Pay Transparency

The average for a claims examiner will depend on the state you are located in...if you work in Puerto Rico, you have a solid job because it pays around $40k a year to be a claims examiner with a ton of OT that can put you into the $60K a year realm. If you are in any sort of BA position, your range will be close from $58K to $75K a year if you are a SR. BA....however, very few make over that high point. If you are a manager, you are not promised a six figure pay, in fact, a few directors barely make between $100K-$120K a year, and if you are in the claims processing department as a director, good luck, because you might make around $125K - $135K a year, but your life is owned by the claims department with constant fires to put out and issues regarding lawsuits or out of compliance bs. Not to mention having to deal with the VP in claims who was acquired through another company (ex-cigna employee) who has been in her position for over a year and has done more harm than good. Don't believe me? Check out lawsuits against Molina specific to claims related issues, as well as the high overturn for the claims department.

Switch gears, look at the other departments. The HR department(s) throughout molina are disconnected and dont talk to each other so when you do get help, either directly through Payroll or maybe the ERC, you are told many different things for the same question. How about the call center? Yeah, those individuals don't process claims and are siloed off from any real understanding of processing a claim, so when members or providers call in, those on the phone are not equipped with the knowledge to actually do anything other than "oh, i will create a call tracking ticket". The leadership over there for the call center plays favorites and has frequently been under the firing range for the issues they add to the claims department.

Switch gears again....look at the crazy amount of bought business. Too many employees coming into Molina that were acquired through other companies, not understanding "the molina way/culture" and trying to prove their worth by changing everything up. While change is not always bad, the approach has been since day one. Every single new state implementation that has gone on since 2020 has been a disaster and has caused loads of rework, payments in interest due to claims not being processed, and long work days/weekends of individuals trying to hurry up and "fix" the issues. Loads of voided claims being done so incorrectly because individuals don't know the various state regulations or even just the process to voiding to cancelling a claim.

Yeah, this is a lot of info, but Molina is having a lot of employees screaming for help and not a ear is listening. The company could be good again, but the half promises and faulty follow through being driven by a CEO who wears two watches and preaches we are all good when, in fact, we are not, is a poor way to try to win the trust of employees to get them to stay and continue to work hard. Just keep it real with the employees, just once.

Started around $17 a hour as an entry level claims examiner in 2017. Got up to Sr. Claims examiner for a total of $21.50 per hour. By the time I left I was making $65K a year, but for another team entirely. They under pay claims examiners, they under pay those who have been at the company. Let me put it this way....I left the company for a six figure job, for the same title as my boss, he told me he could not counter it because it was over the 7-10% threshold, AND, that I would be making more than him, and he was with the company for over 15years with over 35 years experience. His co-manager for his team, left Molina and came back 6 months later for more pay, but still not making the average.

Thread regarding Molina Healthcare Inc. layoffs

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