Claims Auditor Health & Welfare (Hybrid)

Are you a great communicator with strong writing skills Are you experienced in medical / dental claims processing Do you enjoy working with people individually and in small group settings to help them improve their skills and performance If this describes you then you may be the person were seeking for our Claims Auditor position in our Health & Welfare group!

What youll 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 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

This position has a hybrid work schedule with 3 days per week in office after the completion of training. The position can be based in the Seattle Mountlake Terrace or Federal Way office.

Eligibility : This position is open to current employees who are located within the Greater Seattle area. Only local candidates will be considered. Relocation assistance is not available.

Who you are...

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...

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 to request accommodation.

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Key Skills

Auditing,Time Management,ICD-10,Accounting,Component evaluation,Workers' Compensation Law,SOX,Microsoft Excel,CPT Coding,Internal Audits,Medicare,Bookkeeping

Employment Type : Hourly

Experience : years

Vacancy : 1

Hourly Salary Salary : 30 - 41