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Claims Processor Jobs in Darlington, SC (NOW HIRING)

Claims Processor I

Florence, SC · On-site

$16.50 - $20.75/hr

Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. * Resolves system edits, audits ...

Medical Billing Specialist

Hartsville, SC · On-site

$15.75 - $20.25/hr

Description The Medical Billing Specialist is responsible for processing electronic billing of medical claims. Responsibilities include, but are not limited to: * Billing: Electronic transmission of ...

Insurance License Tutor

Florence, SC · Remote

$28 - $40/hr

Guides students through analyzing policy provisions, determining appropriate coverage types, calculating premiums, understanding claims processes, and applying state insurance regulations. Emphasizes ...

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

Insurance Agent

Darlington, SC · On-site

$75K - $100K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...

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Claims Processor information

See Darlington, SC salary details

$10

$17

$24

How much do claims processor jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for claims processor in Darlington, SC is $17.50, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $18.89 per hour, depending on experience, location, and employer.

What jobs pay 500,000 a year in the US?

Claims processors typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, or ownership of a business. Most claims processing roles have salaries well below this threshold.

What Is a Claims Processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

Is claim adjusting a dying field?

Claims processing is a stable field that involves reviewing and settling insurance claims, often requiring attention to detail and knowledge of insurance policies. While automation and AI tools are increasingly used to streamline tasks, the need for human claims adjusters remains, especially for complex cases and customer interactions.

What are some common challenges faced by Claims Processors, and how can they be managed effectively?

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that involves reviewing and verifying insurance claims. While it can involve tight deadlines and attention to detail, the level of stress varies depending on workload, workplace environment, and individual coping skills.

What is the role of a claims processor?

A claims processor reviews and evaluates insurance claims to determine their validity and the appropriate payout. They verify information, ensure compliance with policies, and process payments using claims management software, often working within strict deadlines. Attention to detail and knowledge of insurance policies are essential for this role.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

What are the key skills and qualifications needed to thrive as a Claims Processor, and why are they important?

To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

What does a Claims Processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.
What are popular job titles related to Claims Processor jobs in Darlington, SC? For Claims Processor jobs in Darlington, SC, the most frequently searched job titles are:
What cities near Darlington, SC are hiring for Claims Processor jobs? Cities near Darlington, SC with the most Claims Processor job openings:
Infographic showing various Claims Processor job openings in Darlington, SC as of July 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $36,391 per year, or $17.5 per hour.

Claims Processor I

Ourhrconnect

Florence, SC • On-site

$16.50 - $20.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Job description


Summary
 Responsible for the accurate and timely processing of claims.
Description
 

Position Purpose

Responsible for the accurate and timely processing of claims.

Location: This position is full-time (40-hours/week) Monday-Friday from 8:00am-5:00pm in a typical office environment. This role is located on-site at 200 N Dozier Blvd, Florence, SC 29501.

What You'll Do:

  • Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
  • Resolves system edits, audits and claims errors through research and use of approved references and investigative sources.
  • Coordinates with internal departments to work edits and deferrals, updating the patient identification, other health insurance, provider identification and other files as necessary.

To Qualify for This Position, You'll Need the Following:

  • Required Education: High School Diploma or equivalent
  • Required Skills and Abilities:
  • Strong analytical, organizational and customer service skills.
  • Strong oral and written communication skills.
  • Proficient spelling, punctuation and grammar skills.
  • Good judgment skills.
  • Basic business math skills
  • Required Software and Tools: Basic office equipment.

We Prefer That You Have the Following:

  • Preferred Skills and Abilities: Ability to use complex mathematical calculations.
  • Preferred Software and Other Tools: Proficient in word processing and spreadsheet applications. Proficient in database software.

Our Comprehensive Benefits Package Includes the Following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.

  • Subsidized health plans, dental and vision coverage
  • 401k retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • On-site cafeterias and fitness centers in major locations
  • Education Assistance
  • Service Recognition
  • National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What To Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.comor call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's moreinformation.

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