119 Results for

Claims Manager Jobs in Columbia, SC

Jobs

New!

Columbia, SC1 day ago

$12.50–$15 Per Hour

Required Work Experience: 2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree in lieu of work experience. •45% Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries.

New!

Columbia, SC3 days ago

$100,000–$150,000 Per Year

Interested candidates must have 3+ years of workers' compensation defense experience and a proven track record of handling cases before the South Carolina Workers' Compensation Commission. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.

New!

Lugoff, SC1 day ago

Full-time
Employee

Parts managers accomplish their objectives through the use of proper purchasing procedures, inventory control, staff utilization, security, pricing, merchandising, display and advertising. Establish competitive pricing specifications in various categories while generating sufficient profits and maintaining high customer satisfaction.

New!

Columbia, SC6 days ago

$31–$31 Per Hour
Temporary
Contractor
Full-time

Provides telephonic support for members with chronic conditions, high risk pregnancy or other at risk conditions that consist of: intensive assessment/evaluation of condition, at risk education based on members’ identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness.

New!

Columbia, SC3 days ago

$19–$19 Per Hour
Temporary
Contractor
Full-time

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. Job Description:Provides prompt, accurate, thorough and courteous responses to all complex customer inquiries.

Columbia, SC30+ days ago

$121,000–$143,000 Per Year

Through its design-once, build-many approach and coalition building across communities, regulators, and financial stakeholders, The Nuclear Company is committed to delivering safe and reliable electricity at the lowest cost, while catalyzing the nuclear industry toward rapid development in America and globally. The actual salary offered may vary based on relevant factors as determined in the Company's discretion, which may include experience, qualifications, tenure, skill set, availability of qualified candidates, geographic location, certifications held, and other criteria deemed pertinent to the particular role.

Columbia, SC30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Columbia, SC30+ days ago

Full-time

Required Education: High School Diploma or equivalent Required Work Experience: 1 year of experience in a claims/appeals processing, customer service, or other related support area OR Bachelor's Degree in lieu of work experience. Identifies incorrectly processed claims and processes adjustments and reprocessing actions according to department guidelines.

Columbia, SC30+ days ago

We excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.

New!

Irmo, South Carolina6 days ago

Utilize critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling losses, as well as plan and organize activities throughout the claim’s management process. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

New!

Columbia, SC6 days ago

Remote

$70,000–$95,000 Per Year
Full-time

About the Role: Responsible for IOA insurance Claims Management activities including: client advocacy, service and communication, problem claim resolution, data analysis and action, monitoring triggered activities, claims reviews and audits, workers compensation claim oversight, reserve analysis, unit stat and stewardship reporting, client education and consulting, sales support, litigation process management, new client onboarding, intake process support, data management and entry, and Producer communication. Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity.

Columbia, SC30+ days ago

Full-time

How We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.

Leesville, SC30+ days ago

Full-time

Chapin, SC30+ days ago

Full-time

Blythewood, SC30+ days ago

Full-time

Elgin, SC30+ days ago

Full-time

Lugoff, SC30+ days ago

Full-time

Camden, SC30+ days ago

Full-time

Lexington, SC30+ days ago

Full-time

Gaston, SC30+ days ago

Full-time

Irmo, SC30+ days ago

Full-time

Columbia, SC30+ days ago

$87,700–$125,300 Per Year

This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow, reduce aging accounts, and ensure compliance with payer and regulatory requirements. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

New!

Columbia, SC5 days ago

Full-time

Maintain effective communication with project team members and stakeholders to provide project updates, address concerns and foster strong working relationships. Role & Responsibilities:Working with General Superintendents, Superintendents and Foremen you will build a team atmosphere to allow all supervisors, foreman and operators to thrive and succeed.

Columbia, SC30+ days ago

$100,000–$120,000 Per Year
Full-time

The Paralegal Manager partners closely with Legal leadership and cross-functional stakeholders including Compliance, HR, Risk Management, Finance, and Operations to support the agency’s business objectives while maintaining regulatory compliance and mitigating risk. This role is responsible for managing day-to-day legal operations, supervising paralegal staff, and ensuring consistent, compliant, and efficient execution of legal processes related to contracts, regulatory compliance, licensing, claims support, and corporate governance.

Forest Acres, SC30+ days ago

Remote

$75,000–$85,000 Per Year
Full-time

Work Mode: Highly prefer the candidate be 2-3 days hybrid at one of our IOA office locations, also open to fully remote | Location/Supporting: Longwood, FL, Birmingham, AL, Jupiter, FL, Las Vegas, NV, Atlanta, GA, Charleston, SC, Syracuse, NY or Binghamton, NY office | Experience: Bond/Surety Experience. Client Relationship Management: Manage assigned client relationships, including initiating and conducting client calls/meetings, handling bid bond requests, changes to bonds, cancellations, riders, and closing new business and renewals.

Columbia, SC27 days ago

Full-time

LI-RG1Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. May spend approximately 70% of their work time traveling to homes, health care providers, job sites and various offices as required facilitating RTW and resolution of cases.

New!

Columbia, SC6 days ago

Remote

$70,000–$90,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Supporting: Shared Services - provides temporary service support to other IOA account teams and account management support to new producers during their first 3-6 months.

Forest Acres, SC30+ days ago

Remote

$65,000–$90,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Service Excellence: Deliver excellent service, proactively anticipate needs, and respond quickly to service requests.

New!

Columbia, SC1 day ago

Remote

$55,000–$70,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Renewal Process: Conduct client research, gather underwriting information, perform loss run analysis, prepare submissions, evaluate and negotiate coverages and pricing, prepare and present proposals, bind coverage, and follow up for policy issuance.

Irmo, SC28 days ago

Remote

$80,000–$100,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Coordinate day-to-day administrative and customer service activities, resolving complex issues, and ensuring no errors or omissions.

New!

Irmo, SC1 day ago

Remote

$80,000–$100,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Coordinate day-to-day administrative and customer service activities, resolving complex issues, and ensuring no errors or omissions.

Columbia, SC30+ days ago

Remote

$70,000–$90,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Supporting: Shared Services - provides service support to other IOA account teams and new producers during their first 3-6 months with account management and service.

Dentsville, SC23 days ago

Remote

$55,000–$65,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Renewal Process: Conduct client research, gather underwriting information, perform loss run analysis, prepare submissions, evaluate and negotiate coverages and pricing, prepare and present proposals, bind coverage, and follow up for policy issuance.

Columbia, SC30+ days ago

Remote

$78,400–$107,800 Per Year

The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

Columbia, SC30+ days ago

Full-time

Required Skills PMP Certification 6+ years of experience as a Project Manager 4+ years of experience with PowerBI 3+ years of experience with Mainframe and distributed systems Preferred Skills Experience with Healthcare Claims processing Knowledge of Incident and Change Management ***Lumen and / or its clients will not provide equipment (Laptop, monitor, etc.) to the selected contractor. Access to a virtual desktop set up (software) will be provided by Lumens client, allowing the user access to the required systems and technology.***

Columbia, South Carolina30+ days ago

Qualifications:Microsoft Office Suite Yes 1 Advanced Within 6 Months 2 - 4 Years; Microsoft No 1 Advanced Within 6 Months 2 - 4 Years; Program Management Experience with managing the implementation of major (multi-million dollar) projects Yes 1 Expert Within 6 Months 2 - 4 Years; EXPERIENCE WITH PROJECT MANAGEMENT OF LARGE ENTERPRISE LEVEL PROJECTS WITH PROVEN IMPLEMENTATION SUCCESS Yes 1 Expert Within 6 Months 4 - 6 Years; Project planning experience, including effort estimation on technical tasks and resource allocation Yes 1 Expert Currently Using 1 - 2 Years; Release Management Yes 1 Expert Within 6 Months 2 - 4 Years; Resource management Yes 1 Expert Within 6 Months 2 - 4 Years; SOFTWARE PROJECT LIFECYCLE MANAGEMENT Yes 1 Expert Within 6 Months 2 - 4 Years; Change Management No 1 Advanced Within 6 Months 2 - 4 Years; Experience working with risk management No 1 Advanced Within 6 Months 2 - 4 Years; Large-scale production system implementation experience No 1 Expert Currently Using 4 - 6 Years; Project Management Professional (PMP) certification No 1 Intermediate Currently Using 1 - 2 Years; Strong background in project management in a healthcare insurance information technology environment No 1 Expert Within 6 Months 4 - 6. The Project Manager will interact with staff, other team members, all levels of management and internal and external organizations, including vendors performing outsourced work, in the compilation and management of information needed for project plans, portfolio/program plans, metrics, reports and project management documentation.

Columbia, SC30+ days ago

Subcontractor Management: This position will assist the project team and procurement team in managing subcontractors and suppliers, including negotiation of subcontracts, and management of subcontractor performance to the requirements of the subcontracts and client contract. In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing.

New!

Columbia, South Carolina6 days ago

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Overview: Provides medical management to workers compensation injured employees, performing case management through telephonic and in-person contact with injured workers and medical providers.

UNAVAILABLE, SC30+ days ago

MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.

UNAVAILABLE, SC30+ days ago

Columbia, SC30+ days ago

$129,600–$194,400 Per Year

In the U.S., Grant Thornton delivers professional services through two specialized entities: Grant Thornton LLP, a licensed, certified public accounting (CPA) firm that provides audit and assurance services ― and Grant Thornton Advisors LLC (not a licensed CPA firm), which exclusively provides non-attest offerings, including tax and advisory services. With $2.7 billion in revenues and more than 50 offices spanning the U.S., Ireland and other territories, the platform delivers a singular client experience that includes enhanced solutions and capabilities, backed by powerful technologies and a roster of 12,000 quality-driven professionals enjoying exceptional career-growth opportunities and a distinctive cross-border culture.

Columbia, SC30+ days ago

$71,078–$155,207

Provide warm and professional customer service while onboarding new clients and maintain existing clients, including booking appointments, inquiry response, insurance eligibility, claim submissions, questions concerning billing, and insurance policies. Evaluate new customers' insurance needs, insurance risk, existing coverage, long-term goals, and financial status through consultations to create a tailored experience that exceeds expectations.

Columbia, SC30+ days ago

Place safety above all other considerations by ensuring store maintains a safe operating environment, each employee uses the appropriate safety equipment and devices and all customers, visitors, vendors and other non-employee personnel are safely escorted when on the operating floor. Maintain control of budget spending operating expenses, labor efficiency, customer service, ensure Cost of Goods at store is optimized, and headcounts and labor hours are maintained within weekly targets.

Columbia, SC27 days ago

Remote

$85,000–$105,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Coordinate day-to-day administrative and customer service activities, resolving complex issues, and ensuring no errors or omissions.

New!

Columbia, SC1 day ago

Remote

$90,000–$110,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Coordinate day-to-day administrative and customer service activities, resolving complex issues, and ensuring no errors or omissions.

Columbia, SC30+ days ago

Remote

$70,000–$90,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Supporting: Shared Services - provides service support to other IOA account teams and new producers during their first 3-6 months with account management and service.

Columbia, SC22 days ago

Remote

$60,000–$80,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Coordinate day-to-day administrative and customer service activities, resolving complex issues, and ensuring no errors or omissions.

Lexington, SC14 days ago

Remote

$65,000–$75,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Coordinate day-to-day administrative and customer service activities, resolving complex issues, and ensuring no errors or omissions.

North, SC30+ days ago

We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers.

South Carolina, SC16 days ago

Full-time

Responsible for supporting assigned Director in meeting or exceeding the defined annual budget for the entire practice area/practice division (including proactive management of assigned resources to meet or exceed defined utilization targets, oversight of execution of profitable engagement work streams, and communication with clients as assigned or requested). Senior Forensic Engineers are involved in a wide variety of tasks, including forensic investigations of residential, commercial, and/or mixed-use buildings, code research and construction document review, failure analysis, the scope of repair preparation, and report writing.

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Claims Manager Jobs in Columbia, SC

Jobs

Claims Customer Service AdvocateMindlance

Workers' Compensation Attorney (Defense)Jobot

Automotive Parts ManagerCarolina Chrysler Dodge Jeep Ram

Utilization Review NurseUS Tech Solutions, Inc.

Customer Service RepresentativeUS Tech Solutions, Inc.

Claims Mitigation & Management SpecialistThe Nuclear Company

Medical Director - Claims ManagementHumana

Claims Customer Service Advocate ILanceSoft Inc

Multi-Line Claims Adjuster - South CarolinaProperty Claim Professionals

Senior Claims ExaminerBerkley

Claims Advocate - Risk Services (Trucking/Transportation)Insurance Office of America

Independent Insurance Claims Adjuster in Columbia, South CarolinaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Leesville, South CarolinaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Chapin, South CarolinaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Blythewood, South CarolinaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Elgin, South CarolinaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Lugoff, South CarolinaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Camden, South CarolinaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Lexington, South CarolinaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Gaston, South CarolinaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Irmo, South CarolinaMileHigh Adjusters Houston Inc

Manager, Revenue Cycle ManagementCardinal Health

Construction Project ManagerSST Direct

Paralegal ManagerInsurance Office of America

Bond/Surety Account ManagerInsurance Office of America

Medical Case ManagerCrawford & Company

Commercial Insurance Account Manager (Eastern Time Zone)Insurance Office of America

Account Manager - Commercial Insurance (Fully Remote Option)Insurance Office of America

Account Manager Associate- Commercial InsuranceInsurance Office of America

Senior Account Manager (Fully Remote)Insurance Office of America

Senior Account Manager - Commercial LinesInsurance Office of America

Commercial Lines - Account Manager (Fully Remote)Insurance Office of America

Account Manager Associate - Commercial Lines (Contractors/ Construction/ Real Estate)Insurance Office of America

Manager, Fraud and WasteHumana

Project Manager - Project LeadLumen Solutions Group Inc

8-11 Project ManagerFocused HR Solutions

Commercial Manager - PacificCDM Smith

Senior Field Nurse Case ManagerGallagher

Operations ManagerMCI Careers

Manager of AccountingMCI Careers

Healthcare Process Risk ManagerGrant Thornton

Licensed Insurance Broker (Manager)Alchemy Financial Group

General ManagerExpress Oil Change & Tire Enginee

Senior Account Manager- Commercial Insurance (Remote)Insurance Office of America

Senior Account Manager- Commercial InsuranceInsurance Office of America

Commercial Insurance Account Manger (Construction / Contractors)Insurance Office of America

Account Manager- Commercial Insurance (Remote)Insurance Office of America

Account Manager- Commercial Insurance- SBU (Remote)Insurance Office of America

Sales Director, Workers Compensation (Mid-Atlantic)Dane Street, LLC

Senior Forensic EngineerThe Vertex Companies, LLC

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