Examiner, Claims (Remote)

Molina
Omaha, CA
Remote
Job Description
This is a full-time Remote Examiner for Claims, responsible for administering claims payments, maintaining claim records, and ensuring timely settlement. The role involves managing a caseload, identifying and resolving claim errors, and supporting departmental initiatives. Molina Healthcare is an Equal Opportunity Employer.

Requirements

  • Evaluates claim adjudication using standard policies and state regulations
  • Manages a caseload of claims
  • Procures medical records and statements
  • Makes recommendations for investigation and resolution
  • Supports departmental efficiency initiatives
  • Meets department quality and production standards

Benefits

  • Competitive benefits package
  • Equal Opportunity Employer (EOE)
]]>