Workers' Compensation Claims Examiner
3 weeks ago
Amergis, formerly known asMaxim Healthcare Staffing, has served our clients and communities by connectingpeople to the work that matters since 1988. We provide meaningful opportunitiesto our extensive network of healthcare and school-based professionals, ready towork in any hospital, government facility, or school. Through partnership andinnovation, Amergis creates unmatched staffing experiences to deliver the bestworkforce solutions. The Claims Examiner of Workers’ Comp understands and participates in every aspect of the WC claim process. Working in a team approach, the Claims Examiner – WC will make decisions concerning reserve adjustments, develop a plan of action, and determine the appropriate settlement value. The Claims Examiner of Workers’ Comp also works with the In-take Coordinators, Claims Examiners, WC Manager and fellow Amergis co-workers at every level of the business. Essential Duties and Responsibilities: Manages and resolves workers compensation files Participates in and leads conference calls with local offices, third-party administrators (TPAs), medical providers, attorneys, and other Amergis team members Monitors TPA’s file resolution plans Ensures legal deadlines are met Represents Amergis in depositions, mediation, and conference calls regarding assigned claim files Provides, reviews and comments on the financial aspects of assigned claims files Educates branch offices about all aspects of Workers’ Compensation Provides excellent customer service to injured employees Prepares WC claim reports for review by department management team Reviews, identifies and provides recommendations for maintaining control and/or reducing the claims experience (loss history) of the company Assists Manager in achieving overall department goals Performs other duties as assigned/necessary Minimum Requirements: College degree preferred; or equivalent work experience Five to Seven years of Workers’ Compensation experience preferred Some legal experience strongly preferred Good organizational skills and attention to detail Ability to work independently and cooperatively in a team environment Ability to communicate effectively and provide excellent customer service with individuals at all levels of the organization Computer proficiency, including Microsoft Office applications, required Prior experience performing internet research Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language is required Flexible work hours such that over time can be worked if needed At Amergis Healthcare Staffing, wefirmly believe that our employees are the heartbeat of our organization and weare happy to offer the following benefits: Medical/Prescription,Dental, Vision, Health Advocacy (company paid if enrolled Medical), HealthAdvocate Employee Assistance Program, Health Savings Account , 401(k), 401(k)Company Match, Profit Sharing, Short Term Disability, Long Term Disability,Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death andDismemberment Insurance, Voluntary Life and Accidental Death and DismembermentInsurance, Hospital Expense Protection Plan, Critical Illness Insurance,Accident Insurance, Dependent Care Flexible Spending Account, Home and AutoInsurance, Pet Insurance, MilkStork, Transportation Benefit, EducationalAssistance Program, College Partnership Program, Paid Time Off/Company Holidays *Benefit eligibility is dependent onemployment status. AmergisHealthcare Staffing is an equal opportunity/affirmative action employer. Allqualified applicants will receive consideration for employment without regardto sex, gender identity, sexual orientation, race, color, religion, nationalorigin, disability, protected Veteran status, age, or any other characteristicprotected by law. This posting willremain active on job boards for 5 days from date of posting unless there is agood faith basis to extend the posting date. Please note thatthis pay range represents a good faith estimate of the compensation that willbe offered for this position based on the circumstances. The actual pay offeredto a successful candidate will take into account a wide range of factors,including but not limited to location, experience, and other variable factors. "Pursuant tothe San Francisco Fair Chance Initiative, Amergis will consider for employmentqualified applicants with arrest and conviction records"
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Workers' Compensation Claims Examiner
3 weeks ago
Columbia, United States Maxim Healthcare Services Full timeThe 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...
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Workers' Compensation Coordinator
3 weeks ago
Columbia, United States Amergis Full timeAmergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation,...
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Commercial Claims Specialist
5 days ago
Columbia, South Carolina, United States TheBest Claims Solutions Full timeAbout TheBest Claims SolutionsTheBest Claims Solutions is a leading provider of insurance jobs for Claims Adjusters specializing in Workers' Compensation, Property, Auto, Commercial Lines, Personal Lines, and Catastrophe.We have been placing insurance professionals in direct hire, temporary, and temp-to-hire opportunities with insurance carriers,...
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Claims Adjuster
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Columbia, South Carolina, United States TheBest Claims Solutions Full timeAbout TheBest Claims SolutionsTheBest Claims Solutions is a leading provider of insurance jobs for Claims Adjusters specializing in Workers' Compensation, Property, Auto, Commercial Lines, Personal Lines, and Catastrophe.We have been placing insurance professionals in direct hire, temporary, and temp-to-hire opportunities with insurance carriers,...
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Claims Examiner
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Columbia, Missouri, United States Shelter Mutual Insurance Company Full timeJob SummaryWe are seeking a skilled Claims Adjuster to join our team at Shelter Mutual Insurance Company. As a Claims Adjuster, you will be responsible for investigating, analyzing, and evaluating insurance claims involving liability issues and bodily injury losses.Key ResponsibilitiesInvestigate and analyze claims to determine validity and coverageEvaluate...
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Sr. Manager of Claims Handling
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Columbia, United States Missouri Employers Mutual Insurance Full timeMonday, August 19, 2024 Are you driven to keep people safe? That’s what we do every day at Missouri Employers Mutual. We’ve created a casual, values-driven work culture that’s making a positive impact on the way people live and work. This is a place where you can grow with confidence — because that’s what safety and success really mean to...
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Claims Customer Service Advocate I
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Columbia, United States Spectraforce Technologies Full timeTitle: 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...
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Claims Customer Service Advocate I
3 months ago
Columbia, United States LanceSoft Full timeResponsible 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...
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Claims Customer Service Advocate
1 month ago
Columbia, United States Mindlance Full timeJob Title: Claims Customer Service Advocate Industry: Insurance Job Location: Columbia, SC Top 3/5 Skills: · Customer Service · Inbound/outbound call · Data Entry · Claims processing Job Responsibilities Responsible for responding to customer inquiries. Inquiries may be non-routine and...
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Claims Customer Service Advocate
3 weeks ago
Columbia, United States Mindlance Full timeJob Title: Claims Customer Service Advocate Industry: Insurance Job Location: Columbia, SC Top 3/5 Skills: · Customer Service · Inbound/outbound call · Data Entry · Claims processing Job Responsibilities Responsible for responding to customer inquiries. Inquiries may be non-routine and require...
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Workers' Compensation Associate Attorney
2 weeks ago
Columbia, United States McAngus Goudelock & Courie Full timeMGC offers flexible work arrangements, generous signing bonuses and competitive compensation packages for candidates motivated to succeed. We are not your typical law firm. MGC, a highly-respected, technology-driven law firm with 22 offices across the US and growing, and repeatedly named by Best Places to Work in SC and Great Employers to Work for in NC, is...
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Claims Customer Service Advocate II
4 weeks ago
Columbia, United States LanceSoft Full timeResponsible 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....
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Claims Quality Auditor
3 months ago
Columbia, United States HealthCare Resolution Services Full timeJob DescriptionJob DescriptionDescription of services:Audit a portion, as mutually agreed between the parties, of the combined financially stratified/attribute claim sample of medical and dental claims processed by medical care administrators. During the identified audit period (i.e., audits performed in 2024 will review claims processed through January 1,...
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Claims Support Specialist II
1 week ago
Columbia, South Carolina, United States BlueCross BlueShield of South Carolina Full timeJob OverviewWhy consider a career with BlueCross BlueShield of South Carolina? With over seventy years of service, we have established ourselves as a cornerstone in the South Carolina community. Our A.M. Best rating of A+ (Superior) underscores our commitment to excellence, making us the premier health insurance provider in the state. We are also recognized...
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Claims Customer Service Advocate
1 month ago
West Columbia, United States Mindlance Full timeJob Title: Claims Customer Service Advocate Industry: Insurance Job Location: Columbia, SC Top 3/5 Skills: · Customer Service · Inbound/outbound call · Data Entry · Claims processing Job Responsibilities Responsible for responding to customer inquiries. Inquiries may be non-routine and require deviation from standard screens,...
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Claims Customer Service Advocate I
3 weeks ago
West Columbia, United States Spectraforce Technologies Full timeTitle: Claims Customer Service Advocate I Location: Columbia, SC, 29229 Duration: 5 months assignment (Contract to hire) Shift: Monday- Friday, 8:30am to 4 pm NOTE: Preferred Skills: Claims experience; time-management skills; ability to work independently; research skills; communication skills; dependability. Duties: Responsible for responding to...
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Claims Customer Service Advocate II
3 weeks ago
West Columbia, United States Spectraforce Technologies Full timeTitle: Claims Customer Service Advocate II Location : Columbia, SC, 29229 Duration: 7 months assignment Shift : Mon-Fri 8am -4:30pm Note: In person interviews. Training 6 weeks onsite. Medical background, office experience, customer service, previous call center experience Candidate would handle provider service calls, responding and answering any...
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Claims Customer Service Advocate II
3 weeks ago
West Columbia, United States Spectraforce Technologies Full timeTitle: Claims Customer Service Advocate II Location: Columbia, SC, 29229 Duration: 7 months assignment Shift : Mon-Fri 8am -4:30pmNote: In person interviews. Training 6 weeks onsite. Medical background, office experience, customer service, previous call center experience Candidate would handle provider service calls, responding and answering any...
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Claims Resolution Specialist
2 weeks ago
Columbia, Missouri, United States Companalyst Full timeInsurance Claims Associate at CompanalystPosition OverviewAs an Insurance Claims Associate, you will embark on a journey to assist clients in navigating the complexities of insurance claims. This role is primarily conducted through virtual interactions, allowing you to build rapport with customers over the phone.Key ResponsibilitiesAssess coverage and...
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Claims Support Specialist I
2 weeks ago
West Columbia, South Carolina, United States Spectraforce Technologies Full timePosition: Claims Support Specialist ILocation: RemoteContract Duration: 5 months (Potential for permanent placement)Work Schedule: Monday to Friday, 8:30 AM - 4:00 PMNote:Preferred Qualifications: Experience in claims processing; effective time management; capability to work autonomously; strong research abilities; excellent communication skills;...
