Adjuster, Claims

Welcome to Molina Healthcare, where we strive to provide high-quality and affordable healthcare services to our members. As an Adjuster, Claims, you will play a vital role in ensuring that our members receive the necessary support and assistance during their time of need. Your strong communication skills, attention to detail, and ability to problem-solve will be essential in accurately assessing and resolving claims. Join our team and make a difference in the lives of our members.

1. Accurately assess and resolve member claims by gathering necessary information and utilizing problem-solving skills.
2. Communicate effectively with members, healthcare providers, and other team members to ensure efficient and timely resolution of claims.
3. Demonstrate strong attention to detail in reviewing and processing claims to ensure accuracy and compliance with company policies.
4. Utilize knowledge of healthcare industry and company policies to accurately determine claim eligibility and coverage.
5. Collaborate with other departments and teams to ensure a seamless claims process for our members.
6. Provide exceptional customer service to members by addressing questions and concerns regarding their claims.
7. Maintain accurate and organized records of all claims processed and any necessary follow-up actions.
8. Keep up-to-date with industry regulations and changes to ensure compliance in claims processing.
9. Identify and escalate potential issues or concerns with claims to management for resolution.
10. Contribute to a positive and supportive team environment by actively participating in team meetings and trainings.

According to JobzMall, the average salary range for a Adjuster, Claims in Louisville, KY, USA is $45,000 to $70,000 per year. However, this can vary depending on factors such as experience, qualifications, and the specific company or industry the adjuster is working in. Some adjusters may also receive bonuses or commission based on their performance and the number of claims they handle.

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.