Claims & Adjustment Specialist

About the role

Be part of a vision for a healthier Mississippi as a Claims & Adjustment Specialist. At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a strong, supportive community which encourages every Mississippian to live their healthiest life.

Job-Specific Requirements

• Bachelor’s degree with at least a 3.0 GPA
• Computer proficiency with the ability to move between multiple screens/applications while maintaining focus
• Articulate written communication style with the strong ability to adapt tone and style for differing audiences
• A high degree of accuracy and a keen eye for detail in work produced
• Customer-focused and service oriented to ensure timely and accurate performance benchmarks are achieved

What You’ll Do

• Review and process medical claims with accuracy and efficiency by applying policy guidelines, scheduling and managing additional claims review and coordinating benefits while prioritizing the timeliness of the claims.
• Review correspondence, conduct research and communicate appropriately to expedite claim issue resolution and/or payment.
• Ensure performance levels meet or exceed established timelines and accuracy benchmarks while completing day-to-day activities.

Benefits

• Highly competitive compensation package which includes medical benefits, 401(k), ample paid time off and a schedule that supports true work/life balance
• Opportunities to grow into positions in other areas of business including: Information Technology, Finance, Accounting, Medical Administration, Compliance, Human Resources, Sales

What To Expect

• A work environment with a focus on your health which allows you to thrive
• The walking track, onsite gym and café are just a few of the highlights of the campus
• Monthly Team Blue events allow you to meet new people and quickly become a member of the family
• A structured work setting that demands you bring your best
• A supportive onboarding process and continual development opportunities provide career paths leading into all areas of the business

How To Apply

• Set up a Workday account and complete your application process
• Attach a copy of a resume and cover letter
• Processes may include phone screen, testing, in-person interview (s), background and drug testing

Company Information

• Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer
• We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation
• We are looking for employees who can bring their experience, expertise and dedication to work for our customers