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Claims Tester Jobs (NOW HIRING)

Maesa

Senior Manager, Claims Substantiation

New York, NY · On-site

$110K - $130K/yr

Develop testing plans utilizing clinical, consumer, instrumental, laboratory, and expert review methodologies. * Review statistical analyses and technical reports to ensure claims are adequately ...

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 ...

Socket.dev

Claims Operations Manager

Manhattan, NY · On-site

$125 - $150/hr

Support claims governance, audit readiness, control testing, quality assurance activity and remediation tracking, ensuring clear ownership and timely closure of actions. * Stakeholder coordination:

SiriusPoint

Claims Operations Manager

New York, NY · On-site

Support claims governance, audit readiness, control testing, quality assurance activity and remediation tracking, ensuring clear ownership and timely closure of actions. * Stakeholder coordination:

Medix

Claims Examiner

Tulsa, OK · On-site

$20 - $20.50/hr

This role focuses heavily on testing new configuration updates to ensure the system processes claims according to defined business rules. The examiner will apply specialized institutional knowledge ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing. * Verify claims adjudication accuracy and provider contract ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing. * Verify claims adjudication accuracy and provider contract ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing. * Verify claims adjudication accuracy and provider contract ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing. * Verify claims adjudication accuracy and provider contract ...

Avēsis

Claims Supervisor

The Claims Supervisor is responsible for direct oversight of Claims staff, claims processing ... Testing of system modifications to guarantee accurate processing and outcomes. * Support audit ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing. * Verify claims adjudication accuracy and provider contract ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing. * Verify claims adjudication accuracy and provider contract ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Execute system and user acceptance testing (UAT) during implementation. * Validate member benefits, eligibility, and claims processing. * Verify claims adjudication accuracy and provider contract ...

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Showing results 41-60

All JobsFinance and Insurance JobsInsurance JobsInsurance Claims Examiner JobsClaims Tester Jobs

Claims Tester information

See salary details

$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.

Senior Manager, Claims Substantiation

Maesa

New York, NY • On-site

$110K - $130K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 6 days ago

Key responsibilities

  • Lead the development, review, and approval of product claims to ensure they are truthful, supported, and compliant with regulations.

  • Evaluate marketing, packaging, and advertising claims for risk and substantiation needs, and establish claims governance policies and procedures.

  • Partner with cross-functional teams to create compliant claims strategies, develop testing plans, review substantiation data, and prepare claims dossiers for regulatory and legal purposes.

Job description

#MaesaMagic
The next gen beauty company, Maesa is transforming the industry by incubating and growing meaningful, innovative brands and making prestige beauty accessible. Maesa believes beauty ignites inspiration, creativity, imagination, and connection, sparking new ideas and possibilities, and meeting unmet consumer needs. Through best-in-class design, formulation, brand creation and marketing capabilities, Maesa delivers new, better and different products with an unsurpassed speed to market. Maesa works with a variety of retailers to create and launch brands across beauty and wellness categories. The current portfolio includes Kristin Ess, Hairitage by Mindy McKnight, Fine'ry, Being Frenshe, and Niches & Nooks among other brands. For more information, visit www.maesa.com.
We are looking for a Senior Manager, Claims Substantiation to lead the development, review, substantiation, and governance of all product claims across the company's beauty, personal care, wellness, and cosmetic portfolios. This role serves as the subject matter expert for claims compliance and substantiation, ensuring all marketing claims are truthful, adequately supported, and compliant with applicable regulations.
The Senior Manager will work closely with Product Development, R&D, Marketing, Legal, and testing partners to establish robust claims strategies to support innovation while reducing regulatory and litigation risks.
This role is based in our Manhattan office and requires 3 days per week on-site.
Key Responsibilities
Claims Strategy & Governance
  • Engage with Product Development early in the process in developing impactful and compelling claims strategies that differentiate products while maintaining compliance with regulatory requirements.
  • Lead the claims review and approval process for new product launches, line extensions, and reformulations.
  • Evaluate proposed marketing, e-commerce, social media, packaging, and advertising claims for risk and substantiation needs.
  • Establish and maintain company claims governance policies, procedures, and workflows.
  • Update and maintain centralized claims library and substantiation database.

Claims Substantiation
  • Determine appropriate substantiation requirements for product performance, sensory, consumer perception, and ingredient-related claims.
  • Develop testing plans utilizing clinical, consumer, instrumental, laboratory, and expert review methodologies.
  • Review statistical analyses and technical reports to ensure claims are adequately supported.
  • Prepare claims dossiers and substantiation files for regulatory and legal defense.
  • Partner with external laboratories, dermatologists, toxicologists, and scientific experts on claims validation
  • Lead continuous improvement initiatives to streamline claims review processes.

Regulatory Compliance
  • Ensure claims compliance with FDA, FTC, NDA and applicable global cosmetic regulations.
  • Assess claims for potential cosmetic, drug, medical device, or food classification implications.
  • Monitor warning letters, litigation trends, competitor activity, and emerging regulatory requirements related to claims.
  • Provide regulatory risk assessments and recommendations to business stakeholders.

Cross-Functional Collaboration
  • Partner with Product Development, R&D and Marketing teams to create compelling, compliant messaging.
  • Collaborate with Product Development to identify substantiation opportunities early in the innovation process.
  • Work with Legal on claim challenges, advertising reviews, and risk mitigation strategies.
  • Support retailer review submissions and customer-specific compliance requirements.

Qualifications
  • Bachelor's degree in chemistry, Biology, Cosmetic Science, or related field.
  • 10+ years of experience in cosmetic, personal care, OTC, or CPG industries.
  • 8+ years of direct experience in product claims substantiation and regulatory compliance.
  • Demonstrated experience reviewing advertising, packaging, and digital marketing claims.
  • Experience managing external testing laboratories and substantiation studies.
  • Prior leadership experience managing cross-functional projects.

Required Knowledge & Skills
  • FDA, FTC, NDA Cosmetic Regulations related to Advertising claims
  • Cosmetic vs. Drug Claim Distinction
  • Clinical, Technical and Consumer Testing Methodologies
  • Statistical Interpretation of Test Results
  • Experience with claims dossier development and documentation management.
  • Ability to communicate complex scientific and regulatory concepts to non-technical audiences.
  • Strong project management and stakeholder management skills.
  • Excellent written and verbal communication skills.

What We Offer
$110,000/yr - $130,000/yr. Exact compensation may vary based on skills, experience, and location. This position is eligible for participation in a discretionary bonus plan based on individual and company performance.
Maesa offers a variety of benefits to eligible employees. Employees can choose to enroll in health insurance coverage, wellness programs, life and disability insurance, and retirement savings plans. Through generous paid time off, a hybrid office setup, and paid leave options, Maesa encourages wellness and balance among employees.
Our Commitment to You
At Maesa, we live by our values of collaboration, curiosity, game-changing, creativity, and discipline. We believe our people and partners are a creative force that catalyzes the possibilities in beauty to break through traditional limits and discover the "new" without restriction. We prioritize creating and fostering a welcoming environment for employees, partners, ideas, approaches, and endeavors - all through a spirit of warmth and inclusivity. As set forth in Maesa's Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.
Our EVP
Maesa is the next-gen beauty company, where bold ideas become beautiful brands. We ignite the dreamer and doer in each of us. We move at the speed of culture to push boundaries and redefine possibilities unleashing #maesamagic everyday. By fostering a start-up spirit, we equip everyone to lead with accountability & execute with excellence. We champion each voice and empower every journey, creating an environment where we celebrate diversity of thinking, calculated risk taking, and cutting-edge innovation. Growth is personal, intentional, and limitless.
#LI-Hybrid

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