Claims Clerk jobs in Sumter, SC

Claims Clerk reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (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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Inventory Clerk
  • Coca-Cola Bottling Co. Consolidated
  • Bishopville, SC FULL_TIME
  • Requisition ID:175766 Posting Locations: Bishopville Pay Range:$16- $17.23, depending on experience Rate Frequency:Hourly Our Secret Ingredient is our Teammates. We offer great rewards, competitive pa...
  • 13 Days Ago

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Store Clerk
  • Corner Pantry Store 148
  • Manning, SC FULL_TIME
  • As a store clerk, you are the face of Corner Pantry and a valuable part of the team. In this role, you will be responsible for focusing 100% on our guests, and providing them with the best possible ex...
  • 3 Days Ago

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0 Claims Clerk jobs found in Sumter, SC area

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Senior Account Manager (Remote & Hybrid Option in NC, SC, and GA)
  • Insurance Office of America
  • Columbia, SC
  • Description Position at Insurance Office of America ***This is a REMOTE opportunity for candidates within a 2-3 hour dri...
  • 4/19/2024 12:00:00 AM

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Commercial Account Manager - Hybrid/ Remote work Model
  • Insurance Office of America
  • Columbia, SC
  • Description Position at Insurance Office of America *** This is a Hybrid/ Remote opportunity based out of our Columbia, ...
  • 4/19/2024 12:00:00 AM

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Commercial Account Executive Hybrid / Remote
  • Insurance Office of America
  • Columbia, SC
  • Description Position at Insurance Office of America *** This is a Hybrid / Remote opportunity based out of our Columbia,...
  • 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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Resident Project Representative (SC)
  • Weston & Sampson
  • Columbia, SC
  • Weston & Sampson is seeking a Resident Project Representative for oversight and inspection of utility and infrastructure...
  • 4/19/2024 12:00:00 AM

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AAA - Insurance Agency Owner
  • AAA - Auto Club Group
  • Blythewood, SC
  • Job Description Job Description Join us in doing what’s right for our members. AAA is continuing expansion efforts by in...
  • 4/17/2024 12:00:00 AM

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Physician (Pulmonary)
  • Department of Veterans Affairs
  • Columbia, SC
  • Summary OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military ...
  • 4/17/2024 12:00:00 AM

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Physician - Psychiatrist - Inpatient Services Manager
  • Veterans Health Administration
  • Columbia, SC
  • Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement ...
  • 4/16/2024 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 Clerk jobs
$32,742 to $41,426
Sumter, South Carolina area prices
were up 1.5% from a year ago