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Blue Cross of Idaho is seeking a Claim Investigator Examiner who will conduct claim reviews and investigations of health insurance fraud, waste, and abuse and processes the claims to reflect the outcome of the review and investigations. Activities and programs may include but are not limited to claim auditing, overpayment recovery activities, data mining, subrogation, third party liability (TPL), and coordination of benefits (COB).
We are looking for an Examiner with:
5 years processing complex claims and adjustments
Preferred Certification:
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