Health & Welfare Claims Auditor — Training & QA (Hybrid)

Northwest Administrators, Inc; Mountlake Terrace (WA); On-site; USD 42,292 - 57,225; Full time

Benefits offered by this job

Medical, dental, and vision benefits

401(k) plan with employer contributions

Paid vacation and sick leave

Work-life balance

Job summary

A leading third-party administration firm in Mountlake Terrace seeks a Claims Auditor for its Health & Welfare group. The ideal candidate will have experience in medical and dental claims processing and will conduct internal audits and training for claims processors. This role offers a hybrid work schedule after training and a comprehensive benefits package including medical, dental, and a 401(k) plan.

Qualifications

• Experience in medical and dental claims processing preferred.
• Auditing and training experience is a plus.
• Must have strong verbal and written communication skills.

Responsibilities

• Review work completed by claims processors.
• Design and implement training plans for claims processors.
• Conduct training sessions for new claims processors.
• Perform internal audits on claims processors' work.
• Respond to referral questions on a day-to-day basis.

Skills

Strong writing skills

Medical and dental claims processing

Interpersonal communication

Organizational skills

Technical proficiency in Microsoft Office Suite

Education

Bachelor’s degree or equivalent combination of education & experience

Job description

A leading third-party administration firm in Mountlake Terrace seeks a Claims Auditor for its Health & Welfare group. The ideal candidate will have experience in medical and dental claims processing and will conduct internal audits and training for claims processors. This role offers a hybrid work schedule after training and a comprehensive benefits package including medical, dental, and a 401(k) plan.