**Repost Please do not reapply** INSURANCE ANALYST

Repost Please do not reapply INSURANCE ANALYST

Salary

Depends on Qualifications

Location

Richland County, SC

Job Type

FTE - Full-Time

Job Number

139868

Agency

Workers Compensation Commission

Division

Insurance & Medical Services Dept.

Opening Date

09/16/2026

Closing Date

11/8/2026 11:59 PM Eastern

Agency Specific Application Procedures:

Must apply online at www.careers.sc.gov. Please answer the supplemental questions.

Residency Requirement

Yes

Class Code:

AP01

Position Number:

60025143

Normal Work Schedule:

Monday - Friday (8:30 - 5:00)

Pay Grade

GEN06

Hiring Range - Min.

$37,944.00

Hiring Range - Max.

$40,000.00

EEO Statement

Equal Opportunity Employer

Veteran Preference Statement

South Carolina is making our Veterans a priority for employment in state agencies and institutions.

• Description
• Benefits
• Questions

Job Responsibilities

Join the South Carolina state government, where you can have a meaningful career, incomparable benefits, and a positive work-life balance! The Workers Compensation Commissions mission is to provide an equitable and timely system of benefits to injured workers and employers in the most responsive, accurate, and reliable manner possible.

The WCC is looking for an eager person to fill an entry-level position. You will learn and gain experience in SC state government and workers compensation. The South Carolina Workers' Compensation Commission seeks a motivated, dedicated, and detail-oriented Insurance Analyst. This role involves analyzing and researching incoming claims to verify insurance coverage, creating files, assessing fines, and responding to stakeholder inquiries.

• Researching, verifying, and providing workers compensation coverage information for claims filed without insurance coverage ("no report" files).
• Assigning "no report" files to compliance officers for investigation. Create and establish claim files for claims of insurance coverage.
• Verify coverage for additional parties added by Motions, Orders, and Amended Forms 50/52, etc.
• Generate Commission fines and answer incoming calls. Research and respond to inquiries from the public, staff, claimants, attorneys, healthcare providers, employee coverage issues, fines, and claim file status.
• Monitor electronic insurance reporting submissions and troubleshoot issues by responding to stakeholder inquiries regarding duplicate claims and rejected submissions. Collaborate with IT to resolve more technical program issues.
• Assists medical services policy analyst in the following areas: medical bill review; maintaining compliance with the MSD Bill Review software vendor; and ensuring accuracy in bill review for hospital and ambulatory payment manual for the purposes of formal bill disputes and TPA bill reviewer audits.

Minimum and Additional Requirements

• A high school diploma and work experience that is directly related to processing workers compensation insurance claims. Experience with medical billing and/or coding. A bachelor's degree may be substituted for the related work experience.
• Strong analytical skills.
• Proven ability to work in a high-volume environment with attention to detail.
• Familiarity with workers' compensation laws, regulations, policies, procedures, and organizational functions.
• Knowledge of applicable terminology and research practices.
• Ability to deal courteously and effectively with the public.
• Ability to communicate effectively.
• Strong organizational and time management skills.
• Proficient in Microsoft Office.

Preferred Qualifications

Certification or related experience regarding medical billing and/or coding. Experience with CMS' policies and prospective payment system. A bachelors degree may be substituted for related work experience.

Additional Comments

The Workers' Compensation Commission is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.

The Workers' Compensation Commission offers an exceptional benefits package for FTE positions that includes:

• Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children
• 15 days annual (vacation) leave per year
• 15 days sick leave per year
• 13 paid holidays
• State Retirement Plan and Deferred Compensation Programs

Benefits for State Employees

The state of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.

Insurance Benefits

Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.

Retirement Benefits

State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.

Workplace Benefits

State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.

Note: The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.

01

Do you have a 2-year or 4-year college degree from an accredited college or university? Answer Yes or No and give details.

• Yes
• No

02

Do you have prior insurance work experience? Answer Yes or No. If yes, give details.

03

Do you have any knowledge of SC Workers Compensation Forms? If yes, give details.

04

Have you attached a resume and a cover letter to your application?

• Yes
• No

05

What State systems have you worked with? Please list.

Required Question

Employer State of South Carolina

Agency Workers Compensation Commission Address 1333 Main Street

Suite 500

Columbia, South Carolina, 29201

Phone 803-737-5700

The language used in this document does not create an employment contract between the employee and the agency. This document does not create any contractual rights or entitlements. The agency reserves the right to revise the content of this document, in whole or in part. No promises or assurances, whether written or oral, which are contrary to or inconsistent with the terms of this paragraph create any contract of employment.