Claims Support Specialist

Kelly; Myrtle Beach (SC); On-site; USD 20,000 - 29,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Telemedicine

Life insurance (term)

Life insurance (whole)

Accident insurance

Critical illness plan

Legal plan

Short-term disability

Retirement savings plan

Service bonus

Holiday pay (up to 8 days)

Transit spending account

Paid sick leave

Job summary

Kelly is hiring a Claims Support Specialist in Myrtle Beach, SC to support a leading healthcare organization. The role focuses on customer inquiries, research, and timely resolutions within claims and non-medical appeals processes. Shift is 8:00 am–5:00 pm and a credit check is required.

Salary rate is $17.75 per hour, with benefits reflecting Kelly’s offerings. The position emphasizes accuracy, compliance with policies, and collaboration with a team to meet quality standards.

Qualifications

• At least one year of claims or appeals-processing experience, or a bachelor’s degree.
• Strong communication and problem-solving skills.
• Attention to detail and the ability to follow established procedures.
• Ability to recognize when an issue should be escalated.

Responsibilities

• Respond to customer inquiries by phone, online, in writing, or in person.
• Research questions and concerns to provide accurate, timely resolutions.
• Review claims and non-medical appeals and determine the appropriate action according to organizational policies.
• Process claim adjustments and reprocessing requests.
• Verify procedure and diagnosis codes before entering claims into the system.
• Meet quality and productivity standards.
• Escalate complex issues to a lead or manager when appropriate.
• Identify and report potential fraud or abuse.

Skills

Claims processing

Communication

Problem solving

Attention to detail

Escalation awareness

Education

Bachelor's degree

Job description

Kelly® is hiring a Claims Support Specialist to support a leading healthcare organization in Myrtle Beach. If you enjoy helping customers, solving problems, and working with details, this role is an opportunity to build your experience in healthcare claims.

Salary/Pay Rate/Compensation: $17.75 per hour

Shift: 8:00am to 5:00 PM

Credit Check REQUIRED

What you’ll need

• At least one year of claims or appeals-processing experience, or a bachelor’s degree.
• Strong communication and problem-solving skills.
• Attention to detail and the ability to follow established procedures.
• The ability to recognize when an issue should be escalated.
• Availability to work 8:00 a.m.–5:00 p.m.

What you’ll do

• Respond to customer inquiries by phone, online, in writing, or in person.
• Research questions and concerns to provide accurate, timely resolutions.
• Review claims and non-medical appeals and determine the appropriate action according to organizational policies.
• Process claim adjustments and reprocessing requests.
• Verify procedure and diagnosis codes before entering claims into the system.
• Meet quality and productivity standards.
• Escalate complex issues to a lead or manager when appropriate.
• Identify and report potential fraud or abuse.

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Please note: The following benefits reflect Kelly's general offerings. Eligibility may vary by assignment, location, and job type.

Benefits

• Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability.
• As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account.
• In addition, employees are entitled to earn paid sick leave under the applicable state or local plan.

Kelly may use AI-powered tools during the recruitment and hiring process. For full details, including how Kelly uses AI, your rights, and how to request a reasonable accommodation, visit the Recruitment Artificial Intelligence Notice.

About Kelly

Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year.

Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.