Claims Examiner

1 day ago

Columbia, United States Staffmark Group Full time

Ready to elevate your career? Join the nation‘s leading insurance company located in Columbia, TN as a Medicare Claims Examiner. Staffmark is hiring a motivated individual ready to work in a fast-paced team environment.

Schedule: 8:00am - 4:30pm, Monday - Friday
Pay: $17/hr.

Essential tasks:
  • Complete claims processing training with an 80% or higher on exams and maintain minimal errors during live assessments.
  • Analyze and process claims across various plans, using resources to ensure correct benefit payments.
  • Identify and escalate claims with potential third-party liability (e.g., coordination of benefits).
  • Provide feedback on procedural issues to improve processes and support management.
  • Participate in testing functions, attend meetings, and draft professional correspondence.
  • Meet productivity and quality standards, pursue career goals, and work overtime as needed.
Qualified candidates will have six months of related experience. Medical claims experience is a plus.

Striving to offer benefits that support the ever-evolving needs of our employees; we aim to attract, retain, and empower the best people in the industry. To do that, we offer rewards packages that include more than a salary. Check out our comprehensive Staffmark benefits to include the potential for medical, dental, and vision insurance, and 401k options. We offer weekly pay with direct deposit or pay card options, referral bonus potential, and unbeatable support from your Staffmark team.

Are you ready to join this forward-facing company? Click ‘Apply Now‘. We are excited to connect with you.

After you have applied, download our Staffmark Group WorkNOW App to receive real-time job offers and apply for additional opportunities. You can download it from the App Store or get it on Google Play.

About Staffmark

Staffmark is committed to providing equal employment opportunity for all persons regardless of race, color, religion (including religious dress and grooming practices), sex, sexual orientation, gender, gender identity, gender expression, age, marital status, national origin, ancestry, citizenship status, pregnancy, medical condition, genetic information, mental and physical disability, political affiliation, union membership, status as a parent, military or veteran status or other non-merit based factors. We will provide reasonable accommodations throughout the application, interviewing and employment process. If you require a reasonable accommodation, contact your local branch. Staffmark is an E-Verify employer. This policy is applicable to all phases of the employment relationship, including hiring, transfers, promotions, training, terminations, working conditions, compensation, benefits, and other terms and conditions of employment.

All employees are directed to familiarize themselves with this policy and to act in accordance with it. All decisions with respect to employment matters and other phases of employer-temporary employee relationships will be in keeping with this policy and in accordance with all applicable laws and regulations.

  • Claims Processor II

    3 weeks ago

    Columbia, United States LanceSoft Full time

    Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members. •70% Examines and processes complex or specialty claims according to business/contract regulations, internal standards and examining guidelines. Enters...

  • Claims Processor II

    1 month ago

    Columbia, United States US Tech Solutions, Inc. Full time

    Duration: : 6+ Months (Possible temp to hire) Job Description: Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members. Examines and processes complex or specialty claims according to business/contract...

  • Claims Processor II SC

    7 days ago

    columbia, United States US Tech Solutions, Inc. Full time

    Duration: : 6+ Months (Possible temp to hire) Job Description: Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members. Examines and processes complex or specialty claims according to business/contract...

  • Claims Customer Service Advocate I

    5 months ago

    Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 12 months assignment (Contract to Perm) Shift Monday- Friday, 7:30am-4:00pm Duties: Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims...

  • Claims Customer Service Advocate I

    6 months ago

    Columbia, United States LanceSoft Full time

    Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures. 40% Responds to written and/or telephone inquiries...

  • Claims Customer Service Advocate I

    6 months ago

    Columbia, United States Spectraforce Technologies Inc Full time

    Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 12 months assignment (Contract to Perm) Shift Monday- Friday, 7:30am-4:00pm Duties: Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Reviews and adjudicates claims...

  • Claims Customer Service Advocate II

    4 months ago

    Columbia, United States LanceSoft Full time

    Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures....

  • Claims Processor II

    3 weeks ago

    West Columbia, United States Spectraforce Technologies Full time

    Title: Claims Processor II Location: Columbia, SC 29229 Duration: 5 months assignment Shift Timing: Mon-Fri 8am -4:30pm (Onsite 6 week training)Duties: Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff...

  • Claims Processor II

    2 weeks ago

    West Columbia, United States Spectraforce Technologies Full time

    Title: Claims Processor II Location: Columbia, SC 29229 Duration: 6 months assignment Shift Tming: Mon-Fri 8-4:30 Note: 6 week training Duties: Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff...

  • Program Coordinator

    2 months ago

    Columbia, United States KG Workforce Solutions LLC Full time

    Job DescriptionJob DescriptionProgram Coordinator / Claims ProcessorNormal Work Schedule: Monday - Friday (8:30 a.m. ET - 5:00 p.m. ET)Location: Columbia, SC (downtown); Onsite RequiredBenefits: State of SC comprehensive benefitsSalary Range: Level I (entry to associate level), up to $50,000 annual salary; Level II (associate-senior level), up to $60,000...

  • Claims Customer Service Advocate I

    4 weeks ago

    West Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Time: Monday-Friday 8:30am-4:00pm Duration: 6 Months Note: 30 days training PREFERRED/NICE TO HAVE skill sets/qualities: Previous Claims and Adjustments experince. Duties: Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes...

  • US Tech Solutions, Inc. | Claims Processor II SC | columbia, sc

    1 week ago

    columbia, United States US Tech Solutions, Inc. Full time

    Duration: : 6+ Months (Possible temp to hire) Job Description: Reviews and adjudicates complex or specialty claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Assists in training or mentoring new staff members. Examines and processes complex or specialty claims according to business/contract...

  • Claims Customer Service Advocate II

    3 weeks ago

    West Columbia, United States Experis Full time

    Job Title: Claims Customer Service Advocate Location: 4101 Percival Road Columbia SC 29229 United States Duration: 12 months contract Pay Rate: $16/hr (On W2)We are looking for a Claims Customer Service Advocate I to join one of our Fortune 500 clients. Education &Qualifications: High School Diploma or equivalent 2 years of customer service experience...

  • Claims Customer Service Advocate I

    3 weeks ago

    Columbia, SC, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Time: Monday-Friday 8:30am-4:00pm Duration: 6 Months Note: 30 days training PREFERRED/NICE TO HAVE skill sets/qualities: Previous Claims and Adjustments experince. Duties: Responsible for responding to routine inquiries. Identifies incorrectly processed claims and completes...

  • Claims Customer Service Advocate I

    1 month ago

    West Columbia, United States Experis Full time

    Our client, Health care industry is seeking a Claims Customer Service Advocateto join their team. Job Title: Claims Customer Service Advocate Location: Columbia , SCPay Range: $15/hr on w2Key Responsibilities: Inquiry Response (40%): Respond to written and telephone inquiries according to established desk procedures. Ensure that all responses meet...

  • Customer Service Advocate

    1 week ago

    Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate IILocation: Columbia, SC, 29229Time: Mon-Fri 8-4:30Duration: 12 Months Note: Training 6 weeks onsite.No option for Remote. Duties:Responsible for responding to customer inquiries.Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures.Performs research as needed to resolve...

  • Customer Service Advocate

    1 day ago

    Columbia, United States Spectraforce Technologies Full time

    Title: Claims Customer Service Advocate IILocation: Columbia, SC, 29229Time: Mon-Fri 8-4:30Duration: 12 Months Note: Training 6 weeks onsite.No option for Remote. Duties:Responsible for responding to customer inquiries.Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures.Performs research as needed to resolve...

  • Program Coordinator II

    1 month ago

    columbia, United States KG Workforce Solutions, LLC Full time

    Program Coordinator / Claims AnalystNormal Work Schedule: Monday - Friday (8:30 a.m. ET - 5:00 p.m. ET)Location: Columbia, SC (downtown); Onsite RequiredThere are a lot of jobs available right now. How do you know if this one might be right for you? We’ve compiled a few questions to help you make that decision!Are you looking for a career, not just a...

  • Program Coordinator II

    1 month ago

    columbia, United States KG Workforce Solutions, LLC Full time

    Program Coordinator / Claims AnalystNormal Work Schedule: Monday - Friday (8:30 a.m. ET - 5:00 p.m. ET)Location: Columbia, SC (downtown); Onsite RequiredThere are a lot of jobs available right now. How do you know if this one might be right for you? We’ve compiled a few questions to help you make that decision!Are you looking for a career, not just a...

  • Program Coordinator II

    2 months ago

    Columbia, United States KG Workforce Solutions, LLC Full time

    Program Coordinator / Claims AnalystNormal Work Schedule: Monday - Friday (8:30 a.m. ET - 5:00 p.m. ET)Location: Columbia, SC (downtown); Onsite RequiredThere are a lot of jobs available right now. How do you know if this one might be right for you? We’ve compiled a few questions to help you make that decision!Are you looking for a career, not just a...