Medical Claims Auditor (Hybrid)
Northwest Administrators, Inc.
$31 - $42 / hour
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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.
Northwest Administrators Inc. | Privacy Policy (nwadmin.com)
Benefits
- health insurance
- 401(k)
- life insurance
- sick leave
About this role
Northwest Administrators is looking for someone to audit medical and dental claims work while training and mentoring processors across their Health & Welfare division. You'd spend your time reviewing claim accuracy and compliance, designing training programs, conducting sessions for new staff, and responding to procedural questions—working closely with auditors, supervisors, vendors, and medical consultants. The role requires strong writing and communication skills to document guidelines and explain complex plan changes, plus the ability to manage multiple priorities independently.
This position suits someone with hands-on claims processing experience who enjoys teaching and has an eye for detail. You'll need at least a bachelor's degree or equivalent background, intermediate Microsoft Office skills, and ideally some auditing or training experience already under your belt. The first phase is full-time on-site in Seattle; after you complete training, the role shifts to hybrid (three days per week in office), offering better work-life balance.
The salary ranges from $30.70 to $41.54 per hour depending on your experience. Benefits include comprehensive medical, dental, vision, and prescription coverage, a 401(k) with employer match, and 30 days of paid time off annually (vacation, sick leave, and holidays combined).
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Pay for this role
$31 to $42 per hour
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