Medical Claims Assessor Jobs (NOW HIRING)

The Claims Training Specialist is responsible for developing curricula to ensure adherence to CorVel’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 CorVel 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.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• 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

KNOWLEDGE & SKILLS:

• 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

EDUCATION & EXPERIENCE:

• 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

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range:  $77,960 – $120,368

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.   CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.  We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.  Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). 

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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