Adjuster, Claims - Remote

Molina Healthcare • Roswell, NM • 3d ago

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

Researches tracers, adjustments, and re-submissions.

Handles basic projects as assigned.

Assists with defect reduction by identifying and communicating error issues and potential solutions to management.

Helps to improve overall performance accountability (attendance, communication, flexibility, adaptability, interpersonal skills, teamwork and cooperation).

Adjudicates or re-adjudicate claims in a timely manner to ensure compliance to departmental turn-around time and quality standards.

Meets department quality and production standards.

Other duties as assigned.

JOB QUALIFICATIONS

Required Education

Associate degree or equivalent combination of education and experience

Required Experience

1-3 Years

Preferred Education

Bachelor's Degree or equivalent combination of education and experience

Preferred Experience

3-5 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: $21.16 - $31.71 / HOURLY

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

Similar Jobs

Branch Banking Management Military Apprentice (SAFE) - Alamogordo NM

Wells Fargo • Roswell, NM • 1d ago

Finance, Accounting & Banking

Why Wells Fargo: Are you looking for more? Find it here. At Wells Fargo, we're more than a financial services leader - we're a global trailblazer committed to driving innovation, empowering communities, and helping our c...

1d ago

Go to Apply

CDL A Shuttle Truck Driver

Sysco • Roswell, NM • 4h ago

Trucking & Construction

JOB SUMMARY Sysco has immediate job openings for dependable CDL A Shuttle Delivery Truck Drivers to safely and efficiently operate a tractor-trailer and transport doubles (potentially triples) between Sysco facility and...

4h ago

Go to Apply

Electrical

BiltWise Structures • Roswell, NM • 7h ago

IT & Engineering

----------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------...

7h ago

Go to Apply

Construction Laborer

BiltWise Structures • Roswell, NM • 8h ago

Trucking & Construction

** [ ]{#ctl00Maincontent_lblJobDescriptionValue} Veterans Preference: The Jobs for Veterans Act mandates priority of service to veterans seeking employment and training opportunities. To ensure compliance with this law,...

8h ago

Go to Apply

Assistant Restaurant Leader (Assistant Manager)

7-Eleven • Roswell, NM • 12h ago

Retail & Hospitality

Assistant Restaurant Leader (Assistant Manager) Apply Now ( https://olivia.paradox.ai/co/7Eleven60/Job?job\id=PAF-7E-04BE6F34-5B1B-488A-87D4-A468A61E0374\3448\1735340748\0 ) Save Job Job ID EARL42459 Store-ID 42459 Addre...

12h ago

Go to Apply

CDL-A - Tanker truck driver

Schneider • Roswell, NM • 1d ago

Trucking & Construction

Tanker truck driver Average pay: $1,310-$1,600 weekly Home time: Weekly Experience: All CDL holders Overview Haul food grade product in tanker trailers. 2-3 loads per week. Pay and bonus potential Mileage pay, plus hourl...

1d ago

Go to Apply

(USA) Member Team Lead

Walmart • Roswell, NM • 3d ago

Retail & Hospitality

Position Summary... What you'll do... Assists management with the supervision of associates in assigned area of responsibility by assigning duties to associates communicating goals and feedback training associates on pro...

3d ago

Go to Apply

Specialist, Appeals & Grievances (Must Reside in Easter Time Zone)

Molina Healthcare • Roswell, NM • 3d ago

JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and...

3d ago

Go to Apply

Specialist, Appeals & Grievances (Must reside in Central Time Zone)

Molina Healthcare • Roswell, NM • 3d ago

3d ago

Go to Apply

Customer Service Representative

U-Haul • Roswell, NM • 4d ago

Management & Administrative

Location: 1705 S Main St, Roswell, New Mexico 88203 United States of America Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service Rep...

4d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.