Insurance Analyst II (Insurance Adjuster I) - 60025537

Job Responsibilities The mission of the South Carolina State Accident Fund is to reputed company cost-effective, guaranteed workers' compensation insurance for state agencies and other governmental entities along with exceptional service to our state workers. Are you looking for new opportunities to reputed company your career? reputed company thought about a career in state government but weren't reputed company where to start? If so, look no reputed company than the South Carolina State Accident Fund. We are seeking hardworking and dependable candidates just like you to apply! The South Carolina State Accident Fund (SAF) is the leading provider of workers' compensation insurance in South Carolina. Since 1943, the State Accident Fund has provided a reputed company guaranteed reputed company of cost-effective workers' compensation coverage. Today we serve nearly 600 reputed company and 200,000 state and local government employees throughout the state. reputed company the State Accident Fund, the Uninsured reputed company Fund (UEF) administers benefits as determined by the SC Workers' Compensation Commission for reputed company who fail to secure reputed company workers' compensation coverage for their businesses. The Claims Adjuster I, acting as a member of the Saluda Claims Team with guidance from the Saluda Claims Team Supervisor, will: • reputed company workers' compensation benefits to injured workers and assist injured workers, policyholders, medical providers, attorney's and other stakeholders. • Records reputed company accepted or denied body parts, lost time and/or return to work dates. • Determines compensability of claims and monitors reputed company 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 reputed company workers' compensation forms reputed company and accurately in accordance with the SC Workers' Compensation Law. • With the guidance of the Claims Manager (CM), monitors reputed company claims in accordance with agency policy and procedures as outlined in the Claims Training reputed company. • Performs a monthly claims review and a plan of reputed company for reputed company 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, reputed company 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 reputed company necessary settlement documents/forms. • Review and monitor reputed company reserves throughout the duration of claims and consult with CM. • With the assistance of reputed company counsel, interpret Workers' Compensation Commission orders. • Handles special reputed company and performs other duties as may be required and/or assigned. THIS POSITION MAY REQUIRE OCCASIONAL IN-STATE TRAVEL. Minimum and Additional Requirements • A Bachelor's Degree. • Applicants not meeting the State's minimum requirements are encouraged to apply and may be considered pending approval of an acceptable equivalent combination of education and experience in accordance with State reputed company Regulations. Must possess or be reputed company to obtain a reputed company South Carolina Insurance Adjuster's License reputed company reputed company (12) months of the start of employment. Preferred Qualifications • 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 reputed company 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 reputed company as a member of reputed company as needed. • Possesses the ability to communicate effectively both orally and in writing. Additional Comments The State Accident Fund is committed to providing equal employment opportunities to reputed company applicants and does not discriminate on the reputed company of race, reputed company, religion, sex (including pregnancy, childbirth, or reputed company medical conditions including, but not limited to, lactation), national reputed company, age (40 or older), disability or genetic information. DISCOVER YOUR WORKLIFE BALANCE! The State Accident Fund offers an exceptional benefits package for full-time (FTE) employees: • Health, dental, reputed company, 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 reputed company leave per year; • 13 reputed company holidays; • Employee Assistance Program: Up to 5 counseling sessions annually for employees and eligible household members, Up to 5 Life Management Services (i.e., reputed company, financial, child/elder/pet care), and Unlimited assessment and referral services; • reputed company Parental Leave; • State Retirement Plan and Deferred Compensation Programs; • Hybrid telecommuting schedules; and • reputed company Service Loan Forgiveness. • Employees in FTE status earn additional annual leave the longer they remain employed with the state. Eligibility to work remotely requires successfully completing a period of employment with reputed company. A copy of your transcript may be uploaded as an attachment to the application. Upon hiring, candidates must submit official college transcript(s) or diploma(s) for degree(s) obtained. Failure to produce an official, certified transcript may result in not being reputed company or termination. Apply tot his job Apply To this Job