Blue Cross of Idaho is seeking a Claim Examiner to review and adjudicate paper/electronic claims. Determine whether to return, deny or pay claims following organizational policies and procedures.
We are looking for a Claim Examiner with:Experience: 1-year relevant experience
What a day may look like:
- 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.
- 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
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.
Skills Required
- 1 year relevant experience
- Knowledge of medical terminology
- Ability to complete assigned individual tasks within scope
- Research and navigate web-based programs
- Work with detail-oriented material
- Follow detailed workflow and instructions
- Verbal and written communication skills
Blue Cross of Idaho Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Blue Cross of Idaho and has not been reviewed or approved by Blue Cross of Idaho.
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Healthcare Strength — Feedback suggests medical, dental, vision and mental‑health coverage are a standout, with affordable PPO/HSA options often cited. Role postings and third‑party summaries describe comprehensive plan choices that employees value.
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Retirement Support — Feedback suggests a 401(k) with a company match is a core element, with mentions of an additional non‑contributory employer contribution. This indicates meaningful long‑term savings support as part of total rewards.
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Leave & Time Off Breadth — Role postings specify paid time off, paid holidays, a community service day and a self‑care day. Paid family leave, adoption assistance and an EAP further extend time‑off and wellbeing supports.
Blue Cross of Idaho Insights
What We Do
Since 1945, we’ve taken our role as an Idaho-based health insurance company to heart. While the health insurance marketplace has experienced lots of change in recent years, we haven’t. As a not-for-profit, we’re mission-driven to help connect Idahoans to quality healthcare that is affordable and build strong networks and services with our customers in mind. With an annual economic impact of $456 million (in 2016), we lead the state and industry in addressing the cost of healthcare and creating transformative customer experiences with information, tools and services. Ultimately, we aim to create a brighter future for all of us. All we need are customer-centric leaders like you.
