Claims Examiner I
About The Position
Blue Cross of Idaho is seeking a Claims Examiner to review and adjudicate paper/electronic claims. Determine whether to return, deny or pay claims following organizational policies and procedures. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). Blue Cross of Idaho has taken our role as an Idaho-based health insurance company to heart since 1945. As a not-for-profit, we are driven to help connect Idahoans to quality and affordable healthcare while building strong networks and services. We aim to create a brighter future for all with the help of customer-centric professionals.
Requirements
- 1-year relevant experience
- Knowledge of medical terminology
- Ability to complete assigned individual tasks within scope
- Research and navigate web-based programs
- Work with detailed-oriented material
- Follow detailed workflow and instructions
- Verbal & Written Communication
Responsibilities
- Review claim and determine denial, acceptance or a need for further investigation.
- Recognize and reports issues and escalates, as necessary.
- Review existing claims for errors and omissions.
- Interpret and applies all business rules, policies and contract.
Benefits
- paid time off
- paid holidays
- community service and self-care days
- medical/dental/vision/pharmacy insurance
- 401(k) matching and non-contributory plan
- life insurance
- short and long term disability
- education reimbursement
- employee assistance plan (EAP)
- adoption assistance program
- paid family leave program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
