Supervisor, Support Center Operations

JOB DESCRIPTION Job Summary

Leads and supervises team responsible for provision of support center customer service excellence and claims adjudication to meet the needs of Molina members and providers. Ensures issues and needs are addressed fairly and effectively, and in alignment with Molina values. Demonstrates accountability for delivery of product and service information, identifies opportunities to improve the member and provider experience, and supports continuous quality improvement initiatives related to member/provider engagement and retention.

This position supports the claims department initiatives to improve overall claims function efficiency. Provides support for claims examination activities including evaluation of adjudication of claims to identify processing errors. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards. Effectively manages escalations wi...

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