Claims Adjuster I - 60025635

The South Carolina State Accident Fund is the leading provider of workers' compensation insurance in South Carolina. Since 1943, the State Accident Fund has provided a continuous guaranteed source of cost effective workers' compensation coverage. Today we serve nearly 600 employers and 200,000 state and local government employees throughout the state.
Are you an experienced professional looking for new opportunities to further your career?
If so, the South Carolina State Accident Fund is seeking hardworking and dependable candidates just like you to apply!
The Claims Adjuster I, working as a member of a claims unit providing workers' compensation benefits to injured workers, will authorize medical and lost time payments in accordance with the South Carolina Workers' Compensation Law. Typical duties include evaluating facts to determine legal liability, reviewing medical documentation, submit payment for related medical treatment, authorize income replacement as appropriate, recommend vocational rehabilitation or special medical management referrals, attend depositions, viewings, hearings, and informal conferences before the Workers' Compensation Commission and with the assistance of legal counsel, interpret Workers' Compensation Commission orders.

State: A bachelor's degree.
Agency: A bachelor's degree or an approved equivalent combination of education and experience in accordance with state human resources regulations.
Experience in handling/adjusting workers' compensation claims or insurance claims examining/adjusting. Knowledge of workers' compensation laws, rules, and regulations, insurance practices and procedures, medical terminology and cost of treatment, or methods and techniques for determining compensable wages.

Experience in customer service, data entry, paralegal services, medical terminology, training (explaining complex topics), responding to telephone and email inquiries, and/or working with confidential information.
The State Accident Fund offers an exceptional benefits package for full time (FTE) employees:
- Health, dental, vision, long-term disability, and life insurance for employees, spouse, and children,
- 15 days annual (vacation) leave per year,
- 15 days sick leave per year,
- 13 paid holidays,
- Paid Parental Leave,
- State Retirement Plan and Deferred Compensation Programs, and
- Hybrid telecommuting schedules.
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 hired or termination.Employment Type: FTE - Full-Time