Medical Claims Processor

The role

You will process medical claims accurately according to specific plan requirements. You will also follow up on claims needing more information and monitor the inbox to ensure timely handling.

What you will do

• 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

Required qualifications

• Minimum 1 year of medical claims processing knowledge
• Organized and able to juggle and prioritize workloads
• Strong analytical skills
• Strong verbal and written communication including interpersonal skills
• Passionate about customer service
• Attentive to detail with excellent problem-solving skills
• Proficient with technology
• Intermediate level Excel and Word

Benefits

• Union scale wages
• Raises every 6 months
• Medical, Dental, Vision & Rx benefits
• Employer provided/fully funded Defined Benefit Pension
• Up to 8.6 days of Paid Leave
• 10 Holidays
• Training and development opportunities

About the company

Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. They administer one of the largest multi-employer pension plans in the country and numerous large health and welfare plans.