Insurance Analyst jobs in United States
cer-icon
Apply on Employer Site
company-logo

State of South Carolina · 3 hours ago

Insurance Analyst

State of South Carolina is seeking an Insurance Analyst to assist in processing SIF Claims. The role involves reviewing submissions for reimbursement and determining proper reimbursement amounts for accepted SIF claims.

Government

Responsibilities

This position reviews submissions for reimbursement relating to accepted SIF claims from workers compensation carriers or their contracted vendors
By reviewing the SIF file, the newly submitted request for reimbursement and utilizing special medical fee schedule software, the analyst determines the proper reimbursement amount the SIF should remit to the carrier

Qualification

Workers compensation claimsMedical codingHealthcare claimsCustomer serviceAttention to detailTime management

Required

A high school diploma
Experience in processing worker's compensation claims
Experience in medical coding
Experience in healthcare claims
A bachelor's degree may be accepted in place of the relevant work experience

Preferred

A working knowledge of workers compensation claims
Ability to read and comprehend medical records and complex information
Ability to complete calculations using software and manual calculator
Must be able to pay close attention to detail
Good time management
Good customer service skills
Ability and willingness to accept new challenges
Ability to lift 5 – 10 pounds

Company

State of South Carolina

company-logo
South Carolina is a southeastern U.S. state.

Funding

Current Stage
Late Stage

Leadership Team

leader-logo
David Sella-Villa
Chief Privacy Officer
linkedin
leader-logo
Mark Rhoden
Chief Financial Officer, Office of Regulatory Staff
linkedin
Company data provided by crunchbase