NEOGOV · 4 weeks ago
Insurance Analyst II (Insurance Adjuster I) - 60025537
Lexington County, SC
Full-time
Hybrid
New Grad, Entry Level
$45K/yr - $61K/yrNEOGOV is a provider of human resource solutions, and they are seeking an Insurance Analyst II to join the South Carolina State Accident Fund. The role involves providing workers' compensation benefits to injured workers, determining the compensability of claims, and managing claims in accordance with state regulations.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Provide workers’ compensation benefits to injured workers and assist injured workers, policyholders, medical providers, attorney’s and other stakeholders
Records all accepted or denied body parts, lost time and/or return to work dates
Determines compensability of claims and monitors all lost time periods substantiated by reviewing medical documentation and authorizes income replacement as appropriate
Authorizes and submits medical payments and lost time payments in accordance with the SC Workers' Compensation Law
Files all workers’ compensation forms timely and accurately in accordance with the SC Workers’ Compensation Law
With the guidance of the Claims Manager (CM), monitors all claims in accordance with agency policy and procedures as outlined in the Claims Training Manual
Performs a monthly claims review and a plan of action for all assigned claims and attends Claims Review Team meetings as necessary
Recommend vocational rehabilitation or special medical management referrals
Attend depositions, mediations, hearings, clincher conferences and informal conferences before the Workers' Compensation Commission, when necessary
Reviews cases with the CM and obtains authority for settlements following recommendations from the policyholder
With guidance from the CM, negotiate settlements with claimant or attorney and prepares all necessary settlement documents/forms
Review and monitor all reserves throughout the duration of claims and consult with CM
With the assistance of legal counsel, interpret Workers' Compensation Commission orders
Handles special projects and performs other duties as may be required and/or assigned
Qualification
Required
A Bachelor's Degree
Must possess or be able to obtain a valid South Carolina Insurance Adjuster's License within twelve (12) months of the start of employment
Preferred
Experience and/or knowledge in customer service, data entry, paralegal services, medical terminology, medical billing and/or coding, responding to telephone and email inquiries, and/or working with confidential information
Experience and/or knowledge handling/adjusting/examining workers' compensation claims or insurance claims
Experience and/or knowledge of workers' compensation laws, rules and regulations, insurance practices and procedures, medical terminology, costs of medical treatment, and/or methods and techniques for determining compensable wages
Experience and/or knowledge of office practices, policies, procedures, rules, regulations and equipment
Ability to establish and maintain effective working relationships and work independently as well as a member of a team as needed
Possesses the ability to communicate effectively both orally and in writing
Benefits
Health, dental, vision, long-term disability, and life insurance for employees, the employee’s spouse, and children
15 days of annual (vacation) leave per year
15 days of sick leave per year
13 paid holidays
Employee Assistance Program: Up to 5 counseling sessions annually for employees and eligible household members, Up to 5 Life Management Services (i.e., legal, financial, child/elder/pet care), and Unlimited assessment and referral services
Paid Parental Leave
State Retirement Plan and Deferred Compensation Programs
Hybrid telecommuting schedules
Public Service Loan Forgiveness
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
Founded in 1999
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
2025-11-14
Government Technology US
2025-10-31
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