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Insurance Claims Processing Jobs in South Carolina

Ourhrconnect

Claims Processor I

Myrtle Beach, SC · On-site

$15.25 - $19.25/hr

Summary Responsible for the accurate and timely processing of claims. Description Why should you ... We are the largest insurance company in South Carolina ... and much more. We are one of the nation ...

Ourhrconnect

Processor, Claims I

Florence, SC · On-site

$16.50 - $20.75/hr

Summary Responsible for the accurate and timely processing of claims. Description Why should you ... We are the largest insurance company in South Carolina ... and much more. We are one of the nation ...

Ourhrconnect

Processor, Claims I

Florence, SC · On-site

$16.50 - $20.75/hr

Summary Responsible for the accurate and timely processing of claims. Description Why should you ... We are the largest insurance company in South Carolina ... and much more. We are one of the nation ...

Ourhrconnect

Claims Processor I

Columbia, SC

$15.75 - $20/hr

Summary Responsible for the accurate and timely processing of claims. Description Logistics: PGBA ... Employees will receive supplemental pay for health insurance until they are enrolled in our health ...

Ourhrconnect

Claims Processor I

Columbia, SC · On-site

$15.75 - $20/hr

Summary Responsible for the accurate and timely processing of claims. Description Logistics: PGBA ... Employees will receive supplemental pay for health insurance until they are enrolled in our health ...

Alchemy Financial Group

Insurance Agent

Conway, SC · On-site +1

$75K - $90K/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 ...

Alchemy Financial Group

Insurance Agent

Columbia, SC · On-site

$75K - $95K/yr

Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Answer client and potential client ...

Alchemy Financial Group

Insurance Agent

Myrtle Beach, SC · On-site +1

$75K - $90K/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 ...

Alchemy Financial Group

Insurance Agent

Conway, SC · On-site +1

$75K - $90K/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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Showing results 21-40

All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in South Carolina

Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are the key skills and qualifications needed to thrive in insurance claims processing?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

What are popular job titles related to Insurance Claims Processing jobs in South Carolina?

For Insurance Claims Processing jobs in South Carolina, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processing jobs in South Carolina look for?

The top searched job categories for Insurance Claims Processing jobs in South Carolina are:

What cities in South Carolina are hiring for Insurance Claims Processing jobs?

Cities in South Carolina with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in South Carolina as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Claims Processor I

Ourhrconnect

Myrtle Beach, SC • On-site

$15.25 - $19.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description


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

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Position Purpose: Responsible for the accurate and timely processing of claims.

Logistics:PGBA- one of BlueCross BlueShield's South Carolina subsidiary companies

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 8733 Highway 17 Bypass, Myrtle Beach, SC, 29575.

  • Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen.

  • SCA Benefit Requirements:BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act(SCA).To comply with the McNamara-O'Hara Service Contract Act (SCA), employees must enroll in our health insurance even if they have other health insurance. Employees will receive supplemental pay for health insurance until they are enrolled in our health insurance, first of the month following 28 days after the hire date.

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 Work Experience:1 year-of experience in a healthcare or insurance environment.

  • 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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