Current jobs related to Workers' Compensation Claims Examiner - Columbia - Maxim Healthcare Services

  • Workers Compensation Attorney

    4 weeks ago

    Columbia, United States Softcom Systems Inc Full time

    Job DescriptionJob DescriptionRole: Workers Compensation Attorney\Location: Columbia, SCJob Type: Fulltime - OnsiteJob Description:We are seeking a dedicated and experienced Workers' Compensation Attorney to join our team in Mount Pleasant, SC. The ideal candidate will have a minimum of 2 years of experience handling workers' compensation cases,...

  • Workers Compensation Attorney

    3 weeks ago

    Columbia, United States Softcom Systems Inc Full time

    Job DescriptionJob DescriptionRole: Workers Compensation Attorney\Location: Columbia, SCJob Type: Fulltime - OnsiteJob Description:We are seeking a dedicated and experienced Workers' Compensation Attorney to join our team in Columbia, SC. The ideal candidate will have a minimum of 2 years of experience handling workers' compensation cases,...

  • Claims Examiner

    4 weeks ago

    Columbia, South Carolina, United States Spectraforce Technologies Full time

    Job Title: Claims Processor IILocation: Columbia, SCDuration: 11+ months assignmentShift Timing: Mon-Fri 8am -4:30pmNote: In-person interviews.Job SummaryWe are seeking a highly skilled Claims Processor II to join our team at Spectraforce Technologies. As a Claims Processor II, you will be responsible for reviewing and adjudicating complex or specialty...

  • Workers Compensation Attorney

    3 weeks ago

    Columbia, South Carolina, United States Softcom Systems Inc Full time

    Job OverviewWe are seeking a skilled and experienced Workers' Compensation Attorney to join our team at Softcom Systems Inc. in Columbia, SC. The ideal candidate will have a minimum of 2 years of experience handling workers' compensation cases, representing injured workers, or defending employers/insurers in workers' compensation claims.Key...

  • Insurance Claims Examiner

    2 weeks ago

    West Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full time

    Claims Clerk Role at BlueCross BlueShield of South CarolinaAs a Claims Clerk at BlueCross BlueShield of South Carolina, you will play a vital role in ensuring the timely processing of claims. Your responsibilities will include screening, coding, and keying claims in our claims system.Why Work with Us?We are a leading healthcare company dedicated to providing...

  • Claims Processor

    2 weeks ago

    Columbia, South Carolina, United States Kelly Services, Inc. Full time

    Claims Processing ProfessionalKelly Services, Inc. is seeking a skilled Claims Processor to join our team. As a Claims Processor, you will be responsible for manually keying claims into the Claims Payment System, examining claims for accuracy, and routing claim issues to outside departments. This is a great opportunity to work in a fast-paced environment and...

  • Associate Attorney

    6 days ago

    columbia, United States Hedrick Gardner Kincheloe & Garofalo LLP Full time

    For more than 65 years, Hedrick Gardner Kincheloe & Garofalo LLP has built a strong tradition of representing business and industry with our comprehensive litigation services. With offices in Charlotte, Raleigh, Wilmington, and Asheville, North Carolina; and Columbia, South Carolina, Hedrick Gardner is one of the largest litigation and dispute management...

  • Associate Attorney

    7 days ago

    Columbia, United States Hedrick Gardner Kincheloe & Garofalo LLP Full time

    For more than 65 years, Hedrick Gardner Kincheloe & Garofalo LLP has built a strong tradition of representing business and industry with our comprehensive litigation services. With offices in Charlotte, Raleigh, Wilmington, and Asheville, North Carolina; and Columbia, South Carolina, Hedrick Gardner is one of the largest litigation and dispute management...

  • Claims Advocate

    4 weeks ago

    Columbia, South Carolina, United States Spectraforce Technologies Inc Full time

    Job Title: Claims Customer Service Advocate ILocation: RemoteDuration: 12 months assignment (Contract to Perm)Shift: Monday- Friday, 7:30am-4:00pmAbout the Role:We are seeking a highly skilled Claims Customer Service Advocate I to join our team at Spectraforce Technologies Inc. As a Claims Customer Service Advocate I, you will be responsible for responding...

  • Claims Processor II

    4 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 Advocate

    2 weeks ago

    Columbia, South Carolina, United States Spectraforce Technologies Inc Full time

    Job Title: Claims Customer Service Advocate ISpectraforce Technologies Inc is seeking a highly skilled Claims Customer Service Advocate I to join our team. As a Claims Customer Service Advocate I, you will be responsible for providing exceptional customer service and resolving claims in a timely and efficient manner.Key Responsibilities:Respond to Inquiries:...

  • Workers Compensation Attorney

    1 week ago

    columbia, United States Find Great People | FGP Full time

    A regional firm is seeking an Associate Attorney to join its workers' compensation defense practice in Columbia, SC. Experience within this practice area is required.Responsibilities:Support senior attorneysProfessionally represent clientsProvide legal support and guidanceManage case files, evidence, and documentsHandle the discovery processManage...

  • Workers Compensation Attorney

    3 weeks ago

    Columbia, United States Find Great People | FGP Full time

    A regional firm is seeking an Associate Attorney to join its workers' compensation defense practice in Columbia, SC. Experience within this practice area is required.Responsibilities:Support senior attorneysProfessionally represent clientsProvide legal support and guidanceManage case files, evidence, and documentsHandle the discovery processManage...

  • Workers Compensation Attorney

    4 weeks ago

    columbia, United States Find Great People | FGP Full time

    A regional firm is seeking an Associate Attorney to join its workers' compensation defense practice in Columbia, SC. Experience within this practice area is required.Responsibilities:Support senior attorneysProfessionally represent clientsProvide legal support and guidanceManage case files, evidence, and documentsHandle the discovery processManage...

  • Workers Compensation Attorney

    4 weeks ago

    Columbia, United States Find Great People | FGP Full time

    A regional firm is seeking an Associate Attorney to join its workers' compensation defense practice in Columbia, SC. Experience within this practice area is required.Responsibilities:Support senior attorneysProfessionally represent clientsProvide legal support and guidanceManage case files, evidence, and documentsHandle the discovery processManage...

  • Workers Compensation Attorney

    4 weeks ago

    Columbia, United States Find Great People | FGP Full time

    A regional firm is seeking an Associate Attorney to join its workers' compensation defense practice in Columbia, SC. Experience within this practice area is required.Responsibilities:Support senior attorneysProfessionally represent clientsProvide legal support and guidanceManage case files, evidence, and documentsHandle the discovery processManage...

  • Claims Processor

    2 weeks ago

    Columbia, South Carolina, United States Manpower Group Inc. Full time

    Claims Adjudicator Job SummaryWe are seeking a detail-oriented and experienced Claims Adjudicator to review and process complex or specialty claims, ensuring compliance with organizational policies and procedures.Key Responsibilities:Examine and adjudicate complex claims according to business and contract regulations, internal standards, and...

  • Claims Processor II

    4 weeks ago

    Columbia, South Carolina, United States Spectraforce Technologies Full time

    Job Title: Claims Processor IIWe are seeking a highly skilled Claims Processor II to join our team at Spectraforce Technologies. As a Claims Processor II, you will be responsible for reviewing and adjudicating complex or specialty claims, determining whether to return, deny or pay claims following organizational policies and procedures.Key...

  • Claims Processing Specialist

    2 weeks ago

    Columbia, South Carolina, United States Kelly Full time

    Job SummaryWe are seeking a skilled Claims Processing Professional to join our team at a premier client in Columbia, SC. As a Claims Processing Professional, you will be responsible for reviewing and adjudicating complex or specialty claims according to organizational policies and procedures.Key ResponsibilitiesReview and adjudicate complex or specialty...

  • Claims Customer Service Advocate I

    4 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...

Workers' Compensation Claims Examiner

2 months ago

Columbia, United States Maxim Healthcare Services Full time

The Workers’ Compensation (WC) Claims Examiner I participates in every aspect of the WC claim process. Working independently and in coordination with other WC team members, the WC Examiner I will consult with the WC Manager regarding reserve adjustments, a plan of action, and the appropriate settlement value of assigned claim files. The WC Claims Examiner I also works with the In-take Coordinators, other Claim Examiners in the department, the third party administrator, the WC Manager and fellow Maxim co-workers in the execution of company business. Essential Duties and Responsibilities: Brings pending and new WC claims including those that are litigated, to resolution. Participates in calls with local offices, third-party administrators (TPAs), medical providers, attorneys, and other Maxim team members, in order to agree upon, communicate, and execute claim handling plans. Monitors TPA files. Ensures legal deadlines are met. Maintains WC Department Legal Calendar. Participates in depositions, mediations, and calls regarding assigned claim files. Reviews and comments on the financial aspects of assigned claim files. Educates branch offices about workers compensation. Provide excellent customer service to all employees. Helps identify patterns developing from injuries and resulting in WC claims. Helps to track claims and run reports for management. Makes recommendations for improving the WC claim process reducing overall claim counts. Performs other duties as assigned Minimum Requirements: Bachelors degree in business, human resources, or related field preferred. At least 3 years of Workers’ Compensation experience. Legal experience strongly preferred. Good organizational skills and attention to detail. Ability to work in a fast-paced environment. Be able to work independently and as part of a team. Ability to communicate effectively and provide excellent customer service with individuals both inside and outside of the organization. Computer proficiency, including Microsoft Office applications, required. Wage/Salary Information: $17.00 - $23.00 per hour, with a $1,000 - $7,000 annual bonus potential #IND123 About Maxim Healthcare Services Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. Maxim Healthcare Services is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.