What are the responsibilities and job description for the Claims and Adjustment Analyst position at Blue Cross & Blue Shield of Mississippi?
Job Summary :
We are seeking a dedicated Claims and Adjustment Analyst to join our dynamic team. In this role, you will efficiently process claims for both fully-insured and self-insured lines of business, utilizing your logical decision-making skills to ensure the precise application of provider and benefit contract provisions. You will also be responsible for addressing claim and adjustment requests from members and providers, effectively collaborating with various departments and partner plans to deliver exceptional service.
Your contributions will directly impact our members' experience, as you work to meet established timeliness and accuracy benchmarks, ensuring that service expectations are exceeded every day.
Job-Specific Requirements :
- Bachelor's degree is required.
- Proficient computer skills with a strong command of Microsoft Office Suite.
- Logical reasoning and critical thinking skills are essential for interpreting and applying contract benefits while identifying potential issues.
- Customer-focused with a service-oriented mindset.
- High attention to detail and accuracy to ensure that all work products meet quality standards.
- Excellent organizational skills to prioritize tasks effectively and meet individual and team benchmarks consistently.
We are proud to be 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. Join us and become part of a team that values experience, expertise, and dedication while offering a comprehensive benefits package worth approximately one-third of your salary.
This position is located in Flowood, MS and is 100% in-office; remote or hybrid options are not available.
