Catastrophe Field Claims Specialist AAA Southern New EnglandCatastrophe Field Claims SpecialistJackson, MSBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Work Environment: This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities are specified by leadership.
Claims & Adjustment Specialist Blue Cross & Blue Shield of MississippiClaims & Adjustment SpecialistFlowood, MississippiAt 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. Blue Cross & Blue Shield of Mississippi welcomes you to begin your career as a Claims & Adjustment Specialist in a dynamic and fast-paced atmosphere.
NewSpecialist, Claims and Adjustments - FEP Blue Cross & Blue Shield of MississippiSpecialist, Claims and Adjustments - FEPFlowood, MississippiIn addition, the FEP Claims and Adjustment Specialist is responsible for reviewing and taking action on communication received from providers and members via written communication and inquiries received from Customer Service Support. Logical thought process in order to interpret and apply contract benefits as well as identify issues, recommend solutions, interpret and apply contract benefits and accurately adjust claims.
Claim Specialist - WCCS Deployed State FarmClaim Specialist - WCCS DeployedJackson, MS$59,059.65–$82,000 / yearPhysical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Claim Specialist FCCI Insurance GroupClaim SpecialistMS Field, MS$91,389–$140,737 / yearResponsibilities include maintaining an inventory of claims handled within departmental guidelines, following best practices policies and procedures and budgetary guidelines, field investigations, negotiating limited settlements, setting reserves, attending mediations, and documenting all file activity. At FCCI, it is the personal touch of our local presence and expertise, combined with the knowledge and relationships of our agency partners, that creates a winning combination which sets us apart.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionGreenwood, MS$63,089.65–$90,000 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 38703 38722 38751 38756 38761 38772 38778 38901 38917 38925 38929 38930 38940 38941 38943 38944 38946 38947 38950 38952 38954 38959 38967 39735 39737 39744 39745 39747 39752 39767 39771 39772 . With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Catastrophe Field Claim Specialist AAA Southern New EnglandCatastrophe Field Claim SpecialistJackson, MSBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Work Environment: This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities are specified by leadership.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheJackson, MS$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistMS$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
Benefit Program Specialist I (SNAP/TANF Eligibility Specialist) 4567 State of MississippiBenefit Program Specialist I (SNAP/TANF Eligibility Specialist) 4567Brandon, MSAt this level, some employees may be responsible for overseeing and determining high value claims, benefits, and/or eligibility (e.g., estate management) through consideration of a wide range of legal, medical, occupational, and other factors to develop cases based upon complicated facts. The Mississippi Department of Human Services is dedicated to serving others while providing a wide range of public assistance programs, social services, and support for children, low-income individuals and families.
Inland Marine Underwriting Specialist FCCI Insurance GroupInland Marine Underwriting SpecialistRidgeland, MS$102,357–$157,629 / yearThis position partners closely with agents, distribution leaders, Inland Marine Director, Risk Control, Claims, and Product Management teams to achieve underwriting profitability, growth objectives, and strategic initiatives. At FCCI, it is the personal touch of our local presence and expertise, combined with the knowledge and relationships of our agency partners, that creates a winning combination which sets us apart.
Warranty Specialist RehlkoWarranty SpecialistHattiesburg, MississippiOur product range includes engines, generators, power conversion, UPS systems, EV components and electrification solutions, microgrid controls and management, and clean energy solutions that serve a broad spectrum of OEM, residential, industrial, and commercial customers. We empower every team member to actively participate in our Zero Is Possible safety culture by encouraging open communication, proactively reporting hazards, following protocols, and suggesting improvements.
Specialist-Billing Baptist Memorial Health Care CorpSpecialist-BillingJackson, MSResponsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows.
Warranty Specialist Discovery Energy LLCWarranty SpecialistHattiesburg, MS$63,100–$79,500 / yearOur product range includes engines, generators, power conversion, UPS systems, EV components and electrification solutions, microgrid controls and management, and clean energy solutions that serve a broad spectrum of OEM, residential, industrial, and commercial customers. We empower every team member to actively participate in our Zero Is Possible safety culture by encouraging open communication, proactively reporting hazards, following protocols, and suggesting improvements.
Specialist-Payer Enrollment Baptist Memorial Health Care CorpSpecialist-Payer EnrollmentJackson, MSFollow up with payers to ensure timely and accurate processing of provider enrollments within payer-specific turnaround time metrics, communicating directly with payer representatives to resolve enrollment issues or discrepancies, and escalating trends or new payer requirements to leadership. Monitor and Resolve Enrollment-Related Claim Denials: Investigate and resolve claim denials or rejections related to provider enrollment issues, including missing or incorrect NPI, TIN, or payer ID information.
Network Reimbursement Specialist Blue Cross & Blue Shield of MississippiNetwork Reimbursement SpecialistFlowood, MississippiThe Network Reimbursement Specialist is responsible for the implementation, coordination and maintenance of all routine provider reimbursement updates, including updates to professional and allied fee schedules, updates to facility reimbursement rates, pricing rule changes, and the development, execution and completion of test plans and related claims testing when implementing new or modifying existing reimbursement functionality. The Network Reimbursement Specialist is required to be (or become) the subject matter expert in Network reimbursement as it pertains to the functionality within the medical claims processing system.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Southaven, MSRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
MSP Compliance Specialist - Eastern Alliance ProAssurance CorpMSP Compliance Specialist - Eastern AllianceRidgeland, MS$57,575–$95,008 / yearResponsibilities of this position include managing all CMS data elements aspects for WC claims, including verifying data points and managing CMS related inquiries, including, but not limited to, conditional payment notices (CPNs) and Medicare Advantage liens under moderate supervision, following established Company requirements and procedures for reporting Section 111 for Ongoing Responsibility for Medicals (ORM) and Total Payment Obligation to Claimants (TPOC) timely and accurately. 15% - Monitor and handle incoming CMS correspondence and Medicare Beneficiary inquiries related to CMS development letters, conditional payment liens notices, and Medicare Advantage lien(s) under the direction of management.
Pharmacy Revenue Specialist North Mississippi Primary Health CarePharmacy Revenue SpecialistAshland, MS$20–$23 / hourFull timeResponsibilities:- Submit and follow up on pharmacy claims; correct rejections and denials- Verify coverage, eligibility, and required documentation- Post payments, reconcile accounts, and track outstanding balances- Coordinate with pharmacy staff, payers, and internal teams to resolve billing questions- Maintain clear notes and meet daily productivity and quality targetsQualifications/skills:- High school diploma or equivalent (college coursework a plus)- Basic knowledge of insurance/medical billing or pharmacy claims preferred- Strong attention to detail, organization, and data entry accuracy- Clear communication and customer-service mindsetApply if you want a steady, onsite role with measurable impact. The PositionAs a Pharmacy Revenue Specialist, you help keep pharmacy billing accurate and timely so patients can access care without avoidable delays.
Employee Benefits Specialist Wayne Farms, Inc.Employee Benefits SpecialistCollins Plant, MSPRIMARY FUNCTION: The Employee Benefit Specialist acts as the central point of contact surrounding LOA, Disability and FMLA leaves, entering leave data, following up on issues and upkeep of associated employee leave files. RESPONSIBILITIES AND TASKS: Manage employee FMLA, Disability and personal leave tasks per Company policies and Federal, State and local legal requirements; enter leave and return to work dates in appropriate system in a timely manner and follow up on inconsistencies or missing documentation and communicate to appropriate personnel.