Senior Trainer - Special Investigations

Job Summary

A company is looking for a Senior Trainer - Special Investigations Claims (Remote).

Key Responsibilities

• Oversees and leads virtual training environments, managing student performance and providing coaching
• Trains and supports Coordinators in reviewing claims for potential healthcare fraud and abuse
• Collaborates with compliance and senior leadership to develop educational programs that meet state mandates

Required Qualifications

• 2+ years of claim processing experience
• Knowledge of Insurance Systems (e.g., HRP, MedCompass, ACAS, ECHS)
• Proficiency in Microsoft Office products and QuickBase
• Ability to interact with various groups at different levels
• Ensures delivery of quality services