What are the responsibilities and job description for the Claims Processor position at AppleOne Employment Services?
Eligibility Specialist / Application Claims Processor
Long-Term Contract | Potential for Permanent Placement
100% Onsite Columbia, SC 29223
Monday–Friday, 8:30 a.m.–5:00 p.m.
$15/hour
Start date: 11/23, training will be 3-4 weeks and time off during training is not permitted.
We are partnering with a state agency to hire Eligibility Specialists for a long-term contract opportunity in Columbia, SC. This role is ideal for candidates who are analytical, detail-oriented, and comfortable working in a structured, fast-paced environment focused on case ownership and policy review.
This position is heavily focused on critical thinking and case analysis. While there is a customer service component, the majority of the role involves reviewing documentation, analyzing eligibility factors, applying policy, and managing cases from start to finish, including re-determinations.
Most successful candidates have come from prior healthcare administration/claims, insurance, or research-based positions.
Key Responsibilities
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_ English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
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Long-Term Contract | Potential for Permanent Placement
100% Onsite Columbia, SC 29223
Monday–Friday, 8:30 a.m.–5:00 p.m.
$15/hour
Start date: 11/23, training will be 3-4 weeks and time off during training is not permitted.
We are partnering with a state agency to hire Eligibility Specialists for a long-term contract opportunity in Columbia, SC. This role is ideal for candidates who are analytical, detail-oriented, and comfortable working in a structured, fast-paced environment focused on case ownership and policy review.
This position is heavily focused on critical thinking and case analysis. While there is a customer service component, the majority of the role involves reviewing documentation, analyzing eligibility factors, applying policy, and managing cases from start to finish, including re-determinations.
Most successful candidates have come from prior healthcare administration/claims, insurance, or research-based positions.
Key Responsibilities
- Review and analyze applicant documentation for eligibility determination
- Maintain ownership of assigned cases from start to finish
- Handle re-determinations and ongoing eligibility reviews
- Apply policies and procedures accurately across multiple systems
- Communicate professionally with applicants regarding documentation or clarification needs
- Manage workload efficiently while maintaining quality standards
- Maintain confidentiality and program integrity
- Work independently after training in a cubicle-style environment
- Strong computer and typing skills
- Ability to communicate professionally both verbally and written
- Proficiency with Microsoft Office and ability to learn new systems quickly
- Strong attention to detail and organizational skills
- Ability to analyze information and think critically
- Comfortable navigating multiple screens and systems simultaneously
- Ability to follow structured processes and policies consistently
- Basic math computation skills preferred
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_ English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
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Salary : $15