Claims Examiner

Blue Cross of IdahoMeridian, ID

About The Position

Reviews claim and determines denial, acceptance or a need for further investigation. Recognizes and reports issues and escalates, as necessary. Reviews existing claims for errors and omissions. Interprets and applies all business rules, policies and contract. Perform other duties and responsibilities as assigned. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Responsibilities

  • Reviews claim and determines denial, acceptance or a need for further investigation.
  • Recognizes and reports issues and escalates, as necessary.
  • Reviews existing claims for errors and omissions.
  • Interprets and applies all business rules, policies and contract.
  • Perform other duties and responsibilities as assigned.
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