Medical Claims Processor

Northwest Administrators, Inc; Seattle (WA); On-site; USD 35,000 - 49,000; Full time

Benefits offered by this job

Defined Benefit Pension

Paid Leave & Holidays

Work-life balance

Job summary

Northwest Administrators, Inc. is seeking an experienced medical claims processor to join our Seattle, WA office. You will handle claims per specific plan requirements, follow up for information, and refer complex items to supervisors to ensure accuracy and timeliness.

The role emphasizes organization, communication, and attention to detail in a busy, customer-focused environment. We offer a defined-benefit pension, paid leave and holidays, and a supportive team culture.

Qualifications

• Experience with medical claims processing and claims workflows.
• Strong attention to detail and problem-solving ability.
• Effective written and verbal communication with team and customers.

Responsibilities

• Process medical claims accurately according to plan requirements.
• Follow up on claims needing additional information.
• Refer problematic claims for supervisor/auditor review.
• Monitor inbox to ensure timely handling of claims and referrals.
• Participate in special projects as assigned.

Skills

Medical claims processing

Attention to detail

Analytical skills

Communication

Excel proficiency

Tools

Excel

Word

Job description

Are you an experienced medical claims processor? This could be the opportunity for you!

What you'll be doing...

At NWA, we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and accurately. If hired you will:

• Process medical claims accurately, thoroughly and according to plan requirements
• Follow up on claims needing additional information
• Refer problem claims to a supervisor and/or auditor for review
• Monitor “inbox” to ensure that claims and referrals are handled timely
• Special projects as assigned

Located in our Seattle, WA office.

Who you are...

• Organized.Able to juggle and prioritize workloads, have strong analytical skills
• Experienced. Knowledgeable about medical claims processing, minimum 1 year
• Communicator.Strong verbally and in writing including interpersonal skills
• Service Minded.Passionate about customer service--delivering it like you expect to receive it
• Detailed.Attentive to detail with excellent problem-solving skills
• Technically Savvy. Proficient with technology, intermediate level Excel and Word

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. See what our associates are saying about us at Northwest Administrators Inc. | Careers (nwadmin.com)

If hired, you can expect...

• Union scale wages, raises every 6 months, starting at $25.50/hr. up to $35.50/hr.
• Employer provided/fully funded Defined Benefit Pension
• Up to 8.6 days of Paid Leave and 10 Holidays
• Strong team environment with good work-life balance

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 [e-mail] to request accommodation.

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