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Claims Processor Associate Jobs in Mississippi (NOW HIRING)

Morgan White Group

Claims Specialist I

Ridgeland, MS · On-site

Review member correspondence and process or direct to the appropriate department. * Maintain ... Associates or bachelor's degree is preferred. * Must have 1-2 years of previous insurance claims ...

Morgan White Group

Claims Specialist I

Ridgeland, MS · On-site

Review member correspondence and process or direct to the appropriate department. Maintain quality ... Associates or bachelor's degree is preferred.Must have 1-2 years of previous insurance claims ...

Morgan White Group

Claims Specialist I

Ridgeland, MS · On-site

Review member correspondence and process or direct to the appropriate department. * Maintain ... Associates or bachelor's degree is preferred. * Must have 1-2 years of previous insurance claims ...

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Claims Processor Associate information

What does a claims processor associate do?

A Claims Processor Associate is responsible for reviewing, processing, and verifying insurance claims to ensure they are accurate and comply with policy guidelines. They investigate claim details, communicate with policyholders or medical providers for additional information, and enter claim data into company systems. Their role is crucial in ensuring timely and accurate payments or denials, helping both insurance companies and clients. Attention to detail, strong organizational skills, and excellent communication abilities are important for success in this position.

What are the key skills and qualifications needed to thrive as a claims processor associate, and why are they important?

To thrive as a Claims Processor Associate, you need strong attention to detail, analytical skills, and a high school diploma or equivalent, with some employers preferring experience in insurance or healthcare. Familiarity with claims management software, data entry systems, and basic office applications is typically required. Excellent organizational skills, clear communication, and the ability to work efficiently under deadlines are essential soft skills for this role. These abilities ensure accurate claims processing, minimize errors, and support timely service for clients and providers.

What are some common challenges faced by claims processor associates, and how can they be effectively managed?

Claims Processor Associates often encounter challenges such as handling a high volume of claims, navigating complex policy details, and meeting strict deadlines. Successfully managing these challenges requires strong organizational skills, attention to detail, and the ability to prioritize tasks effectively. Collaborating closely with team members and regularly communicating with supervisors can also help resolve discrepancies and ensure accuracy. Most organizations provide training and support to help associates stay updated on procedures and regulatory requirements, fostering a supportive work environment.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, strong organizational skills, and the ability to handle complex or difficult cases. However, workload and stress levels vary depending on the employer and work environment.

What are the most commonly searched types of Claims Processor jobs in Mississippi?

The most popular types of Claims Processor jobs in Mississippi are:

What are popular job titles related to Claims Processor Associate jobs in Mississippi?

For Claims Processor Associate jobs in Mississippi, the most frequently searched job titles are:

What job categories do people searching Claims Processor Associate jobs in Mississippi look for?

The top searched job categories for Claims Processor Associate jobs in Mississippi are:

What cities in Mississippi are hiring for Claims Processor Associate jobs?

Cities in Mississippi with the most Claims Processor Associate job openings:

Claims Processor Associate jobs near you

Claims Specialist I

Morgan White Group

Ridgeland, MS • On-site

Full-time

Re-posted 8 days ago

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:

The Claims Specialist will review claims for reporting information in a spreadsheet or software and communicate with the TPA Manager and Claims Manager daily as well as possibly interacting with groups, claimants, outside carriers, and agents. To perform the job successfully, the employee must be able to perform each essential duty satisfactorily. The requirements listed here are representative of the knowledge, skill, and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Perform review and adjudication of insurance claims.
  • Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review member accounts based on the policy assigned.
  • Input data into MWG Administrators Claims Management Software.
  • Handle incoming mail, provider appeals, inquiries, and racers.
  • Review member correspondence and process or direct to the appropriate department.
  • Maintain quality customer service by following customer service best practices and being responsive.
  • Perform periodic audits on individual and group policies to verify claims have been paid correctly.
  • Protect operations by keeping claims information confidential.
  • Ensure legal compliance by following company policies, procedures, and guidelines.
  • Identify escalated issues and handoff to supervisor.
  • Meet or exceed all performance metrics.
  • Be knowledgeable and have a clear understanding of the business processes within MWG including internal departments, insurance carriers, brokers/agents, and group contacts.
  • Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review member accounts based on the policy assigned.
  • Perform other duties as assigned by the Department Manager.

EXPERIENCE AND EDUCATION REQUIREMENTS:

  • High School Diploma or GED required; Associates or bachelor's degree is preferred.
  • Must have 1-2 years of previous insurance claims experience; previous experience with electronic data interchange (EDI) of files is preferred.
  • Must have excellent computer skills and be knowledgeable in MS Outlook, Windows, Excel, and Word.
  • Must be able to learn and be proficient with the software used in the TPA department.
  • Must possess strong time management, organizational, problem solving, and customer service skills.
  • Must be able to work well under pressure with multiple priorities and meet deadlines while maintaining attention to details.

WORKING ENVIRONMENT:

  • Must be able to perform in a very high paced environment while multi-tasking or handling interruptions.
  • Must have the ability to work independently while practicing effective time management skills.
  • Must be able to prioritize projects, work multiple projects simultaneously, and meet project deadlines in an organized manner.
  • Must possess excellent problem-solving skills and have keen attention to details.
  • Strong written and verbal communication, interpersonal, and relationship building skills are required.
  • Must be able to handle stressful situations appropriately.

JOB ESSENTIAL REQUIREMENTS:

The following are job functions that an employee must be capable of performing with or without reasonable accommodation.

  • Must be able to read, write, and speak English; Spanish is a plus.
  • Must be able to work as scheduled.
  • Must possess sight and hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position as stated above can be fully met.
  • Must be able to bend, stretch, reach, and sit or stand at a desk during 85% of the workday.
  • Must be able to lift, stoop, and carry small equipment items and supplies, possibly weighing up to 20lbs.

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