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
Effectively translates strategic goals into specific operating and resource plans.
Demonstrates a keen understanding of financial and business principles and industry/job knowledge, acts in a fair and ethical manner.
Organizes and leads individuals and teams toward the pursuit of a common vision and goal attainment.
Proactively participates in key company initiatives and demonstrates skill in communication, collaboration, and consensus-building.
Responsible for planning, coordinating, and managing units and activities within the department.
Job Qualifications
Required Education
Graduate Degree or equivalent combination of education and experience
Required Experience
7-9 years
Preferred Education
Graduate Degree or equivalent combination of education and experience
Preferred Experience
10+ 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: $87,568.7 - $189,732.18 / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Finance and Sales
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at Molina Healthcare by 2x