... Commission). - Any other regulations as appropriate. Role Descriptions: Functional testingFacets Claims testing Pricing claims and Alliance claim pricing testing SQL/DB testing| Automation Essential ...
... Commission). - Any other regulations as appropriate. Role Descriptions: Functional testingFacets Claims testing Pricing claims and Alliance claim pricing testing SQL/DB testing| Automation Essential ...
Special Examiner, Reinsurance Claims
$83K - $157K/yr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
New
Special Examiner, Reinsurance Claims
$83K - $157K/yr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
New
Special Examiner, Reinsurance Claims
Boston, MA ยท On-site
$35.75 - $48.50/hr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
Special Examiner, Reinsurance Claims
Boston, MA ยท On-site
$35.75 - $48.50/hr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
$32.75 - $44.50/hr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
$32.75 - $44.50/hr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
Special Examiner, Reinsurance Claims
$83K - $157K/yr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
New
Special Examiner, Reinsurance Claims
$83K - $157K/yr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
New
Special Examiner, Reinsurance Claims
$83K - $157K/yr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
New
Special Examiner, Reinsurance Claims
$83K - $157K/yr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
New
Special Examiner, Reinsurance Claims
Boston, MA ยท On-site +1
$83K/yr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
Special Examiner, Reinsurance Claims
Boston, MA ยท On-site +1
$83K/yr
Participate in audits and provide supporting documentation as requested. * Assist with testing and ... Some roles at Liberty Mutual have a corresponding compensation plan which may include commission ...
Automotive Claims Associate (Manheim)
$16.59 - $24.86/hr
Position may be eligible for additional compensation that may include commission (annual, monthly ... Drug Testing To be employed in this role, you'll need to clear a pre-employment drug test. Cox ...
Automotive Claims Associate (Manheim)
$16.59 - $24.86/hr
Position may be eligible for additional compensation that may include commission (annual, monthly ... Drug Testing To be employed in this role, you'll need to clear a pre-employment drug test. Cox ...
Senior Director, Quality & Validation
Santa Clarita, CA ยท On-site
$190K - $200K/yr
Commission and manage consumer, clinical, and performance studies from external laboratories under ... Strong knowledge of consumer-performance, sensory, and claims-support testing methods for personal ...
Quick apply
Senior Director, Quality & Validation
Santa Clarita, CA ยท On-site
$190K - $200K/yr
Commission and manage consumer, clinical, and performance studies from external laboratories under ... Strong knowledge of consumer-performance, sensory, and claims-support testing methods for personal ...
Senior Director, Quality & Validation
Santa Clarita, CA ยท Hybrid
$190K - $200K/yr
Commission and manage consumer, clinical, and performance studies from external laboratories under ... Strong knowledge of consumer-performance, sensory, and claims-support testing methods for personal ...
Senior Director, Quality & Validation
Santa Clarita, CA ยท Hybrid
$190K - $200K/yr
Commission and manage consumer, clinical, and performance studies from external laboratories under ... Strong knowledge of consumer-performance, sensory, and claims-support testing methods for personal ...
Senior Director, Quality & Validation
Santa Clarita, CA ยท Hybrid
$190K - $200K/yr
Commission and manage consumer, clinical, and performance studies from external laboratories under ... Strong knowledge of consumer-performance, sensory, and claims-support testing methods for personal ...
Quick apply
Senior Director, Quality & Validation
Santa Clarita, CA ยท Hybrid
$190K - $200K/yr
Commission and manage consumer, clinical, and performance studies from external laboratories under ... Strong knowledge of consumer-performance, sensory, and claims-support testing methods for personal ...
Plan Build Coordinator
$55K - $63K/yr
Perform comprehensive testing of plan configurations to ensure accurate and efficient claims ... Additionally, certain roles have the opportunity to receive sales commissions that are based on the ...
Plan Build Coordinator
$55K - $63K/yr
Perform comprehensive testing of plan configurations to ensure accurate and efficient claims ... Additionally, certain roles have the opportunity to receive sales commissions that are based on the ...
... SmithRx claims adjudication systems and upstream/downstream processes. * Handle Advanced Logic ... In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx ...
Quick apply
... SmithRx claims adjudication systems and upstream/downstream processes. * Handle Advanced Logic ... In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx ...
... SmithRx claims adjudication systems and upstream/downstream processes. * Handle Advanced Logic ... In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx ...
Quick apply
... SmithRx claims adjudication systems and upstream/downstream processes. * Handle Advanced Logic ... In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx ...
Engineer II/III (Claims)
Webster, MA ยท On-site
$90K - $150K/yr
Partner closely with testers and quality assurance teams to ensure code quality, successful user ... Some roles at Mapfre are eligible for commission and/or bonus earnings, in addition to salary ...
Engineer II/III (Claims)
Webster, MA ยท On-site
$90K - $150K/yr
Partner closely with testers and quality assurance teams to ensure code quality, successful user ... Some roles at Mapfre are eligible for commission and/or bonus earnings, in addition to salary ...
Senior Special Counsel
Los Angeles, CA ยท On-site +1
$170K - $292K/yr
Providing advice concerning the Commission's whistleblower rules and claims processing procedures ... DRUG TESTING: This position may be subjected to drug testing requirements. * PERMANENT CHANGE OF ...
Senior Special Counsel
Los Angeles, CA ยท On-site +1
$170K - $292K/yr
Providing advice concerning the Commission's whistleblower rules and claims processing procedures ... DRUG TESTING: This position may be subjected to drug testing requirements. * PERMANENT CHANGE OF ...
GAMING COMMISSION REGULATOR
El Cajon, CA ยท On-site
... claims, collaborating with Casino personnel, Tribal Police, and appropriate outside agencies ... testing of gaming device software for verification of validity and authorized programming ...
GAMING COMMISSION REGULATOR
El Cajon, CA ยท On-site
... claims, collaborating with Casino personnel, Tribal Police, and appropriate outside agencies ... testing of gaming device software for verification of validity and authorized programming ...
Accountant IV
Austin, TX ยท On-site
$4.2K - $5.5K/wk
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to ... The position reviews manual travel claims in CAPPS Financials and works with the auditors to get ...
Accountant IV
Austin, TX ยท On-site
$4.2K - $5.5K/wk
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to ... The position reviews manual travel claims in CAPPS Financials and works with the auditors to get ...
GAMING COMMISSION REGULATOR
El Cajon, CA ยท On-site
... claims, collaborating with Casino personnel, Tribal Police, and appropriate outside agencies ... testing of gaming device software for verification of validity and authorized programming ...
GAMING COMMISSION REGULATOR
El Cajon, CA ยท On-site
... claims, collaborating with Casino personnel, Tribal Police, and appropriate outside agencies ... testing of gaming device software for verification of validity and authorized programming ...
... Commissions, Claims Management o Enterprise Data Management/Reference Data Management o Reinsurance ... testing methodologies) through all phases of the technology life cycle, including requirements ...
... Commissions, Claims Management o Enterprise Data Management/Reference Data Management o Reinsurance ... testing methodologies) through all phases of the technology life cycle, including requirements ...
Commission Claims Tester information
See salary details
$15.87 - $17.57
5% of jobs
$17.57 - $19.27
4% of jobs
$19.27 - $20.98
5% of jobs
$20.98 - $22.68
8% of jobs
$23.02 is the 25th percentile. Wages below this are outliers.
$22.68 - $24.39
11% of jobs
$24.39 - $26.09
12% of jobs
The median wage is $26.66 / hr.
$26.09 - $27.80
13% of jobs
$27.80 - $29.50
13% of jobs
$29.90 is the 75th percentile. Wages above this are outliers.
$29.50 - $31.21
14% of jobs
$31.21 - $32.91
9% of jobs
$32.91 - $34.62
5% of jobs
$15
$26
$34
How much do commission claims tester jobs pay per hour?

Contractor
Re-posted 3 days ago
Job description
โข Strong SME knowledge in Healthcare Claims Processing lifecycle
โข Expertise in EDI formats - 837 (P/I/D), 835, 834
โข Hands-on experience in Facets (Claims + Enrollment modules)
โข Proficiency in Azure DevOps (ADO) for QA tracking
โข Knowledge of HIPAA compliance and payer systems
โข 8+ years of experience in Healthcare QA/Testing
โข 4+ years of experience as Test Lead in Facets projects
โข Deep understanding of Claims Adjudication & Payment workflows
โข Experience in handling claims denials, adjustments, and reprocessing
โข Strong exposure to EDI claim and remittance transactions
โข Experience in mocking and validating EDI files (837/835/834)
โข Knowledge of ITS claims processing (SF, DF, RF)
โข Experience in Member Enrollment workflows (Medicaid, Medicare, ACA)
โข Understanding of Billing lifecycle for member enrollment
โข Hands-on experience with ADO Test Plans, Test Suites, and Defect tracking
โข Ability to perform data validation and reconciliation activities
โข Strong experience in functional and end-to-end testinG
Familiarity with Agile/Scrum methodologies โข Excellent stakeholder communication and coordination skills โข Experience in risk identification, defect triage, and RCA
Roles & Responsibilities
โข Lead end-to-end testing for Claims, Enrollment, and Billing modules
โข Act as SME for Claims Processing and EDI transactions
โข Validate Facets Claims and Membership workflows
โข Design and execute test strategies, test plans, and test cases
โข Perform EDI validation (837, 835, 834) including mock data creation
โข Manage defect lifecycle, triage, and resolution tracking in ADO
โข Ensure HIPAA compliance in all testing activities
โข Validate ITS claims processing across SF, DF, RF flows
โข Drive quality metrics, reporting, and release sign-offs
โข Collaborate with business, development, and partner teams for E2E validation
Generic Managerial Skills, If any
โข Leading and Mentoring team members
โข Strong problem-solving and critical thinking
โข Ability to work with minimal supervision
โข Documentation and knowledge sharing
โข Excellent communication
Key Words to search in Resume
โข EDI claims
โข EDI files (837 , 835, 834)
โข Facets
โข Claims
โข Member Enrollment
โข Billing lifecycle
โข Azure DevOps (ADO)
โข HIPAA compliance
โข Healthcare QA, Testing
โข Test Lead
โข Claims Adjudication
โข Payment workflows
โข ITS
Pre-Screening Questionnaire
โข Do you have 7+ years of Healthcare QA/Testing experience?
โข Do you have experience as a QA/Test lead , leading and mentoring team members?
โข Do you have experience with Facets including Claims, Enrollment, and Billing modules?
โข Do you have experience in EDI validation (837, 835, 834) including mock data creation?
โข Do you have experience in Claims Processing ?
โข Do you have experience in ITS claims processing ?
โข Have you managed defect lifecycle, triage, and resolution tracking in ADO?
โข Have you been responsible for quality metrics, reporting, and release sign-offs?
โข Have you collaborated with business, development, and partner teams for E2E validation?
*What are Regulated Positions
"Regulated Positions" are those positions which requires TAG to recruit candidates with specific work
authorizations viz., US Citizens (or) US Persons only as these may be regulated by any of the below listed
per MSA.
- ITAR (International Traffic in Arms Regulations).
- NERC CIP (NERC Critical Infrastructure Protection).
- NRC (Nuclear Regulatory Commission).
- Any other regulations as appropriate.
Role Descriptions: Functional testingFacets Claims testing Pricing claims and Alliance claim pricing testing SQL/DB testing| Automation
Essential Skills: Functional testingFacets Claims testing Pricing claims and Alliance claim pricing testing SQL/DB testing| Automation
Desirable Skills:
Keyword:
Skills: Functional Testing
Experience Required: 8-10, Project Code :
About Real Soft
Sourced by ZipRecruiter
Industry
It services
Company size
501 - 1,000 Employees
Headquarters location
Monmouth Junction, NJ, US
Year founded
1991