Claims Training Specialist

Claims Training Specialist

Job Category:
Claims

CLAIM
011463

Full-Time

Phoenix, AZ 85004, USA

The Claims Training Specialist is responsible for developing curricula to ensure adherence to Cor Vel’s best practice guidelines, special customer handling requirements, improve quality of audit metrics and overall claims outcomes. This includes ensuring that a designated geographical claims area of Cor Vel is equipped with an Operations workforce that can optimize its current and future goals and objectives, and deliver quality services that can meet our clients’ requirements and service expectations.

In order to efficiently execute daily responsibilities, the Claims Training Specialist must first obtain a deep understanding of the business to articulate what our claims model does and to clearly demonstrate all aspects of the Operations roles in order to be able to successfully conduct and oversee the department training.

Other duties to be carried out by Claims Training Specialist will include conducting classroom, virtual, and field training to internal employees/colleagues, developing training materials to meet specific needs, and monitoring new hires, and other tasks as required by management.

• Collaborate with Management to identify training needs and schedule appropriate training sessions
• Review of audit results coordinating with designated auditor to determine the need for targeted retraining initiatives for specific individuals, units, or office locations
• Develop programs and curriculum for each department for orientation and on-the-job training
• Develop training programs on new initiatives, jurisdictional changes, or identified deficiencies in managing claims within specific jurisdictions
• Collaborate with each department to create training support materials and documentation
• Create and maintain a “train the trainer” program for all departments
• Conduct surveys to evaluate how programs are received and if changes are needed
• Prepare onboarding training for new employees
• Critically examine the trainees’ understanding and progress, while making adjustments to the program as needed
• Maintain an up-to-date and accurate record of training progress and achievements
• Build an eLearning library for common training modules
• Collaborate with Privacy Team to ensure all PHI, PII and HIPAA training is up-to-date
• Incorporate training materials in operations software for quick and easy access to knowledge base
• Provide weekly and monthly progress reports of all new hire productivity to department managers, operations directors and SVP(s) for first 90 days of employment
• Additional duties as assigned

• Extensive knowledge of Claims Management
• Knowledge of various teaching methods and approaches
• Ability to identify skill gaps and determine what is needed to close the gap
• Excellent written and verbal communication skills
• Excellent coaching and presentation skills
• Ability to learn rapidly to develop knowledge and understanding of claims practice
• Ability to identify, analyze and solve problems
• Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
• Strong interpersonal, time management and organizational skills
• Ability to work both independently and within a team environment

• 4-year degree in Education, Training, or equivalent experience preferred
• Prior experience as a trainer in both classroom led and remote online environments preferred
• Experience with managing and administration of a Learning Management System
• Experience in creating training support materials and documentation

Cor Vel uses a market based approach to pay and our salary ranges may vary…