Appeals Specialist (Medical Claims)
- Pay
- $31 – $42 per hour
- Location
- Mountlake Terrace, WA
- Listed
- 3 days ago
About the 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
Additional information
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
- Educated. Bachelor's degree or combination of relevant education and experience
- Experienced. Medical claims processing and/or appeals experience highly preferred
- Analytical. Interpret and retain detailed information from multiple plan descriptions
- Problem Solver. Strong analytical problem solver with great attention to detail
- Communicator. Excellent interpersonal, written and verbal communication skills
- Organized. Exceptional organizational skills and ability to manage competing priorities
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
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)
Equal opportunity and legal notices
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 to request accommodation.
Northwest Administrators Inc. | Privacy Policy (nwadmin.com)
From Northwest Administrators, Inc.'s careers page, first listed on Rolev.ai on November 7, 2026. Rolev.ai is not the employer.
How Rolev.ai helps with this application
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Common questions
What is the salary for the Appeals Specialist (Medical Claims) role at Northwest Administrators, Inc.?
The Appeals Specialist (Medical Claims) posting at Northwest Administrators, Inc. states compensation of $31 – $42 per hour. Final pay may depend on location, experience, and interview evaluation on Northwest Administrators, Inc.'s official career site.
Where is the Appeals Specialist (Medical Claims) job at Northwest Administrators, Inc. located?
This Appeals Specialist (Medical Claims) position at Northwest Administrators, Inc. is located in Mountlake Terrace, WA. Always check Northwest Administrators, Inc.'s application page for specific state eligibility or relocation policies.
How do I apply for the Appeals Specialist (Medical Claims) position at Northwest Administrators, Inc.?
This listing links directly to Northwest Administrators, Inc.'s Greenhouse application page. You can apply directly on Northwest Administrators, Inc.'s site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the Greenhouse application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.