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Insurance Claims Processing Jobs in Florence, SC

CareSouth Carolina

Medical Billing Specialist

Hartsville, SC · On-site

$15.75 - $20.25/hr

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 ...

CareSouth Carolina

Medical Billing Specialist

Hartsville, SC · On-site

$15.75 - $20.25/hr

... processing electronic billing of medical claims. Responsibilities include, but are not limited to: * Billing: Electronic transmission of insurance; hard-copy claims, patient statements. * Account ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Florence, SC

Insurance Claims Processing information

See Florence, SC salary details

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How much do insurance claims processing jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for insurance claims processing in Florence, SC is $21.59, according to ZipRecruiter salary data. Most workers in this role earn between $17.64 and $24.62 per hour, depending on experience, location, and employer.

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 Florence, SC?

For Insurance Claims Processing jobs in Florence, SC, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processing jobs in Florence, SC look for?

The top searched job categories for Insurance Claims Processing jobs in Florence, SC are:

What cities near Florence, SC are hiring for Insurance Claims Processing jobs?

Cities near Florence, SC with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Florence, SC as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 21% Part Time, and 4% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $44,916 per year, or $21.6 per hour.

Senior Quality Assurance Analyst

Ourhrconnect

Florence, SC • On-site

Full-time

Medical, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Job description


Summary
 Performs quality control audits to evaluate accuracy and effectiveness of departmental operations functions including, but not limited to, claims, membership, customer service/call center, workflow, processing support systems, procedures, documentation, etc. Identifies problems, analyzes cause and effect, and makes recommendations for improvements.
Description
 

Location

This role is full time M-F 8am-5pm, onsite at our Florence, SC location.

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). Under the McNamara-O'Hara Service Contract Act (SCA), employees cannot opt out of health benefits. Employees will receive supplemental pay until they are enrolled in health benefits 28 days after the hire date.

What You Will Do:

  • Conducts focused quality audits across various operations functions to ensure quality standards, procedures, and methodologies are being followed

  • Documents findings of analysis and prepares recommendations for implementation of new systems, procedures, or organizational changes to reduce errors

  • Identifies areas of weakness and communicates recommendations on changes and improvements to training materials

  • Provides feedback to management on errors detected, ensures errors are resolved, and provides long-range solutions to causes

  • Develops and implements a quality control and improvement program based on targets identified through the quality reviews

  • Monitors and evaluates the implementation of corrective action plans

  • Compiles data, provides feedback, and generates reports for operations and/or training areas on quality performance

  • Train new employees and remains current with all guideline changes, work instructions, etc

  • Writes or assists in writing desk procedures and training materials for departments.

  • Provides assistance with special projects such as testing for new business implementation or system changes, reviewing change requests, interpreting department workload, statistical reports, assisting co-workers, etc.

To Qualify for This Position, You Will Need:

  • Required Education: High School Diploma OR equivalent

  • Required Work Experience: 1 year of related claims processing, customer service, auditing, training, analysis or operations experience. 2 years of experience performing quality audits

  • Required Software and tools: Microsoft Office

  • Required Skills and Abilities: Strong analytical, presentation, customer service, persuasion, and organization skills. Strong business math proficiency. Able to document problems and assist in their resolution. Able to document processes and identify areas for improvement. Strong written and verbal communication skills.

What We Can Do for You:

  • 401(k) retirement savings plan with company match

  • Subsidized health plans and free vision coverage

  • Life insurance

  • Paid annual leave - the longer you work here, the more you earn

  • Nine paid holidays

  • On-site cafeterias and fitness centers in major locations

  • Wellness programs and healthy lifestyle premium discount

  • Tuition assistance

  • Service recognition

  • Incentive Plan

  • Merit Plan

  • Continuing education funds for additional certifications and certification renewal

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 a recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.


Work Environment: Typical office environment.

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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