Claims Representative, Auto Sedgwick Claims Management Services, Inc.Claims Representative, AutoSC$50,000–$55,000 / yearProcesses auto and general liability property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Examiner Workers Comp - Southeast (FL, GA, NC, SC, AL, AR, KY) Sedgwick Claims Management Services, Inc.Claims Examiner Workers Comp - Southeast (FL, GA, NC, SC, AL, AR, KY)SCRemoteMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL or Home state required - Remote Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL or Home state required - RemoteSCRemote$70,000–$90,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Attorney (Municipal Entities) HCC Life Insurance CompanyClaims Attorney (Municipal Entities)SCRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. The Tokio Marine HCC - Public Risk Group is seeking a self-motivated Claims Attorney to join our growing Claims Department and handle litigated and non-litigated claims primarily arising under Auto and General Liability, as well as potentially some Law Enforcement, Public Officials, and Employment Practices liability policies in various jurisdictions.
Claims Representative Internship - Summer 2027 Auto-Owners Insurance GroupClaims Representative Internship - Summer 2027Columbia, SCThe position requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Claims Representative Internship - Summer 2027 Auto-Owners Insurance CoClaims Representative Internship - Summer 2027Columbia, SCThe position requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Unclaimed Property Claims Analyst State of South CarolinaUnclaimed Property Claims AnalystRichland County, SC$45,300–$77,000 / yearPosition requires critical thinking, research skills, detailed documentation and the ability to effectively communicate with the general public including representatives of companies that remit unclaimed property. The State Treasurer's Office is seeking an inquisitive and detail-oriented claims analyst in the Unclaimed Property Program (UPP) that is passionate about our mission of returning unclaimed property to its rightful owners.
NewProcessor, Claims I PGBAProcessor, Claims IColumbia, South CarolinaWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
Senior Unclaimed Property Claims Analyst State of South CarolinaSenior Unclaimed Property Claims AnalystRichland County, SC$53,142–$90,372 / yearPosition requires critical thinking, research skills, detailed documentation and the ability to effectively communicate with the general public including representatives of companies that remit unclaimed property. Reviews and confirms validity of the claim and legal documents submitted by claimants by reaching out to business partners and governmental entities as needed to ensure appropriate payment of funds.
NewProcessor, Claims I BlueCross BlueShield of South CarolinaProcessor, Claims IColumbia, South CarolinaWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
Field Claims Representative Auto-Owners Insurance CompanyField Claims RepresentativeColumbia, South CarolinaAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job requires mastery of claims-handling skills and requires the person to: Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability.
NewClaims Customer Service Advocate II BlueCross BlueShield of South CarolinaClaims Customer Service Advocate IIColumbia, South CarolinaWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
NewClaims Customer Service Advocate II PGBAClaims Customer Service Advocate IIColumbia, South CarolinaWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
NewClaims Processor II BlueCross BlueShield of South CarolinaClaims Processor IIColumbia, South CarolinaWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
NewClaims Processor II PGBAClaims Processor IIColumbia, South CarolinaWe are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
NewClaims Processor I MindlanceClaims Processor IColumbia, SCnull Education: Required Education: High School Diploma or equivalent Required Work Experience: None Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment. "5% Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.
Claims Director - Professional Liability CRC Insurance Services, LLCClaims Director - Professional LiabilitySC$140,000–$200,000 / yearPlease review the following job description: The position is responsible for maintaining active oversight of open claims and/or incident reports, driving regular communication with carrier claims departments and adjusters, and ensuring significant claim developments are promptly communicated to Negley management and underwriting personnel. The position is expected to dig into open files, challenge claim handling when appropriate, identify issues requiring escalation, and maintain continuous visibility into claim status, litigation strategy, reserves, settlement activity, coverage concerns, and emerging loss trends.
Senior Claims Benefit Specialist CVS Health CorpSenior Claims Benefit SpecialistSC$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeSCEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
NewMedical Claims Reviewer, 6 Month Contract (Remote) Broadway VenturesMedical Claims Reviewer, 6 Month Contract (Remote)Columbia, SCRemoteWe are seeking a dedicated RN to conduct medical reviews to perform comparisons between End Stage Renal Disease patient medical records documentation and data submitted to the Centers for Medicare and Medicaid Services (CMS) End Stage Renal Disease Quality Reporting System (EQRS) and the Centers for Disease Control (CDC) National Healthcare Safety Network (NHSN) based on the approved data validation methodology. Where that is the case, the position and its final compensation are contingent upon award of the contract to Broadway Ventures and on the terms of the awarded contract, including any government-approved labor rates and the applicable wage determination.