Medical Claims Auditor (On-Site)

Are you a skilled communicator with strong writing abilities and deep, hands-on experience processing medical claims? Do you enjoy applying your claims expertise to work one-on-one or in small group settings, to help others strengthen their accuracy, compliance, and performance? If so, you may be the ideal candidate for our Claims Auditor position within our Health & Welfare group.

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What you'll be doing...As a Health and Welfare Claims Auditor, the main focus will be to review the work completed by the Health and Welfare Medical, Dental, Vision, Time Loss and Life Claims Processors. This position requires collaboration with other auditors, outside vendors, account executives, department supervisors and managers, and medical consultants.
Primary responsibilities for this position include:Perform internal audits of our Health and Welfare Claims Processors' workDesign and implement training plans for Claims ProcessorsConduct training sessions for groups of new Claims ProcessorsTrain and cross-train on plan, system and procedural changesRespond to day-to-day referral questionsPerform random and large dollar claims auditsPrepare written claim processing guideline materialsCoordinate vendor interaction with specific PPOs and benefit providers
NOTE: This position will be on-site in our Seattle office (Eastlake) during the training period. A hybrid work schedule with 3 days per week in office is available, after the completion of training.
Who you are...Educated. Bachelor's degree preferred or equivalent combination of education & experienceExperienced. Medical & Dental Claims processing; auditing/training experience preferredOrganized. Able to prioritize work, multi-task and work independentlyCommunicator. Excellent verbal, written and interpersonal communication skillsTechnically Savvy. Intermediate level experience using Microsoft Office Suite of tools
Who we are…Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package. See what our associates are saying about us at Northwest Administrators Inc. | Careers ( )
If hired, you can expect...Hourly rate range of $30.70 - $41.54 per hour (dependent upon experience & qualifications)Medical, dental (w/Orthodontia), vision, Rx benefits, disability & life insuranceOptional benefits: health flex spending, dependent care assistance & pet insuranceGenerous 401(k) plan with employer base contribution and matchPaid Vacation (10 days), Sick Leave (10 days) and Holidays (10 days)Collaborative team environmentWork-life balance
Equal Employment OpportunityNWA is proud to be an Equal Employment Opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, physical or mental disability, marital status, amnesty, veteran status, citizenship, family medical history or genetic information or any other characteristic protected by local, state, or federal laws. NWA prohibits any discrimination or harassment based on any of these characteristics.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. xzbcwsv Please contact Human Resources at to request accommodation.
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