Claims Trainer - Quality Coordinator at UNITE HERE HEALTH

Aurora, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Jan, 26

Salary

31.44

Posted On

09 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Handling, Training Development, Coaching, Job Analysis, Process Reviews, Communication, Problem Solving, Analytical Skills, Time Management, Organizational Skills, Attention to Detail, Team Collaboration, Feedback Delivery, Health Benefit Plans, Multi-tasking, Decision Making

Industry

Hospitals and Health Care

Description

UNITE HERE HEALTH serves over 200,000 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 analysis and process reviews; creates and edits role-specific training content * Creates training materials such as guidelines and procedures for training and coaching * 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 make recommendations for improvement of interdepartmental business processes * Provides support for claim resolution by gathering and communicating information to develop procedures for complex claim handling * Exemplifies the Fund’s values in leading and fostering a respectful, trusting, and engaged culture of inclusion and engagement ESSENTIAL QUALIFICATIONS * 2 ~ 4 years of related experience minimum * 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 * Advanced level MS Office and MS Excel skills * Strong communication style with the ability to create and communicate persuasive and engaging training material * Problem solving, multi-tasking, analytical, and decision-making skills * Attention to detail, time management, organizational, and investigative skills * Able to lead a classroom discussion, engage others and create a cooperative training environment * Ability to deliver coaching and performance feedback in a strategic fashion * Ability to work collaboratively with all levels of staff Salary range for this position: Hourly: $25.69 - $31.44. 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 8-4pm CT, 7.5 hours per day (37.5 hours per week) as a hybrid position. We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Short- & Long-term Disability, Life, Pension, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP). #LI-Hybrid

Responsibilities

The Claims Trainer – Quality Coordinator will evaluate the Claims department workforce to enhance professional learning and development. This includes conducting job analysis, creating training materials, and monitoring training progress.