Salary: $50,000+ depending on experience
Skills: Hospital Billing, Claims Appeals, Post-Acute Setting, Payor Contract Interpretation, MS Excel
About the Health Care Company / The Opportunity:
This is an exciting opportunity to join a dynamic team in the Health Care industry dedicated to making a meaningful impact in the lives of patients every day. As a Hospital Billing & Claims Appeal Specialist, you will play a pivotal role in supporting operations within a post-acute care environment while growing your career in a collaborative and supportive setting. This on-site role offers a chance to contribute to integrated healthcare management in Lafayette, Louisiana, and be part of a mission-driven organization committed to excellence in patient care and employee development.
Responsibilities:
Manage patient account billing, including preparing and mailing monthly statements and processing electronic billing submissions.
Oversee fiscal year-end cost reporting and ensure accurate documentation for billing records.
Support the billing team and corporate office in identifying and resolving incorrect contracted payments from managed care payors.
Write, file, and follow up on appeals regarding claim denials in compliance with payor contract guidelines.
Assist billing specialists in obtaining necessary documentation for appeals and maintaining appeal timelines.
Collaborate effectively with colleagues to achieve departmental objectives and provide excellent customer service.
Interpret and explain complex information related to billing and claim appeals to internal and external stakeholders.
Utilize strong organizational and time management skills to handle multiple tasks and deadlines efficiently.
Must-Have Skills:
2-3 years of hospital billing, collections, or accounting experience in a health care setting.
Extensive experience with claim appeals and billing in the post-acute or long-term acute care (LTAC) setting.
Ability to interpret payor contracts for appropriate appeal rights and regulatory compliance.
Strong knowledge of MS Word and Excel for billing operations and reporting.
Exceptional communication, organizational, analytical, and problem-solving skills.
Diplomatic and clear articulation of complex information in written and verbal communications.
Nice-to-Have Skills:
Prior experience supporting billing specialists and managing multiple appeal workflows.
Background in patient account billing in multi-site or multi-facility health systems.
Experience with Employee Stock Ownership Plan (ESOP) organizations.
Familiarity with a variety of managed care payors and electronic submission systems.
Ability to work as a self-starter with strong attention to detail under tight deadlines.
$50k yearly 2d ago
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Senior Marine Claims Specialist-Hull
Zurich Na 4.8
Claims adjuster job in Jackson, MS
130521 We are excited to share that Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience preferred) to join our team! We are open to remote work for the right candidate located within the U.S..
In this role you will be responsible for:
+ Ability to handle dedicated accounts.
+ Frequent interaction with Assureds, Brokers and Underwriters.
+ Some travel may be required but this is not very frequent.
Basic Qualifications:
+ Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Zurich Certified Insurance Apprentice, including an associate degree with 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.OR
+ High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.AND
+ Must obtain and maintain required adjuster license(s)
+ Microsoft Office experience
+ Knowledge of insurance regulations, markets, and products as well as maritime and admiralty practices.
Preferred Qualifications:
+ Extensive Marine Hull claims experience preferred.
+ Emphasis on Marine Liability, Hull, Blue water and brown water claims, Jones Act, General Average and Ocean Cargo Claims experience preferred.
+ Licensed in all states as needed required.
+ Effective verbal and written communication skills
+ Strong analytical, critical thinking and problem-solving skills
+ Strong multi-tasking and prioritization skills
+ Experience collaborating in a team environment and building cross functional working relationships
+ Proactively shares and promotes sharing of insights
+ Ability to gather unique perspectives from other teams/functions to optimize outcomes.
+ Understands, analyzes, and applies the component parts of an insurance policy for complex claims
+ Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims
+ Ability to determine the scope and exposure for complex claims
+ Ability to leverage trend and relationships to provide high-quality customer service
+ Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts.
+ Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims
+ Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us.The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $75,800.00 - $124,100.00, with short-term incentive bonus eligibility set at 15%.
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .]
**Why Zurich?**
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 .
Join us for a brighter future-for yourself and our customers.
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.
Zurich complies with 18 U.S. Code § 1033.
**Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.
Location(s): AM - Texas Virtual Office, AM - Remote Work (US)
Remote Working: Yes
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-JJ1 #LI-ASSOCIATE #LI-REMOTE
EOE Disability / Veterans
$75.8k-124.1k yearly 4d ago
Field Claims Adjuster - Auto Damage
Progressive 4.4
Claims adjuster job in Ridgeland, MS
Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As an auto damage claimsadjuster, you'll serve as Progressive's point of contact with customers - directing and making decisions regarding the repair process from beginning to end. Managing your own inventory while working independently, you'll work closely with body shops and others to negotiate repair pricing and assess liability. Ideal candidates will possess leadership and conflict management skills, along with strong attention to detail and a passion for providing excellent customer service.
This is a field position with access to a company car and frequent driving within your assigned geographical area. We assess our workload collectively, which means you may cover assignments outside your geographical area. You may also be required to report into an office occasionally.
Duties and responsibilities
* Complete vehicle inspections, write estimates, determine total loss evaluations, and set clear expectations and timelines
* Negotiate repair process with body shops
* Document information related to the claim and make decisions consistent with claims standards and local laws
* Evaluate and handle claim payments and resolution of claims without payments
* Review and determine validity of any supplement requests
Must-have qualifications
* A minimum of four years of relevant work experience with one year appraisal/estimatics or insurance experience
* {OR} Associate's degree and a minimum of three years relevant work experience with one year appraisal/estimatics or insurance experience
* {OR} Bachelor's degree and a minimum of one year appraisal/estimatics or insurance experience
* Valid driver's license, auto insurance, and compliance with Progressive's driving standards and/or policies
Compensation
* $66,800 - $81,600/yearly
* Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance
Benefits
* 401(k) with dollar-for-dollar company match up to 6%
* Medical, dental & vision, including free preventative care
* Wellness & mental health programs
* Health care flexible spending accounts, health savings accounts, & life insurance
* Paid time off, including volunteer time off
* Paid & unpaid sick leave where applicable, as well as short & long-term disability
* Parental & family leave; military leave & pay
* Diverse, inclusive & welcoming culture with Employee Resource Groups
* Career development & tuition assistance
Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership.
Equal Opportunity Employer
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$66.8k-81.6k yearly 5d ago
Senior Stop Loss Claims Analyst - HNAS
Highmark Health 4.5
Claims adjuster job in Jackson, MS
This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards.
HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve.
**ESSENTIAL RESPONSIBILITIES**
+ Processes daily incoming Stop Loss claims including initial entry claims or subsequent claims as needed; provides counseling to clients and assists with client service programs.
+ Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and state regulatory guidelines, and industry standards.
+ Monitors, reviews and analyzes various complex potential claims with emphasis on controlling losses through effective managed care. This includes following a departmental claim checklist to ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for duplicate line-item charges and determining if all information is available to finalize the payment request. Refers the claim to the cost containment and RxOps departments for review of high dollar charges if applicable.
+ Determines whether to pend or adjudicate claims following organizational policies and procedures; finalizes and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, brokers, or customers utilizing the appropriate application and/or template.
+ Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes and update documentation.
+ Assists leadership with performing client performance evaluations to assess the accuracy of client reports submitted to the organization, efficiency of claim operations, and adequacy of systems and procedures.
+ Approves claim payments on behalf of multiple clients and provides client counseling and support services. Assists in the client service programs including revising and establishing procedures, protocols and ensuring client satisfaction with the organization.
+ Maintains accurate claim records.
+ Other duties as assigned or requested.
**EDUCATION**
**Required**
+ High School Diploma/GED
**Substitutions**
+ None
**Preferred**
+ Bachelor's degree
**EXPERIENCE**
**Required**
+ 5 years of relevant, progressive experience in health insurance claims
+ 3 years of prior experience processing 1st dollar health insurance claims
+ 3 years of experience with medical terminology
**Preferred:**
+ 3 years of experience in a Stop Loss Claims Analyst role.
**SKILLS**
+ Ability to communicate concise accurate information effectively.
+ Organizational skills
+ Ability to manage time effectively.
+ Ability to work independently.
+ Problem Solving and analytical skills.
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$22.71
**Pay Range Maximum:**
$35.18
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273755
$22.7-35.2 hourly 36d ago
Independent Insurance Claims Adjuster in Jackson, Mississippi
Milehigh Adjusters Houston
Claims adjuster job in Jackson, MS
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed ClaimsAdjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed ClaimsAdjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed ClaimsAdjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claimsadjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed ClaimsAdjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$39k-48k yearly est. Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims adjuster job in Lafayette, LA
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$40k-49k yearly est. Auto-Apply 8d ago
Daily Claims Adjuster - New Orleans, LA
Cenco Claims 3.8
Claims adjuster job in New Orleans, LA
CENCO is a respected leader in property claims solutions, partnering with top insurance carriers to deliver fast, accurate, and dependable adjusting services. We're currently hiring experienced Daily Property ClaimsAdjusters to handle residential and commercial claims throughout New Orleans and the surrounding Southeast Louisiana region. This position is perfect for adjusters seeking steady assignments and the flexibility of working independently in the field.
Key Responsibilities:
Conduct field inspections for property damage caused by wind, hail, water, fire, and other covered events.
Document findings with detailed written reports and clear, high-quality photos.
Prepare precise estimates using Xactimate or Symbility.
Maintain professional communication with policyholders, contractors, and carrier representatives.
Manage claim files efficiently and complete assignments within required timelines.
Qualifications:
Licensing: Must hold a current Louisiana adjuster license.
Software: Proficiency in Xactimate or Symbility preferred.
Equipment: Reliable transportation, ladder, laptop, and essential field tools.
Work Style: Organized, self-motivated, and able to work independently.
Responsiveness: Must be available to accept assignments and meet reporting deadlines promptly.
Why Choose CENCO?
Consistent claim volume in the New Orleans area
Competitive compensation with timely payments
Supportive team and efficient systems to help you succeed
If you're a skilled adjuster looking for consistent work and an opportunity to grow with a trusted industry partner, we'd love to hear from you!
$40k-49k yearly est. Auto-Apply 60d+ ago
Public Adjuster
The Misch Group
Claims adjuster job in Jackson, MS
Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Compensation: $75,000 - $100,000 compensation + Performance-based bonuses QUICK FACTS:
Must have Public Adjuster License
Must have experience with Xactimate
Must have network of Condo, Apartment, Property Management partners
Must be able to physically examine all buildings top to bottom (roofs as well)
About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth.
Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment.
Key ResponsibilitiesKey Responsibilities:
Identify and pursue new business opportunities with homeowners, contractors, and referral partners.
Educate prospective clients on our services and guide them through the insurance claims process.
Develop and maintain a pipeline of leads through prospecting and networking efforts.
Conduct presentations and training sessions to build brand awareness and establish partnerships.
Provide exceptional customer service to existing clients, ensuring their satisfaction and retention.
Work closely with internal teams to optimize the sales process and improve closing rates.
Maintain accurate records of sales activities and client interactions.
Skills, Knowledge and ExpertiseQualifications & Experience:
3+ years of proven sales experience as a licensed Public Adjuster
Strong ability to generate leads, manage relationships, and close deals.
Bachelor's degree in Business, Marketing, Communications, or equivalent experience.
Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms.
Highly organized with strong follow-through skills in a fast-paced environment.
Public Adjuster license
BenefitsWhat We Offer:
Extensive training and support to help you succeed.
Flexible work environment with opportunities for growth and career advancement.
A team-oriented culture with strong leadership and professional development opportunities.
If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
$31k-42k yearly est. 23d ago
Specialty Loss Adjuster
Sedgwick 4.4
Claims adjuster job in Jackson, MS
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
Specialty Loss Adjuster
**Embark on an Exciting Career Journey with Sedgwick Specialty**
**Job Location** **: USA, Mexico, Brazil and strategic locations globally**
**Job Type** **: Permanent**
**Remuneration** **: Salaries can range from** **_$40,000.00USD to $250,000.00USD_** **taking into account skills, experience and qualifications.**
**We have a number of fantastic opportunities for Specialty Loss Adjusters across the US, Mexico and Brazil and a number of key locations**
We are looking for a variety of skill sets at all levels. Whether you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your skills and grow with a company that values innovation, excellence, and employee satisfaction.
Are you ready to be a part of providing a differentiated and best of class proposition to clients whilst working with like-minded colleagues? Sedgwick Specialty is thrilled to announce that we are investing in growth across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals who are passionate about making a difference to the Adjusting industry.
**As a member of the Specialty platform, you will have the opportunity to:**
+ Work with a wide range of clients across the globe, handling complex cases and claims
+ Collaborate with a talented and supportive team of professionals who are dedicated to delivering exceptional results
+ Utilise state-of-the-art technology and resources to streamline processes and enhance efficiency
+ Receive ongoing training and development opportunities to further enhance your skills and knowledge in the marine industry
+ Enjoy a flexible work arrangement that allows you to maintain a healthy work-life balance while contributing to our global success
**The skills you will have when you apply:**
+ **Qualified** : it is important to us that you are either accredited, on your way to be accredited or qualified by experience
+ **Insurance claims experience:** it is imperative that you have experience working on insurance claims within you respective field. Full claims life cycle experience is a must
+ **Great communicator:** you will be constantly working with policy holders, brokers, carriers and various third parties, so being able to communicate accurately important. Providing an excellent customer service with our clients in mind. Able to approach issues empathetically
+ **Commercially minded:** An understanding of how the industry operates and where the role of a Loss Adjuster fits in. Being able to negotiate. Understanding how to market your services is a big advantage
**What we'll give you for this role:**
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the annual salaries can range from _$40,000.00 to $250,000.00USD._ Bonus eligible role. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always Accepting Applications.
**This isn't just a position, it's a pivotal role in shaping our industry**
At Sedgwick, you won't just build your career; you'll cultivate a team of experts. Our Sedgwick University offering empowers you to excel as well as your team members, with the most comprehensive training program in the industry which includes more than 15,000 courses on demand, training specific to roles, and opportunities to continue formal education.
Together, we're not only reshaping the insurance landscape, we're building a legacy of talent. Come and be a catalyst for change within our industry.
**Next steps for you:**
**Think we'd be a great match? Apply now -** ** we want to hear from you.**
As part of our commitment to you, we are proud to have a zero tolerance policy towards discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex or sexual orientation.
After the closing date we will review all applications and may select some applicants for an interview (which may be virtual, or in-person).
\#LI-HYBRID
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
$37k-49k yearly est. 60d+ ago
Liability Field Adjuster - Jackson, MS
CCMS & Associates 3.8
Claims adjuster job in Jackson, MS
CCMS & Associates is looking for 1099 Field Liability Adjusters. We are answering a call to action to add to our existing roster. The time is now to get on with our innovative team! We are seeking auto/homeowners/general liability field adjusters with at least 5 years of field experience.
Requirements:
Minimum 5 years auto and/or premise liability adjusting experience
Working computer/laptop - internet access and Microsoft Word required
Must demonstrate strong time management and customer service skills
State adjusters license (where applicable)
Must have a valid drivers license
Responsibilities:
Conduct in-depth investigations into liability claims to gather facts regarding the loss
Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses, and by interviewing fire, police, or other government officials as well as inspecting claimed damages
Inspect damage to property and obtain personal injury information to assist in determining liability
Maintain acceptable product quality through compliance with established best practices
Knowledge and Skills:
In-depth knowledge of property and liability insurance coverage and industry standards
Ability to prepare full-captioned reports by collecting and summarizing required information
Strong verbal and written communication skills
Prompt, reliable, and friendly
Detail-oriented individual to accurately gather and analyze information to avoid errors
Preferred but Not Required:
College degree
Professional designations and certifications
All candidates must pass a full background check (void in states where prohibited)
$39k-52k yearly est. Auto-Apply 60d+ ago
Change and Claim Manager (US)
Siemens Energy
Claims adjuster job in Richland, MS
About the Role Mississippi Richland Company Siemens Energy, Inc. Organization Grid Technologies Business Unit Transformers Full / Part time Full-time Experience Level Experienced Professional A Snapshot of Your Day We are seeking a highly experienced Risk & Opportunity, Change & Claim Manager to lead critical governance functions for a major project within Grid Technologies. This individual will define and enforce project standards, proactively manage risks and changes, and ensure strict control to prevent scope creep and unnecessary contingency spend. The role demands exceptional construction expertise, strong leadership in a matrix organization, and a proven ability to drive risk mitigation planning and claims resolution.
How You'll Make an Impact
* Leading risk and opportunity workshops, maintaining the risk register, and driving proactive mitigation to protect scope and budgets.
* Overseeing project change management across work streams, enforcing standards, and ensuring timely approvals.
* Managing claims with external parties, preparing documentation, and supporting negotiations to achieve timely, compliant resolutions.
* Defining and enforcing standards for risk, change, and claim management, while conducting audits to ensure governance compliance.
* Collaborating across matrix organizations, engaging stakeholders effectively, and communicating complex issues with clarity and impact.
* Tracking and delivering against KPIs, including risk mitigation coverage, change approval turnaround, claim resolution timelines, and governance audit scores.
What You Bring
* Bachelor's degree in Engineering, Construction Management, or related field.
* 8 or more years of experience in construction or industrial project management. Candidates with more experience can be considered for a higher level or vice-versa.
* Proven expertise in risk and opportunity management, change control, claim handling, and mitigation planning.
* Experience leading complex projects across multiple work streams within matrix organizations.
* Strong knowledge of construction contracts, risk analysis methodologies, governance frameworks, and change management processes.
* Exceptional communication, negotiation, and leadership skills; proactive, detail-oriented, and committed to enforcing standards.
Willingness and ability to travel (~10%).
Applicants must be legally authorized for employment in the United States without need for current or future employer-sponsored work authorization. Siemens Energy employees with current visa sponsorship may be eligible for internal transfers.
About the Team
Grid Technologies
Our Grid Technology division enables a reliable, sustainable, and digital grid! The power grid is the backbone of the energy transition. Siemens Energy offers a leading portfolio and solutions in HVDC transmission, grid stabilization and storage, high voltage switchgears and transformers, and digital grid technology.
Who is Siemens Energy?
At Siemens Energy, we are more than just an energy technology company! With ~100,000 dedicated employees in more than 90 countries, we develop the energy systems of the future, ensuring that the growing energy demand of the global community is met reliably and sustainably. The technologies created in our research departments and factories drive the energy transition and provide the base for one sixth of the world's electricity generation.
Our global team is committed to making sustainable, reliable, and affordable energy a reality by pushing the boundaries of what is possible. We uphold a 150-year legacy of innovation that encourages our search for people who will support our focus on decarbonization, new technologies, and energy transformation.
Find out how you can make a difference at Siemens Energy: ********************************************
Rewards
* Career growth and development opportunities
* Supportive work culture
* Company paid Health and wellness benefits
* Paid Time Off and paid holidays
* 401K savings plan with company match
* Family building benefits & parental leave
************************************
#LI-CDS
Equal Employment Opportunity Statement
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$33k-62k yearly est. 9d ago
Scope Only Adjusters
Elevate Claims Solutions
Claims adjuster job in Baton Rouge, LA
About Us At Elevate Claims Solutions, we are dedicated to supporting the unique skill sets and career goals of our Independent Adjusters. Our commitment to continuous improvement and meaningful work ensures that you can make a real difference in the lives of those you serve.
What We Offer:
Career Development: We prioritize your growth by seeking your feedback on how we can support your professional journey.
Diverse Opportunities: Work with a variety of carriers, allowing you to expand your skills and network.
Clear Expectations: Benefit from guidelines that clearly outline carrier requirements, ensuring you know what to expect.
Continuous Feedback: Engage in real -time Quality Assurance and formal quarterly coaching sessions to refine your skills and highlight strengths.
Expert Guidance: Collaborate with a team of seasoned industry professionals who provide valuable insights and support.
Job Description
Responsibilities:
Evaluate exterior and minor interior property damage.
Draft detailed damage descriptions, including measurements and materials used.
Fill in basic scope sheets.
Utilize Xactanalysis software effectively.
Requirements:
Current, active Xactimate license with experience writing estimates for both residential and commercial damages.
Flexibility to maintain a non -traditional work schedule to accommodate the needs of insureds and carriers.
Strong written and verbal communication skills, with an emphasis on clear and timely communication.
Proficient in various claims management systems and strong technological skills.
Ability to manage workload independently and exercise good judgment.
Openness to receiving and providing constructive feedback.
Background screening eligibility and current active licenses as required.
Join Us
If you're ready to elevate your career in a supportive and dynamic environment, we want to hear from you! Let's work together to make a meaningful impact.
$40k-54k yearly est. 56d ago
Loss Claims Specialists/ Project Manager
Puroclean 3.7
Claims adjuster job in Shreveport, LA
About the Role PuroClean of Shreveport is seeking a high-character individual to join our team as a Loss Claims Specialist. This is more than a job-it's a leadership role designed for someone who can take full ownership of a project from start to finish and align with our mission of providing empathetic, efficient, and professional restoration services to our community.
As a Loss Claims Specialist, you will serve in a project manager capacity, overseeing the execution of all services related to water damage, mold, biohazard, contents handling, and reconstruction. This role demands strong organizational skills, technical knowledge, and a commitment to both customer care and team collaboration.
Why Join Us
Profit Sharing Position - your success is our success
Annual Draw of $50,000 + laptop + software subscriptions
Be part of a purpose-driven company that values integrity, excellence, and service
Opportunities for growth and advancement in a fast-paced industry
What You'll Need
A personal vehicle and reliable transportation
A working phone
A desire to learn and align with our SOPs and company goals
Willingness to take ownership and be accountable for job outcomes
Ability to manage multiple claims and ensure timely completion of each project
What You'll Do
Manage restoration projects from intake through completion
Coordinate and execute all mitigation and reconstruction services:
Water Damage
Mold Remediation
Biohazard Cleanup
Contents Pack-Out and Cleaning
Reconstruction/Build-Back
Estimate, invoice, and track jobs using software including:
Xactimate
Estimate
Time and Materials platforms
Learn and apply our internal SOPs with consistency and accuracy
Meet or exceed quarterly performance goals
Preferred (but not required):
Prior construction or restoration experience
Familiarity with insurance claims processes or property loss mitigation
Who We're Looking For
We're looking for someone with more than just technical skills. We value character, accountability, and alignment with our company vision. If you take pride in your work, can lead by example, and are looking to grow in an environment that rewards dedication and results-you may be exactly who we're looking for.
“We Build Careers”
- Steve White, President and COO
With over 300 locations across North America and Canada, PuroClean is leading the industry in emergency property restoration services, by helping families and businesses overcome the devastating setbacks caused by water, fire, mold, biohazard, and other conditions resulting in property damage. We operate with a ‘servant-based leadership' mindset and seek to create an environment where our team members can grow both professionally and spiritually through serving our customers, communities, and each other.
Culture is very important to us. We want to make sure that we are the right fit for YOU!
Apply today and join our Winning TEAM.
“We are One Team, All In, Following The PuroClean Way in the spirit of Servant Leadership”
This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to PuroClean Corporate.
$50k yearly Auto-Apply 60d+ ago
Workers Compensation Claims Representative
Syntriq Health Solutions
Claims adjuster job in Corinth, MS
Workers' Compensation Claims Representative - This position will assist healthcare providers in identification, verification, billing and follow-up on workers' compensation claims. The claims representative will help identify the appropriate workers' compensation carrier and provide the documentation necessary for payment. The claims representative will work directly with adjusters to obtain claim updates and resolve outstanding claims. Representatives will need excellent communication and organizational skills to gather information and achieve resolution on assigned claims. Prior medical billing experience is preferred.
Essential Duties
Answering inbound calls and making outbound calls, while demonstrating proper phone etiquette and HIPAA compliance
Identification and verification of workers' compensation insurance
Properly noting the account and setting appropriate follow-up
Proficient communication related to standard billing forms (UB04 and 1500)
Qualifications
High School Diploma and GED
Strong Knowledge of computer skills and typing
Intermediate knowledge of Outlook, Excel
Dependable and Detailed individuals with organizational skills
Great Communication skills
Recommended- 1- or 2-years' medical billing experience
$28k-38k yearly est. 13d ago
Claims Representative
Louisiana Workers Compensation Corporation
Claims adjuster job in Baton Rouge, LA
Integral part of helping Louisiana thrive through efficient and consistent handling of injured workers claims. Investigating assigned claims through completion. Provides unparalleled customer experience for all our stakeholders. Major Areas of Accountability
General
Participates in a formal training program to develop the knowledge and skills to handle insurance claims involving work-related accidents. Is responsible for the well-being of hundreds of Louisiana employees who are injured.
Examine claims forms and other records to determine insurance coverage.
Interview or correspond with our policyholders, claimants, witnesses, physicians, or other relevant parties to complete investigation.
Investigate facts of loss to determine extent of injury.
Review and understand police reports, medical treatment records, medical bills, and other insurance documents during the duration of the claim.
Adjust reserves or provide reserve recommendations to establish the value of the claim consistent with corporate policies.
Negotiate claim settlement opportunities.
Confer with legal counsel on claims involving litigation.
Takes initiative and manages personal claim caseload in accordance with processes and procedures with a focus on individual, team and departmental goals.
Seeks opportunities for improvement and continued learning
Maintains required LA Workers' Compensation Adjuster License.
Performs other job duties as needed by the department
Personality/Working Style
Strong character
Alignment with company values, mission, and vision
Trustworthy and honest
Decisive
Curious and persistent
Passion for innovation
Willingness to learn
Adaptive to changing (tolerance for ambiguity)
Desire to collaborate to achieve corporate goals
Strong communicator
Effective communication skills
Empathetic listener and open-minded
Commitment to accountability
Education and Experience
Education Required:
Bachelor's degree and a minimum of 2 years handling of workers' compensation claims, or 4 years of experience as an insurance claimsadjuster. OR High School Diploma/GED with 2 years handling of workers' compensation claims and 4 years of experience as an insurance claimsadjuster.
Active Louisiana Workers' Compensation Adjuster License required prior to start or obtained within seven (7) business days after start date.
Skills Required:
Communication, computer literate, math, judgement and problem-solving skills.
$25k-35k yearly est. 60d+ ago
Insurance Claims Specialist
Peach Tree Dental 3.7
Claims adjuster job in Monroe, LA
Peach Tree Dental - Monroe, West Monroe, Ruston, Jonesboro
Job Details:
Salary: Starting from $16.00-$20.00/hourly
Pay is based on experience, qualifications, and desired location.
**incentives after training vary and are based on performance
Job Type: Full-time
Qualifications For Insurance Claims Specialists:
High school or equivalent (Required)
Takes initiative.
Has excellent verbal and written skills.
Ability to manage all public dealings in a professional manner.
Ability to recognize problems and problem solve.
Ability to accept feedback and willingness to improve.
Ability to set goals, create plans, and convert plans into action.
Is a Brand ambassador, both in and outside of the facility.
Benefits Offered For Full-Time Insurance Claims Specialists:
Medical, Dental, Vision Benefits
Dependent Care & Healthcare Flexible Spending Account
Simple IRA With Employer Match
Basic Life, AD&D & Supplemental Life Insurance
Short-term & Long-term Disability
Perks & Rewards For Full-Time Insurance Claims Specialists:
Competitive pay + bonus
Paid Time Off & Sick time
6 paid Holidays a year
Full Job Description:
With our hearts, minds, and hands, we build better smiles, better relationships, and better lives. Living this purpose over the last 25 years has allowed us to create a world-class dental organization that continues to grow. At every turn, you will see our continued investment in leadership, the community, and advanced technologies. Do you want to be a part of developing one of the leading models of dental care in Louisiana? Do you thrive in a fast-paced, progressive environment? The role of the Insurance Claims Specialist could be for you!
Please go to WWW.PEACHTREEDENTAL.COM to complete your online application and assessments or use the following URL: **********************************************
$16-20 hourly 60d+ ago
Independent Insurance Claims Adjuster in New Orleans, Louisiana
Milehigh Adjusters Houston
Claims adjuster job in New Orleans, LA
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed ClaimsAdjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed ClaimsAdjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed ClaimsAdjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claimsadjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed ClaimsAdjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$40k-49k yearly est. Auto-Apply 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claims adjuster job in Shreveport, LA
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at **********************
Overview:
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
Key Responsibilities:
- Planning and organizing daily workload to process claims and conduct inspections
- Investigating insurance claims, including interviewing claimants and witnesses
- Handling property claims involving damage to buildings, structures, contents and/or property damage
- Conducting thorough property damage assessments and verifying coverage
- Evaluating damages to determine appropriate settlement
- Negotiating settlements
- Uploading completed reports, photos, and documents using our specialized software systems
Requirements:
- Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces
- Strong interpersonal communication, organizational, and analytical skills
- Proficiency in computer software programs such as Microsoft Office and claims management systems
- Self-motivated with the ability to work independently and prioritize tasks effectively
- High school diploma or equivalent required
- Previous experience in insurance claims or related field is a plus but not required
Next Steps:
If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps.
Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$40k-49k yearly est. Auto-Apply 8d ago
Property Claims Field Adjuster - Jackson, MS
Cenco Claims 3.8
Claims adjuster job in Jackson, MS
CENCO Claims continues to grow its daily claims presence in the Jackson, Mississippi area and is currently looking for a Property Claims Field Adjuster to support residential property losses across the metro region. This opportunity is well suited for adjusters who value local assignments, clear processes, and consistent support from an internal claims team.
Role Overview
This field-based role centers on completing on-site inspections, accurately documenting damage, and submitting organized claim files. Success in this position comes from attention to detail, professional communication, and reliable turnaround times.
Primary Responsibilities:
Perform in-person inspections of residential property claims
Assess and document damage from wind, hail, water, and other covered causes of loss
Prepare precise estimates using Xactimate or Symbility
Collect thorough photo documentation, measurements, and inspection notes
Maintain professional communication with policyholders, contractors, and carrier representatives
Manage claim files from inspection through submission
Adhere to carrier and internal file handling timelines
Qualifications:
Active Mississippiadjuster license or approved reciprocal/home state license
Proficiency with Xactimate (Symbility experience preferred)
Knowledge of residential construction and property damage evaluation
Strong organizational, time management, and communication skills
Ability to work independently in a field environment
Reliable transportation and standard field equipment, including ladder and laptop
What You Can Expect From CENCO Claims:
Consistent daily assignments in the Jackson market
Competitive per-claim fee structure
Flexible scheduling with locally assigned territory
Access to an experienced and responsive claims support team
Opportunities for ongoing daily work
If you're an adjuster who takes pride in accurate inspections and well-managed files, apply today and join CENCO Claims.
$38k-50k yearly est. Auto-Apply 8d ago
Change and Claim Manager (US)
Siemens Energy
Claims adjuster job in Richland, MS
**A Snapshot of Your Day** We are seeking a highly experienced **Risk & Opportunity, Change & Claim Manager** to lead critical governance functions for a major project within Grid Technologies. This individual will define and enforce project standards, proactively manage risks and changes, and ensure strict control to prevent scope creep and unnecessary contingency spend. The role demands exceptional construction expertise, strong leadership in a matrix organization, and a proven ability to drive risk mitigation planning and claims resolution.
**How You'll Make an Impact**
+ Leading risk and opportunity workshops, maintaining the risk register, and driving proactive mitigation to protect scope and budgets.
+ Overseeing project change management across work streams, enforcing standards, and ensuring timely approvals.
+ Managing claims with external parties, preparing documentation, and supporting negotiations to achieve timely, compliant resolutions.
+ Defining and enforcing standards for risk, change, and claim management, while conducting audits to ensure governance compliance.
+ Collaborating across matrix organizations, engaging stakeholders effectively, and communicating complex issues with clarity and impact.
+ Tracking and delivering against KPIs, including risk mitigation coverage, change approval turnaround, claim resolution timelines, and governance audit scores.
**What You Bring**
+ Bachelor's degree in Engineering, Construction Management, or related field.
+ 8 or more years of experience in construction or industrial project management. Candidates with more experience can be considered for a higher level or vice-versa.
+ Proven expertise in risk and opportunity management, change control, claim handling, and mitigation planning.
+ Experience leading complex projects across multiple work streams within matrix organizations.
+ Strong knowledge of construction contracts, risk analysis methodologies, governance frameworks, and change management processes.
+ Exceptional communication, negotiation, and leadership skills; proactive, detail-oriented, and committed to enforcing standards.
Willingness and ability to travel (~10%).
Applicants must be legally authorized for employment in the United States without need for current or future employer-sponsored work authorization. Siemens Energy employees with current visa sponsorship may be eligible for internal transfers.
**About the Team**
**Grid Technologies**
Our Grid Technology division enables a reliable, sustainable, and digital grid! The power grid is the backbone of the energy transition. Siemens Energy offers a leading portfolio and solutions in HVDC transmission, grid stabilization and storage, high voltage switchgears and transformers, and digital grid technology.
**Who is Siemens Energy?**
At Siemens Energy, we are more than just an energy technology company! With ~100,000 dedicated employees in more than 90 countries, we develop the energy systems of the future, ensuring that the growing energy demand of the global community is met reliably and sustainably. The technologies created in our research departments and factories drive the energy transition and provide the base for one sixth of the world's electricity generation.
Our global team is committed to making sustainable, reliable, and affordable energy a reality by pushing the boundaries of what is possible. We uphold a 150-year legacy of innovation that encourages our search for people who will support our focus on decarbonization, new technologies, and energy transformation.
Find out how you can make a difference at Siemens Energy: ********************************************
**Rewards**
+ Career growth and development opportunities
+ Supportive work culture
+ Company paid Health and wellness benefits
+ Paid Time Off and paid holidays
+ 401K savings plan with company match
+ Family building benefits & parental leave
****************************************
\#LI-CDS
Equal Employment Opportunity Statement
Siemens Energy is an Equal Opportunity and Affirmative Action Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to their race, color, creed, religion, national origin, citizenship status, ancestry, sex, age, physical or mental disability unrelated to ability, marital status, family responsibilities, pregnancy, genetic information, sexual orientation, gender expression, gender identity, transgender, sex stereotyping, order of protection status, protected veteran or military status, or an unfavorable discharge from military service, and other categories protected by federal, state or local
law.
How much does a claims adjuster earn in Jackson, MS?
The average claims adjuster in Jackson, MS earns between $36,000 and $53,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.
Average claims adjuster salary in Jackson, MS
$44,000
What are the biggest employers of Claims Adjusters in Jackson, MS?
The biggest employers of Claims Adjusters in Jackson, MS are: