Claims & Adjustment Specialist

Claims & Adjustment Specialist Blue Cross & Blue Shield of Mississippi seeks a motivated individual to join our community focused on creating healthier Mississippi. The role involves processing and reviewing medical claims, ensuring accuracy and timeliness while upholding our commitment to quality care for every Mississippian. Benefits Competitive compensation package including medical benefits, 401(k), and ample paid time off. Schedule that supports work/life balance. Work‑life amenities such as a walking track, onsite gym, and café. Structured onboarding and ongoing development opportunities leading to careers across multiple business areas. What You’ll Do Review and process medical claims with accuracy and efficiency by applying policy guidelines and managing secondary claim reviews. Conduct research, review correspondence, and communicate effectively to expedite claim issue resolution and payment. Maintain performance levels that meet or exceed established timelines and accuracy benchmarks in day‑to‑day activities. Job-Specific Requirements Bachelor’s degree with at least a 3.0 GPA. Competent in computer operations, able to switch between multiple screens/applications while maintaining focus. Strong written communication style with the ability to adapt tone for different audiences. High degree of accuracy and keen eye for detail. Customer-focused and service oriented to achieve timely and accurate performance benchmarks. What To Expect The work environment emphasizes your well‑being, providing a structured setting that demands high standards while offering supportive onboarding and continual development opportunities. Monthly team events foster a sense of community. How To Apply Set up a Workday account and complete the application process. Attach a copy of your resume and cover letter. Check your email for updates on progress. The process may include phone screening, testing, in‑person interview(s), background, and drug testing. Equal Opportunity Employer 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 Blue Cross & Blue Shield of Mississippi