Claims Training Specialist II

We have Urgent Hiring for Claims Training Specialist II at Los Angeles , CA
Job Title: Claims Training Specialist II

• Location: Los Angeles, CA, US
• Length of Assignment: Full Time
• Salary : Amazing Pay Rates

Duties


Build competencies for the Claims Department by designing and conducting training programs that will boost employee's workplace performance in alliance with Enterprise and departmental goals. Responsible for performing training needs assessments with the Claims Compliance Manage and will assist in designing and delivering curriculum and learning materials to ensure the success of new and current Claims Examiners.


Work with document specialists to create training presentations and with Human Resource to customize training for inclusion into the L.A Care University.


Quality review of processed claims. Develop and create reports to determine area of improvement in claims processing for department.


Researching provider and member grievances to identify error trends and training opportunities. Create and develop tracking and trending mechanisms to identify type of grievances/ complaints for Claims Department.


Conduct assessments after training to measure, record, and report feedback on training material and sessions. Serve as coach for all Claims Examiners to handle problems and concerns as they arise.


Review and recommends updates on policy and procedure critical to claims process.


Perform other duties as assigned.

Education Required


Associate's Degree


In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred


Bachelor's Degree in Business Administration or Related Field

Experience

Required:
At least 4 years of claims processing and training and facilitation experience in a Managed Care environment with the demonstrated experience on the following list of stated knowledge and/ or skills.


Extensive hands on experience in the design and delivery of training.

What are the 3-4 non-negotiable requirements of this position?


At least 4 years of claims processing and training and facilitation experience in a Managed Care environment with the demonstrated experience on the following list of stated knowledge and/ or skills. Extensive hands on experience in the design and delivery of training.