Medical Claims Auditor

Northwest Administrators, Inc

Health and Welfare Claims Auditor reviewing medical claims processing for accuracy and compliance. Training and auditing Claims Processors in a collaborative environment with team-centered responsibilities.

Posted 5/12/2026full-timeMountlake Terrace • Washington • 🇺🇸 United StatesMid-LevelSenior💰 $31 - $42 per hourWebsite

About the role

Key responsibilities & impact

Review the work completed by the Health and Welfare Medical, Dental, Vision, Time Loss and Life Claims Processors
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

Requirements

What you’ll need

Bachelor's degree preferred or equivalent combination of education & experience
Medical & Dental Claims processing; auditing/training experience preferred
Able to prioritize work, multi-task and work independently
Excellent verbal, written and interpersonal communication skills
Intermediate level experience using Microsoft Office Suite of tools

Benefits

Comp & perks

Medical, dental (w/Orthodontia), vision, Rx benefits, disability & life insurance
Optional benefits: health flex spending, dependent care assistance & pet insurance
Generous 401(k) plan with employer base contribution and match
Paid Vacation (10 days), Sick Leave (10 days) and Holidays (10 days)
Collaborative team environment
Work-life balance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medical Claims processingDental Claims processingAuditingTrainingClaims auditingGuideline preparation

Soft Skills

PrioritizationMulti-taskingIndependenceVerbal communicationWritten communicationInterpersonal communication

Certifications

Bachelor's degree