Find More Than 15411+ Job Vacancy


Apply jobs • Apply directly to companies • Clear salary ranges

Browse 15411 List Available Job Vacancies Today. We Have Worked with 2000+ Trusted Companies around the world


Imperial Health Plan of California Logo

Claims Trainer

6a58363

Pasadena, CA

2 days ago

52856 - 73448 USD

Imperial Health Plan of California

Pasadena, CA

Unknown / Non-Applicable

Company - Private


Job Description

People are the most important asset of Imperial, for this reason the difference and plurality of people, equality of opportunities, non-discrimination and inclusion in the workplace are priority and strategic factors in the Organization. Imperial maintains a strong will to promote Diversity, Equity, and Inclusion, through inclusive leadership as a lever change and business sustainability.

Imperial Health Plan of California, Inc. is approved by California Department of Managed Health Care to offer full-service Medicare Advantage coverage, including a Medicare Advantage Prescription Drug plan, and a Chronic Condition Special needs plan over numerous counties in California. Through its affiliate, Imperial Insurance Companies, Imperial also offers Medicare Advantage plans in Texas, New Mexico, Utah, and Arizona.

Our mission: To deliver valuable care so that members are healthy in body, mind, and spirit to achieve their inherent potential.

Our vision: To deliver value based care that is clinically effective, sustainable, and achieves exceptional outcome.

THIS IS IN-OFFICE - NO REMOTE IS AVAILABLE

JOB SUMMARY:

Responsible for working collaboratively to provide education and development for new and existing operations staff. This includes development of recorded training content and maintaining current documented procedures for all workflows to ensure consistent and quality outputs in accordance with best practices. Will coordinate, plan, prepare, schedule, deliver, and evaluate staff education, manuals, and materials. Assist with the orientation, education, and integration of new employees in the Claims Department.

ESSENTIAL JOB FUNCTIONS:

1. 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.

2. Responsible for performing training needs assessments with the Claims Manager and will assist in designing and delivering curriculum and learning materials to ensure the success of new and current Claims Examiners.

3. Ensure that we have appropriate Business Rule documentation and/or presentations that allow examiners to completely understand processes in relation to claims processing.

4. Collaborating with our Quality Auditors to develop and create reports to determine area of improvement in claims processing for department.

5. Working collaboratively with Claims Managers/Auditing Supervisor, Compliance Supervisor, PDR Supervisor and Provider Relations and Customer Service in researching provider grievances to identify error trends and training opportunities.

6. 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.

EDUCATION/EXPERIENCE:

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

· 4+ years in claims processing

· EZCAP experience is a plus

SKILLS/KNOWLEDGE/ABILITY:

· Advance knowledge of Microsoft Office, especially Word and Power point

· Demonstrated ability to be a self-starter, assertive, enthusiastic, and self-directed with excellent communication skills and customer-service orientation

· Exceptional organization skills and attention to detail; a high degree of ownership for projects, and strong follow-through

· Proven ability to work in a fast-paced, iterative cycle with multiple projects under scheduled deadlines

Job Type: Full-time

Pay: $72,800.00 - $80,000.00 per hour

Benefits:

Physical setting:

Schedule:

Ability to commute/relocate:

Education:

Experience:

Work Location: In person


Apply Go Back

Share This Job

LinkedIn
Reddit
WhatsApp
Telegram

Loading...


Related Jobs

Area Leader
Area Leader
The J. M. Smucker Company
New Orleans, LA
1 day ago

Apply
Registered Radiology Technologist
Registered Radiology Technologist
Intermountain Healthcare
Riverton, UT
Today

Apply
Red Pipe - The Hub - Hub Associate
Red Pipe - The Hub - Hub Associate
Tonkawa Indian Casino West
Tonkawa, OK
1 day ago

Apply
Furnace Helper
Furnace Helper
Harrison Steel Castings Co.
Attica, IN
1 day ago

Apply
Field Service Engineer (electro-mechanical)
Field Service Engineer (electro-mechanical)
KDS Windsor
Hendersonville, NC
1 day ago

Apply