Sr Adjuster, Claims - Remote

Job Description
Job Summary
Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.
Knowledge/Skills/Abilities

• Leads overall performance accountability (attendance, communication, flexibility, adaptability, interpersonal skills, teamwork and cooperation).
• Researches tracers, adjustments, and re-submissions of more complex claims.
• Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards.
• Manages defect reduction by identifying and communicating error issues and potential solutions to management.
• Handles special projects as assigned and required by changes in claims payment policies or contracting methodologies.
• Meets department quality and production standards..

Job Qualifications
Required Education
Associate's Degree or equivalent combination of education and experience
Required Experience
3-5 years
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
Preferred Experience
5-7 years
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $13.41 - $29.06 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Health insurance