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Claims Tester Jobs (NOW HIRING)

Carman Solutions Group

Claims Tester

Malvern, PA · On-site

Claims Tester Location: Remote Duration: Long-term visa- independent visa holders Responsible for claims testing for MMIS health care projects. Drive the test strategy and process, domain knowledge ...

Cognizant

Healthcare Claims Testing Manager

Cognizant is seeking a Healthcare Claims Testing Manager to lead the testing strategy and execution for claims processing as part of healthcare Proof of Concept (POC). The role involves collaborating ...

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 ...

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 ...

CYNET SYSTEMS

Functional Tester

Cincinnati, OH · On-site

$40 - $45/hr

Execute functional, regression, integration, and UAT testing across loan servicing, claims, policy administration, or related banking modules. * Validate data flows, business rules, financial ...

Palnar

Senior Tester

Reston, VA · On-site

5-8 Years' Experience Must have strong experience with EDI 837 Health Care Claims processing testing Must have strong working knowledge test automation using selenium java script, python cucumber ...

PROLIM Global Corporation

Guidewire Tester

Dallas, TX · On-site

... FNOL, Claims lifecycle • Prepare and execute test scenarios, test cases, and test data • ... Testing • Strong hands on experience in Guidewire testing (PolicyCenter / ClaimCenter ...

New

Sanford Health

Manager, Claims

North Sioux City, SD · Remote

The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as ...

Sanford Health

Manager, Claims

Marshfield, WI · Remote

The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as ...

Sanford Health

Manager, Claims

Fargo, ND · Remote

The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as ...

Sanford Health

Manager, Claims

Fargo, ND · On-site

The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as ...

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Claims Tester information

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$41K

$76K

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How much do claims tester jobs pay per year?

As of Jul 14, 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 jobs pay 500,000 a year in the US?

Claims testers typically do not earn $500,000 annually; such high salaries are usually found in executive roles, specialized medical professionals, or successful entrepreneurs. High-paying jobs often require advanced skills, certifications, or significant experience. For claims testers, top salaries may reach six figures with extensive experience or managerial responsibilities, but $500,000 is uncommon in this role.

Is there a legit product tester job?

A claims tester is a legitimate role that involves evaluating insurance claims, often requiring attention to detail and knowledge of insurance processes. Genuine product testing jobs, which involve testing physical or digital products, are different and typically require specific skills or experience. It's important to verify job postings to avoid scams and ensure the role matches your skills and interests.

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.

What company pays you to test their products?

Claims testers are typically employed by insurance companies or third-party testing firms that evaluate insurance claims. They are paid to review and verify claims, often requiring knowledge of insurance policies and claims processing procedures.

What are the key skills and qualifications needed to thrive as a Claims Tester, and why are they important?

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 Claims Testers?

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.

How to get a job as a claims examiner?

To become a claims examiner, candidates typically need a high school diploma or equivalent, with some roles requiring an associate's or bachelor's degree in fields like insurance, business, or healthcare. Relevant skills include attention to detail, analytical thinking, and knowledge of insurance policies; obtaining certifications such as the Certified Claims Professional (CCP) can improve job prospects. Experience in customer service or administrative roles can also be beneficial when applying for claims examiner positions.
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 July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $76,039 per year, or $36.6 per hour.
Claims Tester

Claims Tester

Carman Solutions Group

Malvern, PA • On-site

Contractor

Re-posted 9 days ago

Job description

Title: Claims Tester

Location: Remote

Duration: Long-term

visa- independent visa holders

Responsible for claims testing for MMIS health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in the application and assisting customers in implementation decisions.

  1. Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare.
  2. Candidate should have hands-on experience on claims processing and Adjudication processes.
  3. Must have good experience in Reference code/data sets required in Claims adjudication.
  4. Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.
  5. Should be able to run queries and perform basic system analysis, RCA etc.,
  6. Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos
  7. Must have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks

Testing knowledge and E2E Testing:

    • Validate the entire flow from claim intake to payment and reporting.
    • Interface testing - Test integration points between systems
    • Design test case based on business rules, coverage policies, and system configurations.
    • Familiarity with test management tools like ADO, JIRA,
    • Interface/API testing tools like Postman

Technical Skills

  • SQL: To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan).
  • EDI Tools: Validating X12 files.
  • Interface Testing: Understanding how data flows between systems and formats and use tools like postman

Preferred skills:

  • Minimum of 5+ years of experience in health care experience especially in MMIS domain.
  • Capability to think out-of-the-box to create new solutions as needed.
  • Ability to validate Test scenarios and test plans, test data.
  • Should be able to Review requirements, documentation and create Requirements Traceability matrix (RTM)
  • Should have excellent communication (written and spoken ) skills to engage with different stake holders like QA/dev team, clients, end users of Clients and Business Units.
  • Ability to assess current functionality available in a product vis a vis market trends, regulatory requirements to be implemented in future version of the product.
  • Ability to drive and share the requirements with Technical and Architects regarding product features to be implemented.
  • Test Planning & Reporting: Create test plans, test summary reports, and traceability matrices.
  • Communication: Collaborate with cross-functional teams including developers, SME’s and BA’s

Claims Tester:

Responsible for claims testing for MMIS health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in the application and assisting customers in implementation decisions.

  1. Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare.
  2. Candidate should have hands-on experience on claims processing and Adjudication processes.
  3. Must have good experience in Reference code/data sets required in Claims adjudication.
  4. Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.
  5. Should be able to run queries and perform basic system analysis, RCA etc.,
  6. Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos
  7. Must have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks

Testing knowledge and E2E Testing:

    • Validate the entire flow from claim intake to payment and reporting.
    • Interface testing - Test integration points between systems
    • Design test case based on business rules, coverage policies, and system configurations.
    • Familiarity with test management tools like ADO, JIRA,
    • Interface/API testing tools like Postman

Technical Skills

  • SQL: To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan).
  • EDI Tools: Validating X12 files.
  • Interface Testing: Understanding how data flows between systems and formats and use tools like postman

Preferred skills:

  • Minimum of 5+ years of experience in health care experience especially in MMIS domain.
  • Capability to think out-of-the-box to create new solutions as needed.
  • Ability to validate Test scenarios and test plans, test data.
  • Should be able to Review requirements, documentation and create Requirements Traceability matrix (RTM)
  • Should have excellent communication (written and spoken ) skills to engage with different stake holders like QA/dev team, clients, end users of Clients and Business Units.
  • Ability to assess current functionality available in a product vis a vis market trends, regulatory requirements to be implemented in future version of the product.
  • Ability to drive and share the requirements with Technical and Architects regarding product features to be implemented.
  • Test Planning & Reporting: Create test plans, test summary reports, and traceability matrices.
  • Communication: Collaborate with cross-functional teams including developers, SME’s and BA’s
Regards,
Himanshu Rawat
himanshu@carmansg.com