Claims Specilaist II - (Columbia, SC)

Principal Duties & Responsibilities: - Good teamwork skills - Processes accident claims (wellness, base accident, and disability due to accident), including but not limited to the paying, denying, and pending of claims based on details submitted for review; analyzes billings and supporting medical documentation and uses in-house claims processing systems that include subsystems for diagnosis and procedures to determine nature and validity of claims; determines liability and direction of claims after thorough review of all submitted documentation and verification of policy provisions; approves claims for final disposition - Good math skills - Word: Basic - Microsoft Outlook - Knowledge and experience in accident skill of wellness and base accident claims and 1 year of experience as a claims specialist I or above