Claims Specialist
Blue Cross & Blue Shield of Mississippi
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. This mission requires a talented and motivated team with diverse sets of skills and experiences, aligned with the commitment of a healthy Mississippi. Blue Cross & Blue Shield of Mississippi welcomes you to begin your career as a Claims & Adjustment Specialist in a dynamic and fast-paced atmosphere. Our highly competitive compensation package which includes medical benefits, 401(k), ample paid time off and a schedule that supports true work/life balance, allows you to begin your career in claims processing and grow into a position in other areas of business including: Information Technology Finance Accounting Medical Administration Compliance Human Resources Join our team and start a meaningful career where your work supports better health outcomes for Mississippians every day. 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. 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 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. Every day you will come to a structured work setting that demands you bring your best. Most importantly, the supportive onboarding process and continual development opportunities provide career paths leading into all areas of the business. It’s good to Blue! Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. #J-18808-Ljbffr
- ...Claims & Adjustment Specialist 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...Suggested
$100k - $125k
...A leading claims administration company is looking for a Sr. Claims Specialist focused on professional liability claims. The role demands the ability to analyze complex claims, negotiate settlements, and coordinate legal defenses, requiring a Bachelor's degree and six...SuggestedRemote work$100k - $125k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary Purpose To analyze complex or technically difficult errors and...SuggestedWork at officeLocal areaRemote workFlexible hours$23 - $26 per hour
...Come join our amazing team and work remote from home! The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all FHA home retention claims timely and accurately according to investor/insurer guidelines. Perform all duties...SuggestedTemporary workWork experience placementImmediate startRemote workWork from home$51.78k - $65k
...Sedgwick is seeking a Claims Representative in Jackson, Mississippi to process workers compensation claims, determine benefits, and negotiate settlements. This entry-level position welcomes candidates with no prior experience but requires a high school diploma or GED....SuggestedRemote workFlexible hours- ...Humana Inc is looking for a Claims Research & Resolution Representative 3 in Jackson, Mississippi. This role involves managing claims operations, interacting with customers, and resolving claims for the organization. The ideal candidate will have over a year of experience...Full timeRemote work
$68k - $80k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Comp This role requires direct experience handling Washington (WA) State Workers’ Compensation claims ....Contract workFlexible hours- ...Job Opportunity: Claims Examiner at Southern Farm Bureau Life Insurance Location: Jackson, MS Company Overview: Southern Farm Bureau... ...pending claims. Approve correspondence prepared by the Intake Specialist and/or Claims Service Representative. Maintain complete and accurate...Work at officeNight shift
$60k - $95k
...area, Finance, Accounting, OR Banking experience.OR High School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support areaAND Knowledge of the insurance industry and the legal and regulatory environment Knowledge of underwriting...Full timeContract workTemporary workWork at officeLocal areaRemote workVisa sponsorship$63.4k - $95k
...Job Title: Claims Examiner – Workers Compensation, CA (Remote) Primary Purpose of the Role We are looking for driven individuals that embody our caring model and core values that include empathy, accountability, collaboration, growth, and inclusion. Responsibilities Analyze...Remote workFlexible hours$90k - $100k
...Summary The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryder’s self-administered liability program. Job Description This position investigates and adjusts claims and directs defense counsel, independent adjusters, experts...Work at officeRemote work$43k - $56.2k
...Become a part of our caring community The Claims Research & Resolution Representative 3 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for and against...Temporary workApprenticeshipRemote workWork from homeMonday to FridayShift work$23.16 per hour
...Company: Highmark Inc. Job Description: This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing...For contractorsWork at officeLocal area- ...Job Description Job Description The Claims Specialist reports to the Claims Department Manager in the MWG-Administrators TPA Division. The position is a non-exempt, hourly role and is located at 500 Steed Road, Ridgeland, MS 39157. GENERAL JOB DUTIES AND RESPONSIBILITIES...Hourly pay
- ...A leading claims management company is seeking a Claims Examiner to analyze California workers compensation claims. The ideal candidate should have 5 years of claims management experience and a high school diploma. Responsibilities include determining benefits due, negotiating...Remote workFlexible hours
$80k - $90k
...Role Overview This role requires an individual to analyze Lost‑Time Workers Compensation claims on behalf of clients to determine benefits due and ensure ongoing adjudication within service expectations, industry best practices, and specific client service requirements...Remote workFlexible hours- Category : Client Operations Application Deadline: Ongoing until positions are filled. to apply, please visit the TP Careers site at . About TP TP is a leading global provider of digital business services. We partner with the world's most prominent brands...Ongoing contractContract workTemporary workPart timeWork experience placement
- ...A leading claims adjusting firm in Jackson, Mississippi is seeking Licensed Claims Adjusters to meet the growing demands of storm-related claims. This role offers flexibility and autonomy, along with comprehensive training programs to enhance skills. You'll play a vital...Flexible hours
$15k
...Fortune Best Workplaces in Financial Services & Insurance Experienced Surety Bond Desk Adjuster PRIMARY PURPOSE Handles losses and claims valued up to $15,000 for property and casualty insurers through the thorough examination of documents, records, loss reports, and other...For contractorsWork at officeLocal area$22.26 - $40 per hour
Assists in analyzing and preparing the negotiation and administration of contracts or subcontracts. Researches and reviews specifications and needed documentation in order process requests. Responds timely to request for proposals (RFP) from government and prime contractors...Contract workFor contractorsWork experience placementFor subcontractorWork at office- Parexel FSP is seeking Site Contracts Associates in the US! Job Summary The Site Contract Associate I (“SCA”) is responsible for negotiation with sites, finalization, and execution of all types of site contracts required for site activation. SCA is also responsible for...Contract workLocal area
$37.66 - $44.33 per hour
...products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job...Temporary workFor contractorsLocal areaImmediate startRemote work$70k - $140k
Description Summary: The Business Banking Underwriter III is responsible for underwriting Business Banking loans to determine credit worthiness and compliance with Bank lending policy. Duties & Responsibilities: Supports Business Banking production by maintaining an individual...Full timeWork at officeRemote workWork from homeFlexible hours- Inbound Call Center Agent Genesis Call Center recruits, trains, and manages U.S.-based Customer Service Representatives (CSRs) who support national brands across customer service, roadside assistance, healthcare logistics, retail support, and more. Our secure cloud-...Flexible hours
$50k
...Ascent360 is seeking a skilled Collections Specialist to manage full revenue cycle activities in a remote setting. You will be accountable for insurance claim submissions, follow-ups, and collections within behavioral health. With 2–3+ years of medical billing experience...Remote work- POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO)...Full timeTemporary workWork experience placementCasual workWork at officeLocal areaRemote workWork from home
$18 per hour
Licensed Insurance Sales Representative (Remote - Home Based Work) page is loaded## Licensed Insurance Sales Representative (Remote - Home Based Work)remote type: Fully Remote Location Specificlocations: MS - Jacksontime type: Full timeposted on: Posted Todayjob requisition...Minimum wageFull timeContract workWork at officeLocal areaRemote workWork from homeHome officeWork visaWeekend workAfternoon shift$75k
Job Description Ready to jump-start your career and take charge of your earning potential? At Platinum Supplemental Insurance, we're looking for motivated individuals ready to learn, grow, and thrive in a fast-paced environment. Whether you're a recent grad or simply...Flexible hoursNight shift- ...collecting premiums on a pre-arranged schedule that you determine** *Responding promptly to service requests such as beneficiary changes, claims, and loans** *Record keeping, accounting for money collected, and processing policy paperwork****Agent Expectations:**** *Grow the...Full timeTemporary workTraineeshipCasual work
$76k - $95k
...Want to work with highly motivated individuals on high-performance teams? Join WWT today! A Brief Overview The Senior Contract Specialist Services role resides within our Sales Operations Service Contract & Licensing Operations team and interacts directly with Inside...Full timeContract workShift work
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