Training Specialist | Clinical Claims (Pooling)

Location: Taguig, Philippines

Company

hirify.global provides technology-enabled business process services using artificial intelligence, automation, cloud engineering, advanced analytics, and business process expertise.

What you will do

• Design, facilitate, and evaluate new-hire, cross-training, upskilling, and refresher programs for clinical claims associates and healthcare professionals.
• Deliver instructor-led, virtual, and blended learning sessions covering clinical, operational, client, and compliance requirements.
• Develop and maintain lesson plans, facilitator guides, assessments, job aids, and other training materials.
• Monitor trainee progress, assess learning effectiveness, identify knowledge gaps, and provide targeted coaching.
• Partner with Operations, Quality, Clinical Leadership, Workforce, and client stakeholders to address performance challenges and implement process changes.
• Track training metrics, certification results, retention, and post-training performance, recommending improvement actions.

Requirements

• Active Philippine Registered Nurse status with an unrestricted US RN License and NCLEX completion.
• Bachelor’s degree in Nursing.
• At least 2 years of recent clinical experience in a hospital, utilization review, case management, disability management, claims, or healthcare operations environment.
• At least 1 year of experience in training, coaching, facilitation, mentoring, preceptorship, or learning and development.
• Knowledge of clinical documentation, medical terminology, healthcare delivery systems, and disability or claims processes.
• Strong English communication, presentation, facilitation, classroom management, data analysis, and Microsoft Office skills; willingness to work a shifting schedule.

Nice to have

• Training, learning and development, instructional design, or Train-the-Trainer certification.
• Experience with disability claims, group benefits, clinical claims review, case management, utilization management, insurance, or healthcare BPO operations.
• Experience in curriculum design, e-learning development, learning management systems, or similar insurance and benefits accounts.

Culture & Benefits

• Work alongside Operations, Quality, Clinical Leadership, Workforce, and client stakeholders.
• Support continuous improvement through training analytics, knowledge reinforcement, and performance interventions.
• Support audit readiness through accurate training documentation, completion records, and compliant learning materials.
• Shifting schedule required to support business needs.