Individual Market CIR Claims Processor III

Premera Blue Cross is hiring an Individual Market CIR Claims Processor III to handle moderate to complex claims with care, accuracy, and timely follow-through. The role involves reviewing, researching, and resolving claims under company contracts and policies, including work tied to Medicare, DSHS, subrogation, coordination of benefits, large-dollar medical claims, and claim reprocessing. It also calls for interpreting procedures and policies to make sure claims are resolved correctly. The advert says the job uses reference materials and online tools, and the successful person will also support teammates through technical guidance and collaboration with internal and external partners. No specific years of experience or formal qualification are listed in the advert excerpt provided. No language requirement is stated. The position is classified as telecommuter and is remote. This role appears suited to someone with claims experience who can work carefully, solve problems, and contribute to a quality-focused team environment.