Claims Support Specialist

2 weeks ago


Ridgeland, Mississippi, United States Morgan White Group Full time
Job Overview

The Claims Support Specialist is a vital member of the Claims Department, working under the supervision of the Claims Department Manager. This role is designed to assist clients throughout the claims process, ensuring a seamless experience.


KEY RESPONSIBILITIES:

The Claims Support Specialist acts as a liaison for our clients, addressing inquiries and facilitating the claims process. Responsibilities include:

  • Ensuring timely processing of claims and responding to inquiries within a 24-48 hour timeframe.
  • Providing direct assistance to Agents, Members, Providers, and Broker Services.
  • Managing incoming communications via email and phone.
  • Delivering comprehensive support and prompt resolution for all inquiries received.
  • Generating detailed itemizations and conducting thorough member audits.
  • Assisting with CMRP claims and validating necessary documentation.
  • Processing Explanation of Benefits (EOBs), billing statements, and claim adjustments.
  • Calculating coordination of benefits (COB) for claims.
  • Reviewing and managing claim appeals.
  • Utilizing the Claims Management Software to verify eligibility and review member accounts.
  • Inputting data accurately into the Claims Management System.
  • Maintaining a strong understanding of business processes within the organization.
  • Performing additional duties as assigned by the Department Manager.

QUALIFICATIONS:

  • A High School Diploma or GED is required; an Associate's or Bachelor's degree is preferred.
  • 1-2 years of experience in insurance claims is essential.
  • Proficiency in computer applications, particularly Microsoft Outlook, Windows, Excel, and Word.
  • Ability to learn and effectively use departmental software.
  • Strong time management, organizational, problem-solving, and customer service skills.
  • Capability to work under pressure and manage multiple priorities while meeting deadlines.
  • Attention to detail while multitasking is crucial.

WORK ENVIRONMENT:

  • Ability to thrive in a fast-paced environment and manage interruptions professionally.
  • Capacity to work independently with minimal supervision.
  • Prioritization of projects and managing multiple tasks simultaneously is necessary.
  • Excellent problem-solving skills and attention to detail are required.
  • Strong written and verbal communication skills are essential for building relationships.
  • Ability to handle stressful situations appropriately while maintaining confidentiality.

ESSENTIAL FUNCTIONS:

  • Fluency in English is required; knowledge of Spanish is a plus.
  • Basic typing skills are necessary.
  • Ability to perform physical tasks such as bending, stretching, and lifting up to 20lbs.

ACCOMMODATIONS:

The organization is committed to providing reasonable accommodations for qualified individuals with disabilities to perform essential job functions.


EQUAL OPPORTUNITY EMPLOYER:

The company is an Equal Opportunity Employer, dedicated to creating a diverse and inclusive workplace where all individuals are treated with respect and fairness.



  • Ridgeland, Mississippi, United States Morgan White Group Full time

    Job OverviewThe Claims Support Specialist plays a crucial role within the Claims Department, serving as a key resource for clients throughout the claims process.PRIMARY RESPONSIBILITIES:This position acts as a liaison for our clients, ensuring that their inquiries are addressed promptly and effectively. The Claims Support Specialist is dedicated to...


  • Ridgeland, Mississippi, United States Morgan White Group Full time

    Job OverviewThe Claims Support Specialist plays a crucial role within the Claims Department, reporting directly to the Claims Department Manager. This position is classified as nonexempt and operates in a dynamic environment.KEY RESPONSIBILITIES:The Claims Support Specialist serves as a key advocate for clients throughout the claims process. This role is...


  • Ridgeland, Mississippi, United States Morgan White Group Full time

    Career Opportunity at Morgan White GroupThe Claims Processing Specialist will undertake a variety of responsibilities within the Claims Department at Morgan White Group.PRIMARY DUTIES:Execute multiple check-related functions including runs, refunds, and void transactions.Collaborate with various departments and external stakeholders for payment processing...


  • Ridgeland, Mississippi, United States Morgan White Group Full time

    Career Opportunity at Morgan White GroupThe Claims Processing Specialist will undertake a variety of responsibilities within the Claims Department at Morgan White Group.PRIMARY DUTIES:Execute various check-related functions including runs, refunds, and voids.Collaborate with multiple departments and external entities for payment processing and...


  • Ridgeland, Mississippi, United States Morgan White Group Full time

    Job DescriptionThe Claims Concierge Specialist is a key role within the Morgan White Group, responsible for providing exceptional customer service and support to our clients throughout the claims process.Key Responsibilities:Maintain a high level of customer satisfaction by responding to inquiries and resolving issues in a timely and professional...


  • Ridgeland, Mississippi, United States Morgan White Group Full time

    Career Opportunity at Morgan White GroupThe Claims Administrator will undertake a variety of responsibilities within the Claims Department at Morgan White Group.PRIMARY DUTIES:Execute various check-related functions including runs, refunds, and voids.Collaborate with multiple departments and external entities for payment processing and reporting.Maintain...

  • IT Support Specialist

    2 weeks ago


    Ridgeland, Mississippi, United States Virginia Farm Bureau Mutual Full time

    Position Overview: We are seeking a dedicated individual with a strong work ethic and a positive demeanor to join our team as an IT Support Specialist. The ideal candidate will excel in teamwork, customer service, and possess exceptional communication abilities. Key Responsibilities:Handle incoming Help Desk support requests and escalate issues to...


  • Ridgeland, Mississippi, United States Polaris Tech Charter School Full time

    Educational Support Specialist at Polaris Tech Charter SchoolPolaris Tech Charter School is in search of an Educational Support Specialist to enhance their exceptional educational team. The selected candidate will focus on unlocking student capabilities and fostering a learning environment that prepares students for both college and career pathways.Key...


  • Ridgeland, Mississippi, United States Apple Full time

    Apple Customer Support SpecialistAs a Customer Support Specialist, you play a vital role in assisting new users in navigating their devices and providing swift, effective solutions to existing customers. Your ability to foster strong, positive connections with Apple users is essential to our mission.When customers seek help, you promptly evaluate their...


  • Ridgeland, Mississippi, United States 77 Consultants Full time

    Position OverviewRole Summary:77 Consultants is in search of a dedicated full-time Orthodontic Assistant. This position is essential in facilitating orthodontic procedures, assisting with dental care tasks, ensuring proper sterilization, and performing daily assisting responsibilities. The role demands a proactive approach to patient support and...


  • Ridgeland, Mississippi, United States Soliant Full time

    Job Opportunity: Paraprofessional in a Special Education Setting Soliant Education is seeking a dedicated Paraprofessional to support student success and create a positive classroom environment in a special education setting.Key Responsibilities: Assist teachers with instructional and classroom management tasks to ensure a smooth learning environment....


  • Ridgeland, Mississippi, United States Trustmark Full time

    Position Overview:The Project Analyst plays a crucial role in supporting Project Managers, Senior Project Managers, and Program Managers in overseeing intricate technical initiatives that have been defined and authorized through the organization's project initiation framework. This position is vital for the success of the overall program, providing...


  • Ridgeland, Mississippi, United States Trustmark Full time

    Position Overview:The Project Management Analyst plays a crucial role in supporting the Project Manager, Senior Project Manager, and/or Program Manager in overseeing intricate technical initiatives that have been defined and sanctioned through the organizational project initiation framework. This position is vital for the overall success of the program and...


  • Ridgeland, Mississippi, United States MMI Hospitality Group Full time

    Job OverviewMMI Dining Systems is seeking a Culinary Resource Specialist to support our operations. This role will involve collaborating with District Managers across various accounts to enhance service quality and profitability.Key ResponsibilitiesThe Culinary Resource Specialist will:Promote a guest-centric approach to ensure exceptional service.Assist...

  • Paralegal Specialist

    22 hours ago


    Ridgeland, Mississippi, United States Markow Walker, P.A. Full time

    Job Summary:We are seeking a highly skilled and detail-oriented Paralegal Specialist to join our team at Markow Walker, P.A. Law Firm. As a key member of our Workers' Compensation team, you will be responsible for providing administrative support to our attorneys and assisting with various tasks related to case management.Key Responsibilities:e-Filing and...


  • Ridgeland, Mississippi, United States Family Dollar Full time

    Family Dollar is seeking a Customer Service Representative. This role involves being the welcoming presence that assists customers in locating their desired items. Below are the responsibilities associated with this position:Deliver outstanding service to shoppersWelcome customers and guide them through their purchasesProcess transactions at the cash...


  • Ridgeland, Mississippi, United States Family Dollar Full time

    Family Dollar is seeking a Customer Service Representative. This role is essential in ensuring a positive shopping experience for our customers. As a representative, you will be responsible for the following:Delivering outstanding service to all customersWelcoming customers and guiding them during their shopping journeyProcessing transactions at the cash...


  • Ridgeland, Mississippi, United States CURO Financial Technologies Full time

    Job SummaryWe are seeking a highly motivated and customer-focused Consumer Loan Specialist to join our team at CURO Financial Technologies. As a Consumer Loan Specialist, you will play a critical role in assisting customers with their financial needs, providing exceptional customer service, and driving business growth.Key ResponsibilitiesCustomer Service:...


  • Ridgeland, Mississippi, United States Coca-Cola Consolidated, Inc. Full time

    Merchandising Role at Coca-Cola Consolidated, Inc.The Merchandising Specialist role at Coca-Cola Consolidated, Inc. involves presenting products in a visually appealing manner to capture the attention of consumers at retail locations. This position entails servicing and managing multiple bulk accounts by merchandising approved products with a focus on safety...


  • Ridgeland, Mississippi, United States Beltone Full time

    Exciting Career Opportunity at BeltoneBecome a part of our dedicated team at Beltone, a prominent provider in auditory technology and patient support. We are on the lookout for enthusiastic individuals eager to grow their careers in the healthcare sector and make a positive impact on the lives of others.Primary Responsibilities:Acquire skills to assess and...