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Trainer Customer Service & Claims I

Moda Health

Trainer Customer Service & Claims I

Portland, OR
Full Time
Paid
  • Responsibilities

    Job Description

    LET’S DO GREAT THINGS, TOGETHER   Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. 

    Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.​​ Moda Health is seeking a Trainer to join our Medical Claims/Customer Service Department.   As a Trainer, you will be responsible in providing training, developing and maintaining documentation, and performing quality reviews of policies, procedures, phone techniques and etiquette and system functionality. The trainer will also re-train and provide ongoing training to claims and customer service, or other departments as needed. You will ensure consistent application of administrative policies and efficient system usage is followed. You will also assist the supervisor in developing new trainers and/or trainees.  PRIMARY FUNCTIONS: 01. Access training needs in development of new training programs. 02. Develops courses and modules for use in the training of all levels of employees.  This includes the development and updating of course content and training materials including, but not limited to, contract, claims, and phone skill modules.  Coordinates to ensure consistency throughout the company.   03. Presentations are developed and implemented in a clear, user-friendly manner and accommodate various adult learning skills. 04. Conducts end of course evaluation and action planning. 05. Create and update documentation and resource materials as needed. 06. Ensure departmental quality assurance standards are adhered through phone monitoring, auditing, etc. 07. Advise the supervisor of any personnel issues, utilizing proper judgement in accessing any necessary action to be taken.  08. Assist in planning, organizing and directing the activities and workflow of the department. 09. Participate in or manage projects as assigned. 10. Responsible for quality and continuous improvement within the job scope.  11. Contributes to and supports the corporation’s quality initiatives by encouraging team and individual contributions toward the corporation’s quality improvement efforts.  12. Fosters an atmosphere of cooperation and team spirit with co-trainers at all times. 13. Collaborating with other departments to identify training needs and coordinating and implementing classes when appropriate. 14. Travel to other Moda offices to assist in training if needed. 15. Other duties as assigned. ARE YOU READY TO BE A BETTERIST?   If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.   Together, we can be more. We can be better.   Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.  

  • Industry
    Hospital and Health Care