Medical Claims Auditor

. Audit work completed by processors for Medical, Dental, Vision, Time Loss and Life insurance claims .

Posted 10/15/2026full-timeSeattle • Washington • United StatesMid-LevelSenior💰 $31 - $42 per hourWebsite

Key responsibilities & impact

Audit work completed by processors for Medical, Dental, Vision, Time Loss and Life insurance claims
Collaborate with auditors, outside vendors, account executives, department supervisors and managers, and medical consultants
Perform internal audits of 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

What you’ll need

Bachelor's degree preferred, or equivalent combination of education & experience
Medical & Dental Claims processing experience
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

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)
Training and development opportunities
Collaborative team environment
Work-life balance