Job Description

Job Description

Job Description

UNITE HERE HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!

The Claims Trainer / Quality Coordinator will evaluate the Claims department workforce with the intent of enhancing professional learning and development. This position will assist management in ongoing and long-term employee auditing, training and development through classroom learning, one-on-one training and coaching as well as objective auditing delivered through standardized forms and verbal feedback.

ESSENTIAL JOB FUNCTIONS AND DUTIES

• Conducts job analyses and processes reviews
• Creates training materials such as guidelines and procedures for training and coaching
• Conducts role-specific training classes
• Coordinates with management to identify training and development opportunities
• Identifies and analyzes trends and provides insight to management regarding department efficiency
• Improves and ensures quality of claim handling practices
• Monitors and delivers feedback to management on the progress of training classes and coaching efforts
• Maintains quality and productivity standards through training and coaching
• Calculates weekly and monthly audit results
• Partners with other areas of the organization to coordinate training efforts and makes recommendations for improvement of interdepartmental business processes
• Provides support for claim resolution by gathering and communicating information to develop procedures for complex claim handling
• Set goals and achieve measurable results

ESSENTIAL QUALIFICATIONS

• 2 ~ 4 years experience claims processing in a healthcare setting
• Experience delivering training curriculum
• Working knowledge and experience in interpretation of health benefit plans, an understanding of limitations, exclusions, and schedule of benefits
• Experience handling the evaluation of workforce training and development needs and execution of subsequent training efforts
• High School Diploma or GED
• Training documentation creation experience (SharePoint, Excel, etc.) preferred

Salary range for this position: Hourly $24.62 - $30.15. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location.

Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week). Some office days required, but largely a work from home hybrid set up.

We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Pension, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP).

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