Claims Adjuster

Welcome to Prisma Health, where we are committed to providing exceptional healthcare services to our community. We are currently seeking a skilled and detail-oriented Claims Adjuster to join our team. As a Claims Adjuster, you will play a crucial role in ensuring timely and accurate processing of insurance claims. Your attention to detail, analytical mindset, and strong communication skills will be essential in this role. If you are looking for a challenging and rewarding career in the healthcare industry, we encourage you to apply for this position.

1. Process insurance claims in a timely and accurate manner.
2. Review and evaluate claims to determine coverage and eligibility.
3. Verify and validate patient information and insurance coverage.
4. Communicate with insurance companies and other third-party payers.
5. Resolve claim discrepancies and issues.
6. Maintain accurate and detailed records of claims and related documentation.
7. Collaborate with healthcare providers to obtain necessary information for claims processing.
8. Stay updated on industry regulations and changes in insurance policies.
9. Use analytical skills to identify potential fraudulent claims.
10. Provide excellent customer service to patients and insurance companies.
11. Handle confidential information with sensitivity and maintain data privacy.
12. Work closely with other team members to ensure efficient and accurate claims processing.
13. Participate in training and development opportunities to enhance job knowledge and skills.
14. Identify and suggest process improvements to increase efficiency and accuracy.
15. Adhere to company policies and procedures.

According to JobzMall, the average salary range for a Claims Adjuster in Columbia, SC, USA is between $47,000 and $65,000 per year. This can vary depending on the specific company, experience level, and other factors. Some companies may offer higher salaries or additional benefits for experienced or specialized claims adjusters. Additionally, location can also impact salary as cost of living varies in different areas.

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.