Appeals Specialist (Medical Claims)
northwestadministratorsinc
Appeals Specialist (Medical Claims)
northwestadministratorsinc· Health & Welfare
About this role
Do you enjoy working with a great team of people? Do you provide exceptional service even when having to solve issues that may be complex and difficult? Does the phrase “details matter” describe your approach to everything? If you answered “YES” then you may be the person we’re seeking for our Appeals Specialist position!
What you'll be doing...
The Appeals Specialist will assist in the operations of the Health and Welfare Claims Department and will primarily focus on member disputes and appeals.
- Review and process member and provider appeals, ensuring accuracy and adherence to policies
- Analyze claims, benefits, contracts and regulations to make informed appeal decisions
- Collaborate with internal teams to prepare and present appeal cases for resolution
- Clearly communicate appeal outcomes to members, providers and representatives
- Provide guidance and support to members and providers on appeal procedures
This position has a hybrid work schedule with 3 days per week in the office. The position can be based in our Seattle, Mountlake Terrace or Federal Way office.
Who you are...
- Bachelor’s degree or combination of relevant education and experience
- Medical claims processing and/or appeals experience highly preferred
- Interpret and retain detailed information from multiple plan descriptions
- Problem Solver. Strong analytical problem solver with great attention to detail
- Excellent interpersonal, written and verbal communication skills
- Exceptional organizational skills and ability to manage competing priorities
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...
- Hourly rate range of $30.70 - $41.54 per hour (dependent on experience & qualifications)
- 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 company base contribution & match
- Paid Vacation (10 days), Sick Leave (10 days) and Holidays (10 days)
- 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 HR@nwadmin.com to request accommodation.
Northwest Administrators Inc. | Privacy Policy (nwadmin.com)
Frequently Asked Questions
What is the salary for the Appeals Specialist (Medical Claims) role at northwestadministratorsinc?
The listed salary for this Appeals Specialist (Medical Claims) position at northwestadministratorsinc is USD 31–42. This is an full-time role.
Where is the Appeals Specialist (Medical Claims) position at northwestadministratorsinc located?
This Appeals Specialist (Medical Claims) role at northwestadministratorsinc is based in Mountlake Terrace, WA. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Which team or department does the Appeals Specialist (Medical Claims) at northwestadministratorsinc belong to?
This Appeals Specialist (Medical Claims) position is part of the Health & Welfare department at northwestadministratorsinc. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Appeals Specialist (Medical Claims) position at northwestadministratorsinc?
Click the "Apply Now" button on this page. You will be redirected to northwestadministratorsinc's official application portal hosted on greenhouse where you can submit your application directly.
When was the Appeals Specialist (Medical Claims) job at northwestadministratorsinc posted?
This Appeals Specialist (Medical Claims) position at northwestadministratorsinc was posted on Jul 1, 2026. Apply as soon as possible — early applications are often reviewed first.
Appeals Specialist (Medical Claims)
northwestadministratorsinc · 💰 USD 31–42
You'll be redirected to northwestadministratorsinc's official application page on Greenhouse.