Quality Audit and Training Specialist

Berkley•Hamilton Square, NJ

5d•$80,000 - $100,000•Hybrid

About The Position

Our Quality Audit and Training Specialist is a new dual role in the areas of claim quality audit and training. This role will conduct ESL audits related to operational review, SOX and quality reviews, etc. In audits, this role is responsible for designing, delivering and evaluating training programs for new and existing claims staff, developing training materials and evaluating employee performance through feedback and audits. Will act as a mentor during the training process and collaborate with subject matter experts and management to identify and address skill gaps. What you can expect: Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent Internal mobility opportunities Visibility to senior leaders and partnership with cross functional teams Opportunity to impact change 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 and professional continuing education

Requirements

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.

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