Claims Examiner I

Blue Cross of Idaho is seeking a Claims Examiner to review and adjudicate paper/electronic claims, determining whether to return, deny, or pay claims in accordance with organizational policies and procedures. Responsibilities Review claims and determine denial, acceptance, or need for further investigation. Recognize and report issues, escalations, and errors while ensuring compliance with organizational policies. Review existing claims for errors and omissions. Interpret and apply all business rules, policies and contract requirements. Research and navigate web‑based programs to support claim adjudication. Work with detail‑oriented material and strictly follow workflow and instructions. Maintain strong verbal and written communication skills. Qualifications Minimum 1‑year relevant experience as a Claims Examiner. Knowledge of medical terminology. Ability to complete assigned individual tasks within scope and meet deadlines. Compensation As of the date of this posting, a good faith estimate of the current pay range is $19.45 - $27.23 per hour. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). Benefits Paid time off, paid holidays, community service and self‑care days. Medical, dental, vision and pharmacy insurance. 401(k) matching and non‑contributory plan. Life insurance and short‑ and long‑term disability coverage. Education reimbursement and employee assistance plan (EAP). Adoption assistance program and paid family leave program. Reasonable Accommodations To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Equal Opportunity Employer 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. Equal Opportunity is the Law. EEO is the Law. #J-18808-Ljbffr