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Claims Tester Jobs (NOW HIRING)

Northern Base

NASCO claims Specialist

Newark, NJ · On-site

$110K - $115K/yr

Provide strategic direction and domain leadership for claims testing initiatives. * Interpret and guide implementation of complex payer rules, benefit configurations, and provider contracts. * Review ...

Primus Software Corporation

Be Seen First

Claims QA/BA (Healthcare- Contract to hire)

OR · Remote

$45 - $68/hr

Responsible for claims testing for health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures ...

Codeforce 360

ACAS Tester

Dallas, TX · On-site

The ideal candidate should have strong expertise in Claims , JCL, COBOL, DB2, SQL, JIRA or ALM ... Experience testing Mainframe applications. * Knowledge of JCL, COBOL, DB2, and Mainframe batch ...

Omega Solutions, Inc.

Senior Tester

Reston, VA · On-site

Omega Solutions, Inc. is seeking a Senior Tester with solid knowledge of Health Care Claims processing. The role involves testing web-based applications and requires familiarity with claims ...

1 point system

Manual Tester

Richmond, VA · On-site

Lead advanced analysis across FAS Member, Claims, and Finance modules; assess business objectives ... Oversee system development activities, including design reviews, integration testing, defect ...

ClifyX

Tester

Reston, VA · On-site

Required : • Test Plan • Test Cases • Test cases Automation • Manual Testing • Automated Testing • Test reporting • White box Testing • Healthcare Knowledge specifically Claims • ...

myPlace Health

Claims Analyst

Los Angeles, CA · On-site

$57 - $70/hr

Support encounter-data accuracy, claims testing, operational reporting, and internal or external audits by researching claims and gathering required documentation. * We seek Rebels who are curious ...

Prosper Services LLC

Claims Analyst

California, MO · On-site

$57 - $70/hr

Support encounter-data accuracy, claims testing, operational reporting, and internal or external audits by researching claims and gathering required documentation. * We seek Rebels who are curious ...

Navtech, Inc.

Provider Tester

Lake Saint Louis, MO · On-site

... Inquiry, Claims, Payment, etc. * Should be able to prepare Test data for Various Healthcare ... Experience in manual testing and ETL. * Strong fundamental in SDLC Agile/Waterfall methodologies ...

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All JobsFinance and Insurance JobsInsurance JobsInsurance Claims Examiner JobsClaims Tester Jobs

Claims Tester information

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$41K

$76K

$99K

How much do claims tester jobs pay per year?

As of Sep 7, 2026, the average yearly pay for claims tester in the United States is $76,039.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $85,500.00 per year, depending on experience, location, and employer.

What is a claims tester?

Claims Testers are professionals who evaluate and verify insurance claims to ensure they meet company policies and regulatory requirements. Their primary responsibility is to test claims processing systems, review claim documents, and identify errors or inconsistencies before claims are approved or denied. Claims Testers work closely with claims adjusters and system developers to improve accuracy and efficiency in the claims process. They play a crucial role in maintaining the integrity of an insurance company's claims operations.

What are the key skills and qualifications needed to thrive as a claims tester?

To thrive as a Claims Tester, you need a strong understanding of insurance claims processes, attention to detail, and experience with quality assurance or testing methodologies, often supported by a relevant degree or claims certification. Familiarity with claims management systems, test automation tools, and defect tracking software is typically required. Analytical thinking, effective communication, and problem-solving skills make someone stand out in this role. These competencies are crucial for ensuring the accuracy and compliance of claims processing systems, which directly impact customer satisfaction and organizational integrity.

What are some common challenges faced by claims testers, and how can they be addressed?

Claims Testers often encounter challenges such as working with complex insurance systems, adapting to frequently changing regulations, and ensuring test cases accurately reflect real-world claim scenarios. Effective communication with developers, business analysts, and claims processors is essential to clarify requirements and resolve discrepancies. To address these challenges, it's helpful to stay updated on industry standards, participate in regular team meetings, and continually refine testing processes based on feedback and observed outcomes.

What is the difference between Claims Tester vs Claims Analyst?

AspectClaims TesterClaims Analyst
Required CertificationsBasic knowledge of insurance and testing certificationsInsurance certifications often preferred, such as CPCU or AIC
Work EnvironmentQuality assurance teams, testing labs, or IT departmentsClaims departments within insurance companies or third-party administrators
Employer & Industry UsageInsurance companies, software vendors, and consulting firmsInsurance carriers, third-party claims processors, and brokers
Common Search & Comparison IntentUnderstanding testing roles in claims processingAnalyzing claims data and processing efficiency

Claims Testers focus on testing insurance claim systems and ensuring software quality, while Claims Analysts evaluate and process insurance claims to determine coverage and payouts. Both roles are essential in the claims process but differ in their primary functions and skill sets.

More about Claims Tester jobs

What are the most commonly searched types of Claims Tester jobs?

The most popular types of Claims Tester jobs are:

What job categories do people searching Claims Tester jobs look for?

The top searched job categories for Claims Tester jobs are:

Claims Tester jobs near you
Infographic showing various Claims Tester job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $76,039 per year, or $36.6 per hour.

Manual QA Claims Tester

Avani Technology Solutions, Inc.

Getzville, NY • On-site

Full-time

Re-posted 12 days ago

Job description

Role : Manual QA Claims Testers
Location : Getzville,NY
Duration : 6 + Months
Job Description:
  • Facets- hands-on experience in configuration and administration of Trizetto claims solution.
  • Healthcare- 5-10 years+ in healthcare claims experience, ideally facets claims systems
  • Requirements Management- 5+ years' experience in working with business or IT executives/sponsors to gather requirements, understand business needs and provide solutions.
  • Prepared Test cases and Test scripts from the requirements and Functional, Technical specifications.
  • Validated member eligibility and eligibility inquiry in the facets application to the legacy application in order to confirm the migration successful or not.
  • Experience in Medical, Pharmacy Plan changes from one plan to other plan with in Group, subgroup, class combinations.
  • Experience with COB (coordination of benefits) application with in facets, testing of claims status for selected subscribers.
  • Writing test cases and test scripts in MS Excel Manually and uploading in Quality center
  • Well experienced in benefit coding of different products for various plans of BCBS such as Blue preferred, Blue exchange etc..
  • Calculating co-pay, coinsurance, adding single tier, multi tier for different products with in a plan.
  • Comparing plan and product details in medical module, and reviewing the benefit summary and feeding them into pivot tables with appropriate co-pay and coinsurance and valid comments for various codes of vision, maternity etc..
  • Test data entry into FACETS4.7 application in the test environment for creating groups, subscribers and family members.
  • Experience in creating new groups, subgroups, subscribers as and when needed which is later used as a test data for testing purpose.
  • Experience in System testing and UAT testing of the facets core application and custom modules as needed.
  • Claims validation in Facets application which includes claims pending status, member status, etc..
  • Creating test cases, test scripts for various modules, and uploading them into quality center.

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