Leading strategic initiatives in culture and engagement at Grupo Abril. Focused on employee experience and internal communication within the organization.
CE
Hybrid Healthcare Claims Training Specialist
Posted last month
About the role
- Design and deliver structured initial and ongoing training programs for the claims team
- Facilitate onboarding for new hires, ensuring they have tools, resources, and training
- Serve as subject matter expert in claims adjudication processes, system usage (Javelina), and benefit plan interpretation
- Facilitate in-person and virtual training using varied instructional methods
- Create and update training materials, manuals, job aids, and process documentation (including release impacts)
- Monitor trainee progress through testing, audits, and one-on-one coaching
- Collaborate with leadership and Quality Assurance to address performance gaps with targeted retraining
- Support implementation of client-specific plan changes, system upgrades, and regulatory updates
- Maintain accurate records of training completion and employee development
- Build learning modules in LMS regarding Claims
- Stay up to date on industry trends and technological advancements to enhance training
- Aid in special projects and other duties as assigned
Requirements
- Associate or bachelor’s degree in healthcare administration, Education, Training or a related field; or Certified Professional in Learning and Performance (CPLP), Associate Professional in Talent Development (APTD) or Professional in Talent Development (CPTD)
- 2-3+ years of proven corporate training experience, preferably in the health care industry
- Strong problem-solving abilities
- Health care claims and billing experience is a plus
- Hands-on experience using the Javelina claims platform is a plus
- Familiarity with concepts in healthcare administration: TPA’s, Self-Funding, Stop Loss, healthcare claim cycling and coding
- Experience with Learning Management Systems (LMS)
- Experience with Microsoft Office Suite and other relevant training software or platforms
- Comfortable presenting in front of small and large groups
- Ability to engage with diverse team members and provide constructive feedback
- Comfortable being on camera for virtual meetings
- Occasional domestic travel may be required
Benefits
- Fantastic medical, dental, and vision insurance
- Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible
- Company provided Basic Life and AD&D
- Company paid Short-Term and Long-Term Disability
- Flexible Spending Accounts
- 401(k) Retirement Plan with up to a 6% employer-match
- WOW! (100% fully vested after 3 years)
- 10+ paid holidays
- Generous paid vacation and sick time
- Annual Volunteer Paid Day
- Annual Tuition Reimbursement
- Annual Health and Wellness Reimbursement
- Lots of fun company events
- WFH Flexible (remote/work-from-home flexibility)
- Benefit waiting periods: medical/dental/vision 60 day waiting period; disability 90 day waiting period
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