Northwest Administrators, Inc ยท 2 months ago
Claims Auditor - Health & Welfare (Hybrid)
Federal Way, WA
Full-time
Hybrid
Mid Level
$30.70/hr - $41.54/hrNorthwest Administrators, Inc. is an industry leader in third-party administration of employee benefits, seeking a Claims Auditor for their Health & Welfare group. The role focuses on reviewing claims processors' work, designing training plans, conducting training sessions, and ensuring compliance through audits.
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
Excellent verbal, written and interpersonal communication skills
Intermediate level experience using Microsoft Office Suite of tools
Medical & Dental Claims processing experience
Ability to prioritize work, multi-task and work independently
Preferred
Bachelor's degree or equivalent combination of education & experience
Auditing/training experience
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.
Founded in 1958
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Chris Parker
President and Chief Client Officer
Jennifer Macallister
Senior Human Resources Business Partner
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