Berkley Accident and Health (a Berkley Company) ยท 10 hours ago
Quality Audit and Training Specialist
Hamilton Square, NJ
Full-time
Hybrid
Mid, Senior Level
$80K/yr - $100K/yr
5+ years expBerkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. The Quality Audit and Training Specialist will conduct quality audits and design training programs for claims staff, ensuring adherence to standards and facilitating professional development.
Health Care
No H1B
Responsibilities
Handle department quality audits process related to service standards, adherence to procedural, regulatory and financial requirements
Discuss and prepare reports for management regarding all audit results
Ensure the Claims manual is updated and distributed as needed
Design and create training materials, manuals, e-learning modules, and quick-reference guides for new hires and ongoing professional development
Conduct interactive training sessions (in-person and virtual) on claims processes, new procedures, regulatory changes and software systems
Assess employee progress through training and provide feedback to both employees and management
Monitor adherence to quality and productivity standards and identify trends in claims handling to recommend process improvement
Work with management, subject matter experts and other departments to align training with organizational goals
Other duties as assigned
Qualification
Required
High School Diploma required
5+ years of experience in claims handling and training within the self-funded insurance industry
Excellent organizational, verbal and written communication as well as interpersonal and relationship building skills with the ability to influence and add value to the organization
Detail orientated with a high degree of accuracy and ability to multitask
Must be highly motivated and able to handle multiple priorities in a consistently changing environment
Strong problem solving, decision-making, reporting and analytical skills. Must possess good judgment and work effectively with internal business areas, peers and co-workers
Demonstrated proficiency in Connexure (David Young) claims system, Microsoft Office software, including Word and Excel
Must exhibit a professional behavior at all times while representing or being identified as an employee of Berkley Accident and Health
Benefits
Competitive compensation
Paid time off
Comprehensive wellness benefits and programs
Employer funded health savings account
Profit sharing
401k
Paid parental leave
Employee stock purchase plan
Tuition assistance
Professional continuing education
Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and generous profit-sharing plan
Company
Berkley Accident and Health (a Berkley Company)
Berkley Accident and Health is a risk management leader that helps individuals, groups, employers, and healthcare organizations to better understand and manage their risk.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Brad Nieland
President and CEO at Berkley Accident and Health, LLC
Christopher Brown
Retired CEO
Company data provided by crunchbase