Be an early applicantLess than 25 applicantsPosted by Agency

Company

Molina Healthcare · 3 hours ago

Mgr, Claims

Texas, United States

Full-time

Remote

Mid, Senior Level

$54K/yr - $98K/yr

5+ years exp

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H1B Sponsor Likely

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Responsibilities

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.

Manages and develops a team focused on meeting or exceeding established performance targets.

Proactively plans for daily priorities as well as responds to new priorities within the organization and opportunities assigned from upper management.

Responsible for compiling and submitting daily, weekly, and monthly departmental reports to management.

Acts as a technical expert in handling complaints and other escalated issues from internal and external customers.

Supports claims performance improvement via participation in special claims initiatives.

Participates in and support the development of strategies to meet business needs.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Team ManagementPerformance TargetsReport CompilationClaims Performance ImprovementDevelopment CertificationInternal Audit Certification

Required

Bachelor's Degree or equivalent combination of education and experience

5-7 years of experience

Preferred

Graduate Degree or equivalent combination of education and experience

7-9 years of experience

Certification in Training and Development preferred for manager overseeing Training unit

Internal Audit Certification a plus for manager overseeing Regulatory Quality Audit unit

Benefits

Competitive benefits and compensation package

Company

Molina Healthcare

Glassdoor

3.4

Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.

Founded in 1980

Long Beach, California, USA

10001+ employees

https://careers.molinahealthcare.com

H1B Sponsorship

Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (33)

2022 (36)

2021 (33)

2020 (60)