Claims Auditor - Health & Welfare (Hybrid) jobs in United States
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Northwest Administrators, Inc ยท 1 month ago

Claims Auditor - Health & Welfare (Hybrid)

Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits, and they are seeking a Claims Auditor for their Health & Welfare group. The role focuses on auditing claims processors' work and designing training programs to enhance their skills.

ConsultingFinancial Services

Responsibilities

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

Qualification

Medical Claims ProcessingAuditing ExperienceTraining ExperienceMicrosoft Office SuiteCommunication SkillsOrganizational Skills

Required

Great communicator with strong writing skills
Experienced in medical/dental claims processing
Enjoy working with people individually, and in small group settings, to help them improve their skills and performance
Able to prioritize work, multi-task and work independently
Excellent verbal, written and interpersonal communication skills
Intermediate level experience using Microsoft Office Suite of tools

Preferred

Bachelor's degree preferred or equivalent combination of education & experience
Medical & Dental Claims processing; auditing/training experience preferred

Benefits

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)

Company

Northwest Administrators, Inc

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Northwest Administrators is an accounting company providing audit, tax, and financial planning services.

Funding

Current Stage
Late Stage

Leadership Team

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Chris Parker
President and Chief Client Officer
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Jennifer Macallister
Senior Human Resources Business Partner
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Company data provided by crunchbase