Claims Analyst jobs in Sumter, SC

Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

T
Workers’ Compensation Claims Manager
  • Thompson Construction Group, Inc.
  • Sumter, SC FULL_TIME
  • Since its foundation in 1986, Thompson Construction Group, Inc. has grown from a small, local company into one of the largest privately held companies based in South Carolina. Our diverse services portfolio includes capital projects, power services, maintenance services, disaster recovery, hydro consulting and commercial construction. We believe in investing in our employees to help them reach their professional goals, as well as their personal goals. Thompson promotes a work environment that fosters learning, leadership, and development along with a safety culture that never waivers. Thompson is headquartered in Sumter, South Carolina with offices spanning the United States, primarily southeast and central United States.

    Position Description

    Thompson Construction is seeking a Workers Compensation Claims Manager. This position requires daily interaction with a variety of workers’ compensation stakeholders including but not limited to, injured workers, health care offices, plant & field management and our TPA claims adjusters. Candidates must possess strong interpersonal skills to establish/maintain cooperative relationships with the various workers’ compensation stakeholders with specific emphasis on prompt medical treatment and a robust return to work program.

    Job Responsibilities

    • Set up new claims as well as manage multiple claim files daily and in a timely & effective manner.
    • Accurately and completely document claim information including conversations and maintain a comprehensive electronic file of communications related to the claim.
    • Schedule daily tasks to follow up on claim-specific activities. Ensure tasks are kept current.
    • Report claims information and injury reports accurately and promptly to the appropriate insurance carrier.
    • Communicate with the claims adjuster, sharing information to ensure appropriate handling of each claim.
    • When necessary, contact the treating physician following the injured employee’s appointment to obtain diagnosis, work restrictions and treatment plan.
    • When necessary, contact the injured employee and build a relationship. Maintain contact with the injured employee and respond to any questions or concerns regarding their recovery or any other questions they may have.
    • Act as liaison between all parties to ensure claims keep moving and employees get the proper treatment required to return to their pre-injury state.
    • Participate in all injury/incident calls.
    • Assist in development of Corporate and Division Standard Operating Procedures, policies and procedures for safety.
    • Other duties as assigned.

    Job Qualifications

    • Associate’s degree or equivalent education and/or work experience.
    • Computer skills in Microsoft Office-Office, Excel, and PowerPoint are required.
    • Previous experience with Workers Compensation or General claims handling
    • Knowledge of FMLA and ADA as pertains to workers’ compensation claims
    • Must be able to read, write and communicate clearly with supervisor/co-workers and understand.
    • Candidate may be required to pass a drug test and criminal background check based on job location/requirements.

    Benefits

    • We strive to provide a competitive compensation and benefits package. This includes but is not limited to medical, dental, vision, life insurance, 401(k), wellness programs and career development.

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • 11 Days Ago

P
Field Claims Adjuster - Auto Damage
  • Progressive Insurance
  • Sumter, SC FULL_TIME
  • Join Forbes’ 2023 Best Employer for Diversity! As an auto damage claims adjuster, you’ll serve as Progressive’s point of contact with customers – directing and making decisions regarding the repair pr...
  • 20 Days Ago

M
Independent Insurance Claims Adjuster in Sumter, South Carolina
  • MileHigh Adjusters Houston Inc
  • Sumter, SC FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 2 Days Ago

M
Independent Insurance Claims Adjuster in Manning, South Carolina
  • MileHigh Adjusters Houston Inc
  • Manning, SC FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 2 Days Ago

U
Program Analyst
  • UIC Alaska
  • Sumter, SC FULL_TIME
  • Overview PROGRAM ANALYST (AFMDS): Bowhead is seeking a Program Analyst at Shaw AFB, SC to support 15th Air Force in advising, assisting, advocating, integrating, and certifying (A3IC) its Force Elemen...
  • 1 Month Ago

B
Program Analyst
  • Bowhead
  • Sumter, SC FULL_TIME
  • Overview PROGRAM ANALYST (AFMDS): Bowhead is seeking a Program Analyst at Shaw AFB, SC to support 15th Air Force in advising, assisting, advocating, integrating, and certifying (A3IC) its Force Elemen...
  • 1 Month Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Claims Analyst jobs found in Sumter, SC area

A
Entry level to insurance agency owner remote (Columbia SC)
  • Adair Agency
  • Eastover, SC
  • We are seeking a highly motivated individual that is ready to become licensed or who is currently licensed to join our t...
  • 4/18/2024 12:00:00 AM

A
Insurance Agency Owner
  • AAA-The Auto Club Group
  • Sumter, SC
  • AAA - The Auto Club Group, is seeking ambitious, business-minded, and visionary Entrepreneurial Agency Owners to join ou...
  • 4/16/2024 12:00:00 AM

A
Insurance Agency Owner
  • AAA-The Auto Club Group
  • Sumter, SC
  • AAA - The Auto Club Group, is seeking ambitious, business-minded, and visionary Entrepreneurial Agency Owners to join ou...
  • 4/16/2024 12:00:00 AM

T
LIFE INSURANCE SALES AGENT REMOTE
  • The Janet Brennan Agency
  • Timmonsville, SC
  • Why work with us? Have your Life & Health Insurance license? Are you willing to put in the study for a week to pass the ...
  • 4/16/2024 12:00:00 AM

T
Quality Assurance Analyst
  • TALENT Software Services
  • Columbia, SC
  • Quality Assurance Analyst Job Summary: Talent Software Services is in search of a Quality Assurance Analyst for a contra...
  • 4/15/2024 12:00:00 AM

B
Medicare Advantage Health & Risk Programs Manager
  • Blue Cross and Blue Shield Association
  • Columbia, SC
  • Summary Oversees direct coaching support to a physician/provider practices to make improvements in systems and delivery ...
  • 4/14/2024 12:00:00 AM

A
Entry level to insurance agency owner remote (Sumter SC)
  • Adair Agency
  • Sumter, SC
  • We are seeking a highly motivated individual that is ready to become licensed or who is currently licensed to join our t...
  • 4/14/2024 12:00:00 AM

A
Sales Agent - Insurance
  • Anderson Agency
  • Columbia, SC
  • About the job Do you want to make the amount of money that you are worth? Do you want to have more time to spend doing t...
  • 4/14/2024 12:00:00 AM

Sumter /ˈsʌmtər/ is a city in and the county seat of Sumter County, South Carolina, United States. Known as the Sumter Metropolitan Statistical Area, the namesake county adjoins Clarendon and Lee to form the core of Sumter-Lee-Clarendon tricounty area of South Carolina that includes the three counties in the east central Piedmont. The population was 39,643 at the 2000 census, and it rose to 40,524 at the 2010 census. Known as the Gamecock City,[citation needed] Sumter lies near the geographic center of the state of South Carolina at 33°55′37″N 80°21′49″W / 33.92694°N 80.36361°W / 33.92694; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$34,403 to $44,118
Sumter, South Carolina area prices
were up 1.5% from a year ago

Claims Analyst in Elkhart, IN
A medical claims analyst usually receives information via e-mail and uses specialized software programs to enter and manipulate claims data.
December 07, 2019
Claims Analyst in Hartford, CT
Disclose your identity or other information about you to any third party who claims that material posted by you violates their rights, including their intellectual property rights or their right to privacy.
February 07, 2020
Claims Analyst in Newark, NJ
A top crypto analyst is analyzing the current state of Ethereum (ETH) and XRP, the second and third-largest cryptocurrencies by market cap.
February 06, 2020