Top 56 Claims adjuster Jobs in South Carolina

Senior Claim Benefit Specialist - Remote
CVS Health —South Carolina
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
9d
Claims Analyst - REMOTE
Ryder System —Columbia, SC
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
10d
Claims Adjuster Trainee
Progressive —Myrtle Beach, SC
- $52,500 - $56,000 a year
- Monday to Friday
- Hybrid work
- Office
- US work authorization
- Experience equivalent to degree accepted
- Health savings account
- Disability insurance
14d
Claims Specialist
Summit Consulting, LLC —South Carolina
- $69,600 - $92,400 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Finance
- Commuter assistance
- Employee stock purchase plan
Quick Apply
1d
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —South Carolina
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Entry Level Claims Representative
Auto-Owners Insurance Company —Columbia, SC
- Full-time
- Hybrid work
- Driver's License
- Bachelor's degree
- US work authorization
- Paid holidays
- Paid time off
Quick Apply
Liability Adjuster
HDVI —Greenville, SC
- Full-time
- Remote
- Owner-operator
- Mid-level
- Analysis skills
- Health savings account
- AD&D insurance
Quick Apply
Claims Appraiser - Auto Estimatics
State Farm —Charleston, SC
- $59,059.65 - $82,000.00 a year
- Overtime
- Mid-level
- Driver's License
- Clean MVR report
- Paid holidays
- Health insurance
Claim Manager
INTEGRATED BENEFITS INC —South Carolina
- $34,000 - $43,000 a year
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
5d
Automotive Technician Claims Adjuster - Mechanical Warranty
Safe-Guard Products International LLC —Greenville, SC
- Full-time
- ASE Certification
- Background check
- Spanish
- Health savings account
- Paid holidays
Quick Apply
Bodily Injury Claims Specialist
Auto-Owners Insurance Company —Columbia, SC
- Full-time
- Customer service
- Mid-level
- 3 years
- Paid holidays
- Paid time off
Quick Apply
Claims Specialist II - Management Specialty Lines
Nationwide —South Carolina
- 8 hour shift
- Background check
- Customer service
- Mid-level
- Paid holidays
- Disability insurance
Claims Analyst
MSC Mediterranean Shipping Company S.A. —Charleston, SC
- Up to $50,000 a year
- Monday to Friday
- Hybrid work
- Customer service
- English
- Mid-level
- Store discount
- Wellness program
Claims Adjuster I (Insurance Analyst II - 60025531)
State of South Carolina —Lexington County, SC
- $45,300 - $77,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Children
- Paid parental leave
- Paid holidays
4d
Field Claims Representative
Auto-Owners Insurance Company —Columbia, SC
- Full-time
- Mid-level
- Driver's License
- Bachelor's degree
- Paid holidays
- Paid time off
Quick Apply
1099 Field Adjuster - Columbia, SC
CCMS & Associates —Columbia, SC
- Microsoft Word
- Background check
- Customer service
Quick Apply
6d
1099 Field Adjuster - Charleston, SC
CCMS & Associates —Charleston, SC
- Microsoft Word
- Background check
- Customer service
Quick Apply
6d
Disability Determination Examiner I (5 Positions) - Charleston, Columbia, Greenville Offices
State of South Carolina —Lexington County, SC
- $39,300 - $53,100 a year
- Multiple hires
- Data analysis skills
- Office
- High school diploma or GED
- Paid parental leave
- Paid holidays
Regional Contents Consultant
YA Group —South Carolina
- $65,000 - $85,000 a year
- Full-time
- Business development
- Quality control
- Travel
- Parental leave
- 401(k) matching
14d
Property & Casualty Insurance Claims Operations Consultant, Manager
PRICE WATERHOUSE COOPERS —Columbia, SC
- $99,000 - $232,000 a year
- Mid-level
- Finance
- Bachelor's degree
- Paid holidays
- Health insurance

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claims adjuster jobs near south carolina

Senior Claim Benefit Specialist - Remote

CVS Health -
South Carolina

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Job Details

Full-time
$18.50 - $42.35 an hour
9 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

claims adjuster jobs in south carolina

Senior Claim Benefit Specialist - Remote

Claims Analyst - REMOTE

Claims Adjuster Trainee

Claims Specialist

Senior Investigator, Special Investigations Unit (Aetna SIU)

Entry Level Claims Representative

Liability Adjuster

Claims Appraiser - Auto Estimatics

Claim Manager

Automotive Technician Claims Adjuster - Mechanical Warranty

Bodily Injury Claims Specialist

Claims Specialist II - Management Specialty Lines

Claims Analyst

Claims Adjuster I (Insurance Analyst II - 60025531)

Field Claims Representative

1099 Field Adjuster - Columbia, SC

1099 Field Adjuster - Charleston, SC

Disability Determination Examiner I (5 Positions) - Charleston, Columbia, Greenville Offices

Regional Contents Consultant

Property & Casualty Insurance Claims Operations Consultant, Manager

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