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Blue Cross of Idaho

Claims Examiner

Career Insights for Claims Examiner (General)

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What they do

A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.

$82,355 / year median in Idaho

+5% projected growth

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Job Description

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.