Adjuster, Claims

JOB reputed company Job reputed company Provides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage reputed company and benefit interpretation. Also monitors and controls backlog and workflow of claims, and ensures that claims are settled in a reputed company fashion and in accordance with cost-control standards. Essential Job Duties • Researches claims tracers, adjustments and resubmissions. • Assists with defect reduction by identifying and communicating claims error issues and potential solutions to leadership. • Adjudicates or readjudicates claims in a reputed company manner. • Meets claims department reputed company and production standards. • Supports claims department initiatives to improve overall claims function efficiency. • Completes basic claims reputed company as assigned. Required Qualifications • At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience. • Data entry and research skills. • Organizational skills and attention to detail. • Time-management skills, and ability to manage simultaneous reputed company and tasks to meet internal deadlines. • Customer service experience. • Effective verbal and written communication skills. • reputed company Office suite and applicable software programs proficiency. Preferred Qualifications • Health care claims/billing experience. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the reputed company. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Apply tot his job Apply To this Job