Claims Auditor - Health & Welfare

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 a perfect fit as a Claims Auditor in our Health & Welfare group.

What you'll be doing...

As a Health and Welfare Auditor, the main focus will be on reviewing the work completed by the Health and Welfare Medical and Dental 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

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, multitask and work independently
• Communicator. Excellent verbal, written and interpersonal skills
• Technically Savvy. Intermediate experience using Microsoft Office Suite

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.

If hired, you can expect...

• Excellent Medical, Dental, Vision & Rx benefits
• Paid Vacation, Sick Leave & Holidays
• Generous 401(k) plan with company base contribution & match
• Professional growth opportunities
• 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 [email protected] to request accommodation.