) Project Management Manager

Legal Operations Supervisor - PA (Hybrid)

Compliance & Payroll Manager

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