Claims Adjuster

Welcome to Prisma Health, where we are dedicated to providing exceptional care to our patients and their families. We are currently seeking a skilled and compassionate Claims Adjuster to join our team. As a Claims Adjuster, you will play a crucial role in ensuring accurate and timely processing of insurance claims. We are looking for candidates who possess strong analytical skills, attention to detail, and the ability to communicate effectively with both internal and external stakeholders. If you are passionate about helping others and have a strong background in claims processing, we encourage you to apply for this exciting opportunity at Prisma Health.

1. Accurately and efficiently process insurance claims for Prisma Health patients.
2. Review and verify all necessary information and documentation for each claim.
3. Investigate and resolve any discrepancies or issues with claims.
4. Communicate with insurance companies, patients, and other stakeholders to gather and provide necessary information.
5. Ensure timely and accurate submission of claims to insurance companies.
6. Monitor and track the status of claims to ensure they are processed in a timely manner.
7. Collaborate with other team members to identify and implement process improvements.
8. Maintain up-to-date knowledge of insurance policies, regulations, and industry trends.
9. Maintain confidentiality and adhere to HIPAA regulations when handling sensitive patient information.
10. Provide excellent customer service to patients and their families, addressing any questions or concerns related to their claims.
11. Maintain accurate and detailed records of all claims processed.
12. Assist with training and mentoring new team members as needed.
13. Meet individual and team performance goals and metrics.
14. Proactively identify and report any issues or trends in claims processing.
15. Adhere to all company policies and procedures.

According to JobzMall, the average salary range for a Claims Adjuster in Greenville, SC, USA is between $38,000 and $70,000 per year. This range can vary depending on factors such as experience, education, and specific industry. Some claims adjusters may also receive bonuses or commissions based on their performance.

Prisma Health is the largest not-for-profit health organization in South Carolina, serving more than 1.2 million patients annually. 32,000 team members are dedicated to supporting the health and well-being of people.