Northwest Administrators, Inc

Medical Claims Auditor (Hybrid)

Northwest Administrators, Inc  •  $31 - $42/hr  •  Seattle, WA (Hybrid)  •  3 hours ago
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Job Description

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 person we're seeking for our Claims Auditor position!

What you'll be doing...

As a Claims Auditor in our Health & Welfare group, your main focus will be to audit the work completed by the processors for Medical, Dental, Vision, Time Loss and Life insurance claims. 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' work
  • Design and implement training plans for Claims Processors
  • Conduct training sessions for groups of new Claims Processors
  • Train and cross-train on plan, system and procedural changes
  • Respond to day-to-day referral questions
  • Perform random and large dollar claims audits
  • Prepare written claim processing guideline materials
  • Coordinate vendor interaction with specific PPOs and benefit providers

NOTE: This position will be on-site in the Seattle office during the training period. A hybrid work schedule (3 days per week in office) is available upon successful completion of training.

Who you are...

  • Educated. Bachelor's degree preferred, or equivalent combination of education & experience
  • Experienced. Medical & Dental Claims processing; auditing/training experience preferred
  • Organized. Able to prioritize work, multi-task and work independently
  • Communicator. Excellent verbal, written and interpersonal communication skills
  • Technically 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 (nwadmin.com)

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 insurance
  • Optional benefits: health flex spending, dependent care assistance & pet insurance
  • Generous 401(k) plan with employer base contribution and match
  • Paid Vacation (10 days), Sick Leave (10 days) and Holidays (10 days)
  • Collaborative team environment
  • Work-life balance

Equal Employment Opportunity

NWA 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. Please contact Human Resources at HR@nwadmin.com to request accommodation.

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Northwest Administrators, Inc

About Northwest Administrators, Inc

About Northwest Administrators, Inc. (NWA)

Since 1958, Northwest Administrators, Inc. (NWA) has delivered trusted, high-quality employee benefit plan administration and benefit claim processing services across the Western United States. With primary offices in Seattle, WA; Portland, OR; Brisbane and Pasadena, CA; and Las Vegas, NV, we proudly support organizations and their members with responsive, efficient, and customized solutions.

What We Do

NWA partners with Taft-Hartley trusts and multiple-employer (association) health and retirement plans, serving several hundred thousand participants. Our comprehensive suite of services gives clients the flexibility to build and manage benefit programs that truly meet their needs, including:

- Benefit claim processing for medical, dental, vision, prescription drug, and weekly disability plans

-Employer reporting and eligibility services

-Retirement plan administration for both defined benefit and defined contribution plans

-Investment and cash management services

-Multi-employer trust and association administration, including full financial accounting

-COBRA and HIPAA administration

-A managed vision program (NBN Vision) featuring one of the Northwest’s most extensive provider networks

NWA remains committed to reliability, accuracy, and exceptional client service—helping organizations deliver benefits their participants can count on.

Industry
Finance & Insurance
Company Size
501-1,000 employees
Headquarters
Seattle, Washington
Year Founded
1958
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