The Employee Claims Specialist is responsible for the accurate and timely processing and adjustment of claims for all BCBSMS active employees, retirees and Board members. This position will also provide timely and accurate customer service and issue resolution in a professional and courteous manner.
Requires a Bachelor’s Degree.
Must be able to understand and apply the BCBSMS employee contract and guidelines in order to make logical decisions.
Must have very good verbal and written communication skills to ensure effective, positive, and tactful communication between his/her supervisor, all BCBSMS employees, retirees, Board members, providers, and other insurance companies.
Must have very good interpersonal skills in order to work in a team environment and interact with personnel at all levels of the company.
Must be able to maintain strict confidentiality.
Must possess a professional, positive, and energetic demeanor that exhibits support for company goals and policies.
Must have above average PC skills including experience with Microsoft Word and Excel to prepare responses and maintain reports within the Unit, as well as utilize OnDemand and Content Manager.
Must be process and detail oriented to work with a high degree of accuracy and attention to detail to ensure work products are of high quality.
Must have excellent organizational skills in order to successfully prioritize and perform tasks to ensure individual benchmarks are consistently met.
Must be customer focused and service oriented to ensure timely and accurate performance and benchmark achievement.
Must have the ability to work independently and complete assignments in a timely and accurate manner.
Must be able to work a flexible schedule when required.
Prefer at least eighteen months of CAS claims processing or CAS Customer Service experience with BCBSMS.
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, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.