Time Loss Claims Processor

Northwestadministratorsinc; Seattle (WA); On-site; USD 33,944 - 47,251; Full time

Benefits offered by this job

Medical, Dental, Vision & Rx benefits

Pension plan

Paid leave and holidays

Strong team environment and work-life

Job summary

Northwest Administrators, Inc. seeks a detail-oriented claims processor to manage time loss files and determine eligibility under varied plan requirements.

You will research files, initiate calls for needed information, and decide to pay, pend, or deny claims while ensuring accurate processing of disability and waivers. The role offers Union-scale wages and comprehensive benefits.

Qualifications

• Organized with strong analytical skills.
• Experienced with benefits and eligibility.
• Strong verbal and written communication.
• Service minded with customer service orientation.
• Attention to detail and problem solving.
• Technically savvy with intermediate Excel & Word.

Responsibilities

• Prepare time loss files for initial set-up.
• Research files for specific time loss information.
• Review and process time loss claims according to benefits and eligibility guidelines.
• Initiate telephone calls to obtain specific time loss information.
• Pay, Pend or Deny based on processing criteria.
• Process Disability and Waivers based on Trusts rules.

Skills

Organized

Analytical skills

Strong communication

Customer service oriented

Attention to detail

Excel & Word

Tools

Excel

Word

Job description

Are you looking for a new role that provides challenging and very satisfying work? If so, your next career move could be right around the corner at Northwest Administrators!

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 in the role, you will:

• Prepare time loss files for initial set-up
• Research files for specific time loss information
• Review and process time loss claims accurately and thoroughly according to the benefits and eligibility guidelines
• Initiate telephone calls to obtain specific time loss information
• Pay, Pend or Deny based on established claims processing criteria
• Process Disability and Waivers based on Trusts rules

Who you are...

• Organized. Able to juggle and prioritize workloads, have strong analytical skills
• Experienced. Knowledgeable about benefits and eligibility
• 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.

If hired, you can expect...

• Union scale wages, raises every 6 months, starting at $24.64/hr. up to $34.30/hr
• Medical, Dental, Vision & Rx benefits
• 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

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 [e-mail] to request accommodation.