Claims Trainer

SUMMARY

Responsibilities include training new claims specialists on the required job functions and systems in all states/contracts. As well as, assisting with the development of training curriculum for the Claims department. Responsibilities will also include training providers to understand the Southeastrans clean claim process.

ESSENTIAL FUNCTIONS:

• Assist Claims Administrator with employee on-boarding training programs as well as on-going skills training
• Conduct training needs analysis to determine specific training needs for department staff, and evaluate effectiveness
• Audit work of new hires during first 90 days and coordinate training initiatives to identify, develop and publish corrective actions and educational materials.
• Partner with Claims Administrator to develop and execute scheduled specialized training sessions focused on system enhancements, workflow changes, new products or product changes as well as policy/procedure changes.
• Train Provider Network on Clean Claims Submission to minimize complaints regarding billing submissions.
• Evaluate the outcome of training sessions and maintain records of trainees’ progress and achievements.

QUALIFICATIONS REQUIRED:  

• 1-3 Years employee training experience, claims experience a plus
• Excellent presentation skills 
• High level of interpersonal and observational skills to handle sensitive and confidential situations. • Must have excellent written and verbal communication skills
• Ability to work independently or with the team in a training environment
• Excellent time management skills
• Must be able to demonstrate multi-tasking skills in a production-based environment
• High-Level proficiency or above in Microsoft Office Applications (PowerPoint, Word, Excel, and Outlook. 
• Positive attitude

Minimum Required Education: 

Bachelor’s degree or the equivalent of work experience

Must be willing to travel

Physical Demand:

 The work is mostly sedentary with periods of light physical activity, and is performed in offices to surroundings. Typical positions require workers to walk or stand for long periods; lift and carry up to 20 pounds; climb stairs, bend, reach, hold, grasp, and turn objects; and operate computer or typewriter keyboards. The work requires the ability to speak normally and use normal or aided vision and hearing. Subject to work beyond the normal scheduled hours of work to attend evening meetings and work sessions.

 Work Environment:

 The noise level in the work environment is usually moderate.

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