Claims Processing Clerk, Sr. jobs in Rock Hill, SC

Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Processing specialist
  • OceanaGold
  • Kershaw, SC FULL_TIME
  • Job Description

    Principal Position Objective

    Undertake planning for planned maintenance activities and develop engineering details, scope of work, quality, and safety plans for field execution of maintenance work.

    Track and report on maintenance performance indicators.

    Key Tasks and Responsibilities

    Operational :

    • Undertake planning for planned maintenance activities and maintenance projects in accordance with planning procedures.
    • Develop work requests into a meaningful backlog with cost estimates, duration, critical parts & permit / HSE requirements defined.
    • Develop procedures for regular maintenance related tasks that define job planning, training, permit and safety requirements.

    Collate this information into standard work packages for regular maintenance activities.

    • Report weekly and monthly on maintenance performance indicators and present these to the Maintenance Superintendent with initiatives for continuous improvement.
    • Develop the plan to provide supervision and management of internal & external resources outside of normal business hours when required for shutdowns and other major works.
    • Developing and maintaining a safe working environment through compliance with the company’s Health & Safety Program
    • Complying with the Maintenance Planner / Scheduler’s roles and responsibilities defined in the planning and scheduling, planned, and break-in work processes.
    • Backlog management, including weekly and monthly backlog reviews, purging aged work orders as required
    • Maintains backlog to effectively manage maintenance work
    • Scoping jobs as necessary to include : All necessary job steps, required tooling, drawings and diagrams, parts, manpower, and safety elements to be addressed
    • Determining the required parts on each work order in the backlog; verifying parts are available and ordering parts as necessary
    • Coordinating with procurement to generate material purchase orders and agreed delivery dates
    • Determining the need for special support equipment and orders / schedules as necessary
    • Chair and lead the weekly planning and scheduling meetings
    • Determining the work order planned start date
    • Controlling work orders to the 'Approved' and Ready to Schedule’ status
    • Assisting in the development and maintenance of cost forecasting and budgets
    • Utilizing Condition Based Monitoring Reliability data
    • Implementing Demonstrated Best Planning Practices
    • CMMS Power User (SAP, Pronto or similar)
    • Planning and coordinating equipment commissions / decommissions
    • Review completed PMs and update agreed changes to parts list and tasks
    • Review and utilize technician feed back to develop new, and maintain current standard job plans

    Safety :

    • Ensures that all tasks comply with Company health and safety requirements and policies and procedures and strengthens the culture of safety in the workplace.
    • Demonstrate safety awareness.
    • Participate in safety meetings and site safety programs.

    Other

    Carries out all other duties that may reasonably be required.

    Qualifications

    Qualifications : High School Diploma

    High School Diploma

    Driver License

    Experience :

    At least 5 years’ production (heavy industrial plant) maintenance experience, including maintenance planning and scheduling.

    Previous planning experience in a continuous production / process plant environment.

    Has significant experience of fixed equipment, crushing, grinding, milling plant, rotating equipment and pressure vessels.

    Previous experience as a scheduler is a significant asset

    Supervisory / lead experience is preferred

    Additional Information

    Physical Requirements :

    • While performing the duties of this job, the employee is regularly required to stand, sit, demonstrate manual dexterity, climb stairs, talk, hear and see.
    • Occasionally may be required to lift moderately heavy objects (up to 25 pounds) during the course of the workday.
    • Work is in a surface mine plant setting, which may include exposure to extremes in temperature and humidity.
    • Personal protective equipment is required when performing work in a mine environment, including hard hat, hearing protection, safety glasses, safety footwear, and as needed, respirator, rubber steel-toe boots, protective clothing, gloves and any other protective equipment as required.
    • Haile Gold Mine, Inc. promotes a drug / alcohol free work environment through the use of mandatory pre-employment drug testing and on-going random drug testing.

    OGC VALUES : CARE RESPECT INTEGRITY PERFORMANCE TEAMWORK

    OceanaGold is committed to providing equal employment opportunities.

    If you share the same values and have what we are looking for, please apply online now via our careers website :

    https : / / careers.oceanagold.com / jobs

    Shortlisting will commence immediately. Applicants must be eligible to work in the USA.

    NO APPLICATIONS FROM EMPLOYMENT AGENCIES WILL BE ACCEPTED

    Last updated : 2024-03-27

  • 26 Days Ago

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Remote Claims Manager
  • First American Financial Corporation
  • Fort Mill, SC OTHER
  • Who We Are ServiceMac is a new sub-servicing entity backed by some of the leading practitioners of the mortgage servicing industry. ServiceMac is focused on providing superior technology, products, an...
  • 30 Days Ago

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Auto Liability Claims Manager
  • Sunbelt Rentals
  • Fort Mill, SC FULL_TIME
  • Join Our Team!Sunbelt Rentals strives to be the customer's first choice in the equipment rental industry. From pumps to scaffolding to general construction tools, we aim to be the only call needed to ...
  • 1 Month Ago

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Specialist- Processing (Mechanical Planner)
  • OceanaGold
  • Kershaw, SC FULL_TIME
  • Company DescriptionOceanaGold is a multinational gold producer committed to the highest standards of technical, environmental and social performance. For more than 31 years, we have been contributing ...
  • 27 Days Ago

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Freight Processing Lead
  • Big Lots
  • Rock Hill, SC FULL_TIME
  • Description When you join our team, you’ll enjoy extra savings with a 20% discount on almost everything in store – even food! And a 30% discount on Indoor and Outdoor furniture. Additional benefits in...
  • 1 Month Ago

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Sr. Auditor
  • Robert Half
  • Fort Mill, SC OTHER
  • Our reputable client is seeking a Senior Auditor to join the company for an interim opportunity.Join our project team on a contract basis, where you will be responsible for the efficient completion of...
  • 21 Days Ago

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0 Claims Processing Clerk, Sr. jobs found in Rock Hill, SC area

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Licensed Insurance Producer
  • AAA-The Auto Club Group
  • York, SC
  • About the job Salary: $40-60k (base plus commission) Hybrid opportunity PTO, paid training, holidays Leads provided Heal...
  • 4/25/2024 12:00:00 AM

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Remote - Insurance Broker
  • Thompson Agency
  • Rock Hill, SC
  • MUST HAVE: Ready to start IMMEDIATELY WINNERS Mindset Self-Motivated HUNGRY TO WIN Goal Oriented Believer in Self-Discip...
  • 4/25/2024 12:00:00 AM

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Life Insurance Agent -Remote (Commission-Based)
  • Lumina Financial Solutions
  • Rock Hill, SC
  • Join Our Winning Team - Sales Agent Position with Lumina Financial Solutions. Are you looking for a rewarding career in ...
  • 4/25/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Fort Mill, South Carolina
  • MileHigh Adjusters Houston Inc
  • Fort Mill, SC
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 4/24/2024 12:00:00 AM

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Underwriter Trainee
  • Berkley
  • Charlotte, NC
  • Company Details: Berkley Southeast Insurance Group (BSIG) co just celebrated our 10 year anniversary and is a member com...
  • 4/24/2024 12:00:00 AM

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Lost Time Claims Adjuster I - Workers Compensation - Remote
  • PMA Companies
  • Charlotte, NC
  • Job Description: As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently ...
  • 4/24/2024 12:00:00 AM

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Insurance Agent
  • Carlo Onessi State Farm
  • Rock Hill, SC
  • Job Description Job Description We are seeking an Insurance Agent to join our team! You will be responsible for expandin...
  • 4/23/2024 12:00:00 AM

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Remote Insurance Claims Collector
  • BCA Financial Services, Inc.
  • Charlotte, NC
  • REMOTE POSITION - Actively Hiring Life is Short. Do Work that Matters. BCA Financial Services, Inc. is seeking detail-or...
  • 4/22/2024 12:00:00 AM

Rock Hill is the largest city in York County, South Carolina, United States and the fifth-largest city in the state. It is also the fourth-largest city of the Charlotte metropolitan area, behind Charlotte, Concord, and Gastonia (all located in North Carolina, unlike Rock Hill). As of the 2010 Census, the population was 66,154. In 2016, the population had increased to 72,937. The total population of Rock Hill inside the city limits and outside the city limits as of 2017 was estimated at 117,375 people. The city is located approximately 25 miles (40 km) south of Charlotte and approximately 70 mi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$46,493 to $57,345
Rock Hill, South Carolina area prices
were up 1.5% from a year ago

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Claims Processing Clerk, Sr. in Chattanooga, TN
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Claims Processing Clerk, Sr. in Asheville, NC
When you’re in the beginning stages of writing your insurance claims processing clerk job description, you’ll need to review common qualifications for this job.
January 12, 2020