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Healthcare Claims Training Specialist

Healthcare Claims Training Specialist

Cobalt Benefits Group LLCExeter, NH, US
1 day ago
Job type
  • Full-time
Job description

Job Description

Job Description

Description :

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Healthcare Claims Training Specialist , you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members.

The Healthcare Claims Training Specialist is responsible for developing and delivering effective training programs for new and existing claims examiners, analysts and refund specialists. This role ensures employees are equipped to adjudicate claims accurately, remain compliant with internal policies and external regulations, and uphold operational excellence. The ideal candidate will have extensive training experience, particularly in corporate settings, and the ability to support team members at varying levels of experience. Prior healthcare industry knowledge and hands-on experience with the Javelina platform are strong pluses.

Key Responsibilities :

  • Design and deliver structured initial and ongoing training programs for the claims team.
  • Facilitate the onboarding process for new hires, ensuring they have the tools, resources, and training to succeed in their roles.
  • Serve as the subject matter expert (SME) in claims adjudication processes, system usage (Javelina), and benefit plan interpretation.
  • Facilitate training sessions in-person and virtually, using a variety of instructional methods.
  • Create and update training materials, including manuals, job aids, and process documentation, including release impacts to claims adjudication.
  • Monitor trainee progress through testing, audits, and one-on-one coaching.
  • Collaborate with leadership and Quality Assurance to address performance gaps with targeted retraining.
  • Support implementation of client-specific plan changes, system upgrades, and regulatory updates.
  • Maintain accurate records of training completion and employee development.
  • Stay up to date on industry trends, best practice, and technological advancements to enhance training techniques and resources.
  • Help build learning modules in LMS regarding Claims.
  • Aid in special projects and other duties as assigned.

Personal Attributes :

  • Ability to engage with team members of diverse backgrounds and levels of experience, providing encouragement and constructive feedback. Clear and professional verbal and written communication.
  • Ability to explain complex concepts in a digestible and engaging way.
  • Ability to manage multiple training projects while maintaining a high level of accuracy and attention to detail.
  • Comfortable adjusting training methods to accommodate different learning styles and evolving company needs.
  • Comfortable presenting in front of both small and large groups.
  • Technically savvy and adaptable to new systems and procedures.
  • Requirements :

  • Associate or bachelor’s degree in healthcare administration, Education, Training or a related field; or Certified Professional in Learning and Performance (CPLP), Associate Professional in Talent Development (APTD) or _Professional in Talent Development (CPTD).
  • 2-3+ years of proven corporate training experience, preferably in the health care industry.
  • Strong problem-solving abilities, with a focus on finding solutions to training challenges and helping team members improve.
  • Health care claims and billing, as well as hands-on experience using the Javelina claims platform is a plus.
  • Familiarity with the concepts in healthcare administration, such as TPA’s, Self-Funding, Stop Loss, healthcare claim cycling and coding.
  • Experience with Learning Management Systems (LMS), Microsoft Office Suite, and other relevant training software or platforms.
  • Work Environment & Physical Demands :

    Reasonable accommodation will be considered in accordance with applicable laws.

  • Prolonged periods of sitting or being stationary.
  • Regular use of a computer, keyboard, dual monitors and mouse is necessary; reasonable accommodation will be provided upon request.
  • Employees should ensure an ergonomically appropriate desk and chair setup.
  • If remote, employees are expected to maintain a dedicated, clean, quiet, and organized workspace to support productivity and confidentiality.
  • Regular and reliable attendance during scheduled work hours is an essential function of this position.
  • Comfort with being on camera for virtual meetings (e.g., Microsoft Teams) is expected.
  • Occasional domestic travel may be required.
  • Benefits :

    After successfully completing a waiting period, eligible Full-time employees have access to our comprehensive benefits package, including :

  • Fantastic medical, dental, and vision insurance
  • Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
  • Company provided Basic Life and AD&D
  • Company paid Short-Term and Long-Term Disability
  • Flexible Spending Accounts
  • 401(k) Retirement Plan with up to a 6% employer-match
  • WOW! (100% fully vested after 3 years)
  • 10+ paid holidays
  • Generous paid vacation and sick time
  • Annual Volunteer Paid Day
  • Annual Tuition Reimbursement
  • Annual Health and Wellness Reimbursement
  • Lots of fun company events
  • Who We are :

    As a trusted third-party administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our three companies : EBPA, Blue Benefit Administrators of Massachusetts, and CBA Blue.

    With over 30 years of experience and a dedicated team of more than 200 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit https : / / www.cobaltbenefitsgroup.com / careers / .

    Benefit Waiting Period Notes :

  • 60 day waiting period
  • 90 day waiting period
  • Create a job alert for this search

    Training Specialist • Exeter, NH, US

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