Claims Trainer Specialist, CVS Health

CVS Health

Location:
United States, Franklin

Category:
-

Contract Type:
Employment contract

Salary:

18.50 - 35.29 USD / Hour

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Job Description:

This role focuses on training Claims processing and Claims Call Center staff for all products including Final Expense, Accident and Health and Medicare Supplement policies. Additional training for other departments is in scope to support overall business needs. The trainer designs, develops, and delivers curriculum, collaborates with leadership, ensures successful knowledge transfer, manages classroom environments, assesses effectiveness, and develops educational tools using formal instructional design methodology.

Job Responsibility:

Lead training sessions for designated audiences
Actively engage with other training design and development professionals to collect and coordinate subject matter expertise, to collaborate on and influence the design and development of curriculum, and to ensure that the right curriculum is developed using the appropriate learning medium
Revise and customize the curriculum to reflect the unique geographic, product, and/or audience variations
Manage participant performance in the classroom, to ensure adherence to Aetna standards and policies
provides feedback to management as appropriate
Analysis of individual performance assessments and development of action plans to appropriately manage Aetna's performance management processes for new hire situations with appropriate business/educational management, ER, and HR support
Work with local business leaders to align the performance variables required to transfer learning back to the job
Assess the effectiveness of training programs during and at designated intervals after delivery
Collect and share curricula and training event feedback from program participants and local business leaders
Participate in the development effort to enhance the curricula and training events based on that feedback
Use formal instructional design methodology, working with instructional design staff, to develop performance-based training and educational tools
Develop and conduct follow-up assessments to determine the effectiveness and, when appropriate, ROI of training programs
Lead team building sessions and/or games for engagement and collaboration among staff.

Requirements:

Two to three (2-3) years of experience in a training capacity or equivalent experience
Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing
One to three (1-3) years call center experience
Previous presentation and training skills
Competent PC skills and proficiency in MS Office
Fluency in English Communication (written / verbal) is a MUST
Work a Hybrid Work Schedule (In office 3 days a week)
Excellent facilitation skills and the ability to interact effectively with people at all levels of the organization.

Nice to have:

Demonstrates strong facilitation skills
Demonstrates strong aptitude for instructional design including excellent written skills
Applies innovative, creative, “out of the box” thinking to problems
Strong analytical, influence, conflict resolution, problem solving, negotiation and project management skills
Excellent oral and written communication, interpersonal and presentation skills
Proactively and quickly learns new systems, tools or content areas to achieve results
Technologically literate – familiar with IT focused frameworks, systems and methodology
Embraces change, ability to see opportunities for change, to capitalize on them and implement them when appropriate, process improvement mindset
Assumes responsibility for personal and professional development
Exceptional focus on customer experience.

What we offer:

Affordable medical plan options
a 401(k) plan (including matching company contributions)
an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

Additional Information:

Job Posted:
November 20, 2025

Expiration:
November 24, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Claims Trainer Specialist