INSURANCE ANALYST

Salary: Depends on Qualifications
Location : Richland County, SC
Job Type: FTE - Full-Time
Job Number: 139868
Agency: Workers' Compensation Commission
Division: Insurance & Medical Services Dept.
Opening Date: 09/16/2026
Closing Date: 10/1/2026 11:59 PM Eastern
Max Number of Applicants: 75
Agency Specific Application Procedures:: Must apply online at answer the supplemental questions.
Residency Requirement: Yes
Class Code:: AP01
Position Number:: 60025143
Normal Work Schedule:: Monday - Friday (8:30 - 5:00)
Pay Grade: GEN06
Hiring Range - Min.: $37,944.00
Hiring Range - Max.: $40,000.00
EEO Statement: Equal Opportunity Employer
Veteran Preference Statement: South Carolina is making our Veterans a priority for employment in state agencies and institutions.


Job Responsibilities
Join the South Carolina state government, where you can have a meaningful career, incomparable benefits, and a positive work-life balance! The Workers' Compensation Commission's mission is to provide an equitable and timely system of benefits to injured workers and employers in the most responsive, accurate, and reliable manner possible.

The WCC is looking for an eager person to fill an entry-level position. You will learn and gain experience in SC state government and workers' compensation. The South Carolina Workers' Compensation Commission seeks a motivated, dedicated, and detail-oriented Insurance Analyst. This role involves analyzing and researching incoming claims to verify insurance coverage, creating files, assessing fines, and responding to stakeholder inquiries.

• Researching, verifying, and providing workers' compensation coverage information for claims filed without insurance coverage ("no report" files).
• Assigning "no report" files to compliance officers for investigation. Create and establish claim files for claims of insurance coverage.
• Verify coverage for additional parties added by Motions, Orders, and Amended Forms 50/52, etc.
• Generate Commission fines and answer incoming calls. Research and respond to inquiries from the public, staff, claimants, attorneys, healthcare providers, employee coverage issues, fines, and claim file status.
• Monitor electronic insurance reporting submissions and troubleshoot issues by responding to stakeholder inquiries regarding duplicate claims and rejected submissions. Collaborate with IT to resolve more technical program issues.
• Assists medical services policy analyst in the following areas: medical bill review; maintaining compliance with the MSD Bill Review software vendor; and ensuring accuracy in bill review for hospital and ambulatory payment manual for the purposes of formal bill disputes and TPA bill reviewer audits.

Minimum and Additional Requirements

• A high school diploma and work experience that is directly related to processing workers' compensation insurance claims. Experience with medical billing and/or coding. A bachelor's degree may be substituted for the related work experience.
• Strong analytical skills.
• Proven ability to work in a high-volume environment with attention to detail.
• Familiarity with workers' compensation laws, regulations, policies, procedures, and organizational functions.
• Knowledge of applicable terminology and research practices.
• Ability to deal courteously and effectively with the public.
• Ability to communicate effectively.
• Strong organizational and time management skills.
• Proficient in Microsoft Office.

Preferred Qualifications
Certification or related experience regarding medical billing and/or coding. Experience with CMS' policies and prospective payment system. A bachelor's degree may be substituted for related work experience.
Additional Comments


The Workers' Compensation Commission is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.


The Workers' Compensation Commission offers an exceptional benefits package for FTE positions that includes:

• Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children
• 15 days annual (vacation) leave per year
• 15 days sick leave per year
• 13 paid holidays
• State Retirement Plan and Deferred Compensation Programs

Benefits for State Employees
The state of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.


Insurance Benefits
Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.


Retirement Benefits
State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.


Workplace Benefits
State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.


Note: The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.
01


Do you have a 2-year or 4-year college degree from an accredited college or university? Answer Yes or No and give details.

• Yes
• No

02


Do you have prior insurance work experience? Answer Yes or No. If yes, give details.
03


Do you have any knowledge of SC Workers' Compensation Forms? If yes, give details.
04


Have you attached a resume and a cover letter to your application?

• Yes
• No

05


What State systems have you worked with? Please list.
Required Question