Claims Adjuster II – Property, Auto, Liability

BlueCross BlueShield of South Carolina

Claims Adjuster II investigating and negotiating claims for BlueCross BlueShield of South Carolina. Responsible for making recommendations for claim outcomes exceeding authorized levels.

Posted 4/16/2026full-timeColumbia • South Carolina • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Independently investigates, evaluates, and negotiates the resolution of assigned claims within approved authority
Responsible for making recommendations for claim outcomes on claims exceeding level of authority
Conduct investigations of assigned claims in adherence with corporate timeliness and quality performance standards
Document activities, case action plans, settlements evaluations and requests for authorizations in the claim notes
Provide management and internal and external customers with documentation to support recommendations and claim status as required
Direct the litigation process and work with attorneys to establish defense strategy and case legal budget
Negotiate settlements with opposing counsel
Evaluate specials, damages, and/or extent of disability, and negotiate settlement with individual claimants and/or attorneys
Review independent adjustor's reports and handle claim outcomes.

Requirements

What you’ll need

Bachelor's degree (4 years job related work experience or Associate's and 2 years job related work experience)
2 years of area related adjusting experience
Valid adjustor's license in required states or ability to acquire within 6 months if required by the resident state's department of insurance
Strong organizational skills
Solid ability and experience navigating multiple systems
Able to work independently
Able to manage distractions effectively
Strong communication skills, both verbally and written.

Benefits

Comp & perks

Subsidized health plans
Dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims investigationclaims negotiationsettlement evaluationlitigation process managementcase action planningdamage evaluationdisability assessmentreport review

Soft Skills

organizational skillsindependencedistraction managementcommunication skills

Certifications

adjustor's license