Claims Training & Operations Lead

Verida Inc; Villa Rica (GA); Presencial; USD 55 000 - 75 000; Tempo integral

Resumo da oferta

Southeastrans in Villa Rica, GA seeks a Corporate Administrator to lead training programs for Claims staff, clients, and service providers. You will partner with the Claims Manager to improve performance, ensure policy compliance, and drive operational efficiency.

The role involves developing SOPs and training materials, coordinating audits, and advancing process improvements while maintaining strong customer service and HIPAA compliance. Travel may be required.

Qualificações

• Experience leading training initiatives for corporate staff.
• Ability to develop and document SOPs and training policies.
• Strong written and verbal communication across management levels.
• Knowledge of HIPAA and related privacy/compliance requirements.
• Proficiency with standard office equipment and software tools.

Responsabilidades

• Identify ways to improve employee efficiency and effectiveness.
• Oversees, trains, and evaluates the performance of staff, providing guidance and support as needed.
• Assist in processing claims when necessary.
• Supports State Directories and/or the Director of Internal Audits with state/clients' audits.
• Manage the Telecommuter program, Claims Account Representative, and Claims Specialists II, ensuring adherence to department standards.
• Provide feedback on revisions to policies and procedures and on the development of work processes.
• Identify and investigate potential fraud.
• Demonstrates the ability to interpret and apply plan-specific contract provisions.
• Assist clients with complaints regarding billing submissions.
• Assist with projects, development of reports, and perform other program-related duties as assigned.
• Represent the organization at client meetings, professional association events, and workshops.
• Develop and maintain training materials including handbooks, demonstration models, multimedia visual aids, computer tutorials, and reference workshops.
• Partner with management to develop and execute scheduled specialized training sessions focused on system enhancements, workflow changes, new products or product changes, as well as policy/procedure changes.
• Conduct training needs analysis to determine specific training needs for department staff and evaluate effectiveness of the training.
• Audit work and coordinate training initiatives to identify, develop, and publish corrective actions and educational materials.
• Perform other duties as assigned.

Conhecimentos

Office equipment

Excel

Communication

Leadership

Training programs

Policy development

Customer service

Formação académica

Bachelor's Degree in Business or related field

Ferramentas

Copiers

Fax machines

Phones

Computer hardware/software

Descrição da oferta de emprego

Southeastrans in Villa Rica, GA seeks a Corporate Administrator to lead training programs for Claims staff, clients, and service providers. You will partner with the Claims Manager to improve performance, ensure policy compliance, and drive operational efficiency.

The role involves developing SOPs and training materials, coordinating audits, and advancing process improvements while maintaining strong customer service and HIPAA compliance. Travel may be required.