ATTENTION JOB SEEKERS AND MOLINA APPLICANTS: FRAUD ALERT
Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.
Adjuster, Claims - Remote
Molina Healthcare Cincinnati, Ohio; Columbus, Georgia; Washington; St. Petersburg, Florida; Lincoln, Nebraska; Omaha, Nebraska; Provo, Utah; Sioux City, Iowa; Kenosha, Wisconsin; Davenport, Iowa; Nampa, Idaho; Rochester, New York; Madison, Wisconsin; Spokane, Washington; Detroit, Michigan; Iowa; Tampa, Florida; Owensboro, Kentucky; Akron, Ohio; Las Cruces, New Mexico; Salt Lake City, Utah; Green Bay, Wisconsin; Idaho; Sterling Heights, Michigan; Wisconsin; Layton, Utah; Utah; New York; New Mexico; Ohio; Chandler, Arizona; Louisville, Kentucky; Tacoma, Washington; Kearney, Nebraska; Santa Fe, New Mexico; Roswell, New Mexico; Racine, Wisconsin; Everett, Washington; Jacksonville, Florida; Yonkers, New York; Macon, Georgia; Des Moines, Iowa; Tucson, Arizona; Syracuse, New York; Fort Worth, Texas; Scottsdale, Arizona; Texas; Cleveland, Ohio; Warren, Michigan; Idaho Falls, Idaho; Houston, Texas; Vancouver, Washington; Florida; Albuquerque, New Mexico; Dayton, Ohio; San Antonio, Texas; Orlando, Florida; Nebraska; Bowling Green, Kentucky; Grand Rapids, Michigan; Caldwell, Idaho; Augusta, Georgia; Cedar Rapids, Iowa; Milwaukee, Wisconsin; Covington, Kentucky; West Valley City, Utah; Savannah, Georgia; Iowa City, Iowa; Orem, Utah; Austin, Texas; Atlanta, Georgia; Phoenix, Arizona; Georgia; Grand Island, Nebraska; Dallas, Texas; Meridian, Idaho; Rio Rancho, New Mexico; Columbus, Ohio; Miami, Florida; Kentucky; Bellevue, Washington; Mesa, Arizona; Boise, Idaho; Michigan; Buffalo, New York; Lexington-Fayette, Kentucky; Bellevue, Nebraska; Albany, New York; Ann Arbor, Michigan; Job ID 2033174JOB 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.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type Full Time Posting Date 08/08/2025Job Alerts
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