Medical Claims Auditor — Hybrid

Job overview

The Medical Claims Auditor role is onsite in Seattle, WA during training, then hybrid with three days per week in the office after successful completion of training. Compensation is $30.70–$41.54 per hour. The role is part of Northwest Administrators’ Health & Welfare group, which administers employee benefit plans. The auditor reviews claims processors’ work and helps improve accuracy, compliance, and performance through audits, training, guidance, and written materials. The role collaborates with auditors, vendors, account executives, supervisors, managers, and medical consultants.

What you'll do

• Audit medical, dental, vision, time-loss, and life insurance claims processing
• design and implement processor training plans
• conduct group training
• train and cross-train on plan, system, and procedural changes
• respond to referral questions
• perform random and large-dollar audits
• prepare written processing guidelines
• coordinate vendor interactions with PPOs and benefit providers.

What we're looking for

Skills & competencies

medical claims auditor

seattle wa

northwest administrators

full-time

hybrid

3 days in office

claims auditing

medical claims

dental claims

claims training

compliance

$30.70–$41.54/hour

401(k) match

health benefits

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, vision, prescription, disability, and life insurance
• optional health and dependent-care flexible spending and pet insurance
• 401(k) base contribution and match
• paid vacation, sick leave, and holidays.

Why this role

Hybrid schedule of three office days per week is available after successful training; training takes place onsite in Seattle. Medical and dental claims processing experience is preferred.

About the employer

Northwest Administrators, Inc. is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.