Claims Investigative Examiner
Idaho(21 days ago)
About this role
Blue Cross of Idaho is hiring a Claim Investigator Examiner to conduct reviews and investigations related to health insurance claims, focusing on fraud, waste, and abuse. The role involves claim auditing, data analysis, and coordination of benefits to ensure accurate payment processing.
Required Skills
- Claims Processing
- Data Mining
- Medical Coding
- Fraud Detection
- Audit
- Investigation
- Customer Service
- Problem Solving
- Communication
- Legal Compliance
Qualifications
- Experience: 5 years processing complex claims
- Certified Professional Coder (CPC)
About Idaho
bcidaho.comBlue Cross of Idaho: Trusted health partner in ID. Individual & family plans, Medicare solutions & more. Explore options!
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