Claims Manager jobs in Sumter, SC

Claims Manager manages the operations of an insurance claims department to meet operational, financial, and service requirements. Oversees the intake and processing of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Being a Claims Manager manages appraisal and examination staff and processes. Assures timely and proper disposition of claims based on policy provisions. Additionally, Claims Manager recommends and implements best practices to ensure complete and thorough claim settlements, legal reviews, and investigations following company policies and insurance industry regulations. Determines the value of settlements for escalated claims. Manages negotiations of settlements and administration of claims in litigation. Typically requires a bachelor's degree. Typically reports to a director. The Claims Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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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.

  • 13 Days Ago

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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...
  • 22 Days Ago

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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...
  • 4 Days Ago

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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...
  • 4 Days Ago

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Manager
  • RL Jordan
  • Eutawville, SC FULL_TIME
  • Position Summary The Manager performs and directs overall restaurant management. Directs staff to ensure that food safety, product preparation, and cleanliness standards are maintained. Maintains stan...
  • 13 Days Ago

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Manager
  • Subway | RL Jordan
  • Eutawville, SC FULL_TIME
  • Position Summary The Manager performs and directs overall restaurant management. Directs staff to ensure that food safety, product preparation, and cleanliness standards are maintained. Maintains stan...
  • 15 Days Ago

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0 Claims Manager jobs found in Sumter, SC area

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AVP, Subrogation Complex Claim
  • Travelers Insurance Company
  • Columbia, SC
  • Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this...
  • 4/19/2024 12:00:00 AM

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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 ...
  • 4/19/2024 12:00:00 AM

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Sr. Actuary, Life and AD&D Pricing
  • Lincoln Financial Group
  • Columbia, SC
  • Alternate Locations: Work from Home; Atlanta, GA (Georgia); Boston, MA (Massachusetts); Charlotte, NC (North Carolina); ...
  • 4/19/2024 12:00:00 AM

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Underwriter
  • Highmark Health
  • Columbia, SC
  • Company : Highmark Inc. Job Description : JOB SUMMARY Bachelor's Degree in Mathematics, Actuarial Science, Finance, Busi...
  • 4/19/2024 12:00:00 AM

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Interdisciplinary
  • Department of Defense
  • Columbia, SC
  • Summary About the Position: This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for USACE Charleston Re...
  • 4/18/2024 12:00:00 AM

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Remote Regulatory Compliance Analyst (Insurance Industry)
  • National General Insurance
  • Columbia, SC
  • Job Description Position/Title: Remote Regulatory Compliance Analyst (Insurance Industry) ** NOTES: Ideal candidate will...
  • 4/17/2024 12:00:00 AM

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Claims Adjuster Trainee
  • Progressive Corp.
  • Columbia, SC
  • Claims Adjuster Trainee **Job Number** : 184682 Join one of FORTUNEs 100 Best Companies to Work For! As a **claims adjus...
  • 4/17/2024 12:00:00 AM

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Field Technician - DR
  • Franklin Energy
  • Sumter, SC
  • COMPANY Summary As a combined organization, Franklin Energy and AM Conservation Group is undertaking what is perhaps the...
  • 4/15/2024 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 Manager jobs
$108,069 to $144,810
Sumter, South Carolina area prices
were up 1.5% from a year ago

Claims Manager in Richmond, VA
All matters relating to the Services and these Terms of Use and any dispute or claim arising therefrom or related thereto (in each case, including non-contractual disputes or claims), shall be governed by and construed in accordance with the internal laws of the State of California without giving effect to any choice or conflict of law provision or rule (whether of the State of California or any other jurisdiction).
February 07, 2020
Claims Manager in Raleigh, NC
The Start Date and End Date refer to the Procedure Date of qualifying charges needing claims created.
January 26, 2020
Claims Manager in Rochester, NY
In this sense, claims managers and administrators assume the role of insurance investigators for the vast majority of incidents reported at some of the largest companies in the country.
January 18, 2020