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Lead Claims Specialist - USFHP

Providence Health & Services Oregon

Renton, WA · Posted September 22, 2026

Just laid off? Start here: a plan for the first weeks

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How AI is used in this kind of work

AI use among claims adjusters, examiners, and investigators is little observed so far. Measured exposure for claims adjusters, examiners, and investigators: 8% (little observed).

Share of this job’s tasks that AI is already used for at work, from real usage. It is not a forecast of job loss, and a low number means no use seen yet. Source: Anthropic Economic Index.

Check how this applies to your own job

Providence Health & Services Oregon has filed 2 layoff notices in the last twelve months, covering 60 workers, most recently September 2026. These are public filings with state labor departments, and an open role can sit alongside them. See the filings

About the job

Are you a claims professional ready to step into a lead role where your expertise drives real results? As a Lead Claims Specialist supporting the US Family Health Plan (USFHP) at Pacific Medical Centers, you'll be the go-to authority for adjudicating purchased services claims for our enrolled capitated population — resolving complex claim situations, managing advanced processing needs, responding to customer service requests with accuracy and efficiency, and applying your expertise in TRICARE reimbursement to ensure compliant, timely claims resolution for our military beneficiary population.