Claims Consultant

Trustmark Claims Consultant

Trustmark's mission is to improve wellbeing for everyone. It is a mission grounded in a belief in equality and born from our caring culture. It is a culture we can only realize by building trust. Trust established by ensuring associates feel respected, valued and heard. At Trustmark, you'll work collaboratively to transform lives and help people, communities and businesses thrive. Flourish in a culture of diversity and inclusion where appreciation, mutual respect and trust are constants, not just for our customers but for ourselves. At Trustmark, we have a commitment to welcoming people, no matter their background, identity or experience, to a workplace where they feel safe being their whole, authentic selves. A workplace made up of diverse, empowered individuals that allows ideas to thrive and enables us to bring the best to our colleagues, clients and communities.

Trustmark is seeking a highly motivated and experienced Claims Consultant to join our team and contribute to our commitment to exceptional customer service. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and completeness. Must comply with policy provisions and appropriate state and federal laws. Claim types include Wellness, Hospital Indemnity, Accident, Life, Long-Term Care (LTC), Disability and Critical Care.

Key Accountabilities

• Identifies claims that need additional reviews, initiates and implements the appropriate reviews.
• Initiates independent analysis of claims that need additional review.
• Manages active claims while adhering to department time service standards with quality performance.
• Gathers and reviews data from different sources; make recommendations and decisions to be reviewed by trainer / leader.
• Manages more complex claim operational activities which may include Presidential and Department of Insurance Complaints, reviewing state and federal regulations for applicability to claims, state reporting, and developing letters and forms for departmental use.
• Reviews and understands complex medical, financial records and legal documents.
• Understands and utilizes various investigative tools.
• Learns and develops an understanding of complex policies and associated claim handling process. Performs claims handling processes and procedures related to less complex Life, LTC, Disability, Critical Care, Accident, Hospital Indemnity and Wellness claims.

Minimum Requirements

In addition to compensation, we offer a comprehensive benefits package that includes : Health / dental / vision, life insurance, FSA and HSA, 401(k) plan, Employee Assistant Program, Back-up Care for Children, Adults and Elders and many health and wellness initiatives. We also offer a Wellness program that enables employees to participate in health initiatives to reduce their insurance premiums.

Trustmark is committed to leveraging the talent of a diverse workforce to create great opportunities for our people and our business. We are an equal opportunity employer, including disability and protected veteran status.

Join a passionate and purpose-driven team of colleagues who contribute to Trustmark's mission of helping people increase wellbeing through better health and greater financial security. At Trustmark, you'll work collaboratively to transform lives and help people, communities and businesses thrive. Flourish in a culture where appreciation, mutual respect and trust are constants, not just for our customers but for ourselves.