Claims Processor

AppleOne Employment Services; Columbia (SC); On-site; USD 17,000 - 24,000; Full time

Job summary

AppleOne Employment Services in Columbia, SC is seeking an Eligibility Specialist / Application Claims Processor for a long-term contract that could become permanent. The position is 100% onsite with hours 8:30 a.m. – 5:00 p.m., Monday–Friday, and a training period of 3–4 weeks.

The role focuses on documentation review, eligibility analysis, policy application, and end-to-end case management. Ideal candidates are analytical, detail-oriented, and comfortable with structured processes in a

Qualifications

• 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.

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.

Skills

Typing skills

Computer skills

MS Office

Learn new systems

Attention to detail

Critical thinking

Multi-screen navigation

Follow structured processes

Basic math

Tools

MS Office

Job description

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

• 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

Qualifications

• 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

Equal Opportunity Employer / Disabled / Protected Veterans

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_%20English_formattedESQA508c.pdf

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.