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Insurance Quality Assurance Jobs (NOW HIRING)

Vaco LLC

Insurance Quality Analyst

Durham, NC

This role is part of a collaborative Quality Assurance team focused on delivering high-quality software solutions that support insurance products and operations. The position is based in Durham, NC ...

Vaco LLC

Insurance Quality Analyst

Durham, NC

This role is part of a collaborative Quality Assurance team focused on delivering high-quality software solutions that support insurance products and operations. The position is based in Durham, NC ...

EnrollHere

Quality Assurance (QA) Manager

Pinehurst, NC · On-site

About the Role Reporting directly to the Head of Product, the Quality Assurance (QA) Manager is ... Ancillary Coverage: 4 ancillary plans and supplemental life insurance * Retirement: 401(k) with a ...

Clayton Homes

Quality Assurance Lead

Maryville, TN · On-site

Quality Assurance Lead - Oracle ERP Cloud Position Summary The Quality Assurance Lead will ... Today, we build, sell, finance and insure quality homes for people across America. We're dedicated ...

EnrollHere

Quality Assurance (QA) Manager

Pinehurst, NC · On-site

About the Role Reporting directly to the Head of Product, the Quality Assurance (QA) Manager is ... Ancillary Coverage: 4 ancillary plans and supplemental life insurance * Retirement: 401(k) with a ...

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Insurance Quality Assurance information

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How much do insurance quality assurance jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for insurance quality assurance in the United States is $23.19, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $24.28 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Insurance Quality Assurance position, and why are they important?

To excel in Insurance Quality Assurance, a strong understanding of insurance products, regulatory compliance, and quality control methodologies is essential, often backed by relevant experience or a degree in business or insurance-related fields. Familiarity with audit management software, claims processing systems, and certifications such as Six Sigma or Certified Quality Auditor (CQA) is highly valuable. Attention to detail, analytical thinking, and strong communication skills help professionals identify issues and collaborate effectively with various stakeholders. These competencies are vital for ensuring that insurance operations meet industry standards and deliver reliable service to clients.

What are the typical responsibilities of someone working in Insurance Quality Assurance?

Professionals in Insurance Quality Assurance are responsible for reviewing claims, policies, and procedures to ensure they comply with company standards and regulatory requirements. Daily tasks often include conducting audits, analyzing data for trends or discrepancies, documenting findings, and making recommendations for process improvements. These roles frequently involve working closely with underwriting, claims, and compliance teams to facilitate quality initiatives and support continuous improvement efforts. This position provides excellent insight into multiple facets of the insurance business and can be a strong stepping stone for career advancement in quality management or operations.

What does an Insurance Quality Assurance professional do?

An Insurance Quality Assurance (QA) professional ensures that insurance processes, policies, and claims adhere to regulatory standards and company guidelines. They conduct audits, identify process improvements, and provide feedback to teams to enhance accuracy and efficiency. Their role helps minimize risks, ensure compliance, and maintain high service quality, ultimately protecting both the company and its customers.

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Insurance Quality Assurance jobs near you
Medical Insurance QA Specialist

Medical Insurance QA Specialist

NORTHWEST RESPIRATORY SERVICES LLC

Eagan, MN

$20 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

Job description

Northwest Respiratory Services is a leading provider of oxygen & respiratory products throughout the Midwest & Northern Rockies. Working from our Eagan, MN office, we are currently in search of a Medical Insurance Quality Assurance Specialist with experience and knowledge of many medical insurance payers.

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Employer Paid Life Insurance
  • Match 401k Eligibility on Day One of Employment
  • FSA Account (Medical and/or Dependent)
  • Pet Insurance
  • Short Term and Long-Term Disability
  • Accident, Hospital Indemnity, and Critical Illness Insurance
  • Vacation, sick, and paid holidays

Essential Duties and Responsibilities

  • Monitor and work time sensitive in-coming insurance verifications based on priority level.
  • Verify insurance benefits, prior authorizations, and required medical documentation for all applicable payers, able to problem solve any odd ball/uncommon insurances.
  • Ability to navigate insurance portals, IVR systems, etc.
  • Review documentation for validity to bill third-party payers. May include but not limited to:
    • Medical Documentation: prescriptions, progress/chart notes from different sources, oxygen saturation/sleep study results, etc.
    • Delivery Documentation received from multiple branches within NRS.
  • High level of accuracy in data entry and filing

Our top candidates will have:

  • Well versed in Medical insurance/terminology/billing. Experience with HME is a plus
  • Great communication skills: written and verbal, contacting referrals, facilities, patients, etc.
  • Work individually and as a team to meet individual and departmental goals
  • Participate in individual feedback sessions, staff meetings and annual training and/or competency tests

We look forward to seeing your application and the opportunity to speak with you further!

Northwest Respiratory Services is a privately held, regional leader in the respiratory product and service industry. We proudly serve patients in their own homes, assisted living facilities, skilled nursing facilities, and veterans receiving care from the VA Hospital. Since 1976, we have been a trusted partner, dedicated to the highest standard of care at the best possible value.

Northwest Respiratory Services is an EO Employer – M/F/Vets/Disabled

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