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. We are also looking for: 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. 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. Your Health and Wellness Matters At Blue Cross of Idaho, we care about the health and well-being of our employees. Our benefits aim to help make your life easier, healthier and more balanced. Your Career Development Matters We believe in employee growth, which is why we offer training, tools and numerous resources to assist with professional development. Your Community Matters Our employees care deeply about Idaho. We work together to positively impact communities throughout Idaho, and contribute our time through volunteering. Blue Cross of Idaho will extend reasonable accommodations to qualified individuals with disabilities who are otherwise not able to fully use electronic and online job application systems. For assistance, please send an email to BCIHRRecruiter@bcidaho.com. Equal Opportunity is the Law EEO is the Law Supplement E-Verify Pay Transparency