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