Healthcare Claims Training Specialist

Job Description

Job Description

Description :

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Healthcare Claims Training Specialist , you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members.

The Healthcare Claims Training Specialist is responsible for developing and delivering effective training programs for new and existing claims examiners, analysts and refund specialists. This role ensures employees are equipped to adjudicate claims accurately, remain compliant with internal policies and external regulations, and uphold operational excellence. The ideal candidate will have extensive training experience, particularly in corporate settings, and the ability to support team members at varying levels of experience. Prior healthcare industry knowledge and hands-on experience with the Javelina platform are strong pluses.

Key Responsibilities :

• Design and deliver structured initial and ongoing training programs for the claims team.
• Facilitate the onboarding process for new hires, ensuring they have the tools, resources, and training to succeed in their roles.
• Serve as the subject matter expert (SME) in claims adjudication processes, system usage (Javelina), and benefit plan interpretation.
• Facilitate training sessions in-person and virtually, using a variety of instructional methods.
• Create and update training materials, including manuals, job aids, and process documentation, including release impacts to claims adjudication.
• Monitor trainee progress through testing, audits, and one-on-one coaching.
• Collaborate with leadership and Quality Assurance to address performance gaps with targeted retraining.
• Support implementation of client-specific plan changes, system upgrades, and regulatory updates.
• Maintain accurate records of training completion and employee development.
• Stay up to date on industry trends, best practice, and technological advancements to enhance training techniques and resources.
• Help build learning modules in LMS regarding Claims.
• Aid in special projects and other duties as assigned.

Personal Attributes :

Requirements :

Work Environment & Physical Demands :

Reasonable accommodation will be considered in accordance with applicable laws.

Benefits :

After successfully completing a waiting period, eligible Full-time employees have access to our comprehensive benefits package, including :

Who We are :

As a trusted third-party administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our three companies : EBPA, Blue Benefit Administrators of Massachusetts, and CBA Blue.

With over 30 years of experience and a dedicated team of more than 200 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit https : / / www.cobaltbenefitsgroup.com / careers / .

Benefit Waiting Period Notes :