Claims 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 that encourages every Mississippian to live their healthiest life. This mission requires a talented and motivated team with diverse sets of skills and experiences, aligned with the commitment to a healthy Mississippi.

Join our team and start a meaningful career where your work supports better health outcomes for Mississippians every day. This role offers opportunities to grow into positions in other areas of the business, including:

• Information Technology
• Finance
• Accounting
• Medical Administration
• Compliance
• Human Resources
• Sales

Responsibilities

• 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.

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.

Work Environment

A structured work setting that demands your best, with a focus on your health to help you thrive. Highlights of the campus include:

• A walking track, onsite gym, and café.
• Monthly Team Blue events to meet new people and become part of the family.

The supportive onboarding process and continual development opportunities provide career paths leading into all areas of the business.

Benefits

Our highly competitive compensation package includes:

• Medical benefits
• 401(k)
• Ample paid time off
• A schedule that supports true work/life balance