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Qa Claims Jobs in Raleigh, NC (NOW HIRING)

Sterilization Assurance Quality Engineer

Durham, NC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Assurance Quality Engineer is accountable and responsible for ensuring the sterility assurance ... Provide technical support for sterility claims for terminally sterilized and aseptically processed ...

Sterilization Assurance Quality Engineer

Durham, NC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Assurance Quality Engineer is accountable and responsible for ensuring the sterility assurance ... Provide technical support for sterility claims for terminally sterilized and aseptically processed ...

Sterilization Assurance Quality Engineer

Durham, NC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Assurance Quality Engineer is accountable and responsible for ensuring the sterility assurance ... Provide technical support for sterility claims for terminally sterilized and aseptically processed ...

Claims Director

Durham, NC · On-site

$130K/yr

Oversee quality assurance and audit processes for claims handling activities. * Identify operational, legal, and financial risks within the claims process and implement corrective actions. * Assist ...

Oversee quality assurance and audit processes for claims handling activities. * Identify operational, legal, and financial risks within the claims process and implement corrective actions. * Assist ...

Oversee quality assurance and audit processes for claims handling activities. * Identify operational, legal, and financial risks within the claims process and implement corrective actions. * Assist ...

Claims, QA & Compliance Officer JOB SUMMARY The Claims Coordinator is responsible for overseeing and efficiently processing member benefit and insurance claims. You will work closely with insurance ...

New

Claims, QA & Compliance Officer JOB SUMMARY The Claims Coordinator is responsible for overseeing and efficiently processing member benefit and insurance claims. You will work closely with insurance ...

Claims Coordinator

Durham, NC · On-site

$50K - $55K/yr

Claims, QA & Compliance Officer JOB SUMMARY The Claims Coordinator is responsible for overseeing and efficiently processing member benefit and insurance claims. You will work closely with insurance ...

Manager, Claims Services

Raleigh, NC · Hybrid

$72K - $157K/yr

  • Medical

  • Retirement

  • PTO

Conduct and/or assist in quality assurance reviews on a timely basis to ensure adherence to Best ... Relevant claims experience is defined as commercial auto. * 3+ years of Management/Leadership ...

The candidate will report directly to the QA Manager and will play a key role in testing the ... and claims processing. Data Validation: Verify accurate policy data, premium calculations ...

Manager, Claims Services

Raleigh, NC · On-site

$72K - $157K/yr

  • Medical

  • Retirement

  • PTO

Conduct and/or assist in quality assurance reviews on a timely basis to ensure adherence to Best ... Relevant claims experience is defined as commercial auto. * 3+ years of Management/Leadership ...

Field Quality Engineer (Solar)

Chapel Hill, NC · On-site

$59K - $77K/yr

Develop and implement quality assurance processes and procedures to ensure compliance with industry ... Investigate non-conformances, customer complaints, and warranty claims to determine root causes and ...

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Showing results 1-20

Qa Claims information

See Raleigh, NC salary details

$14

$28

$44

How much do qa claims jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for qa claims in Raleigh, NC is $28.58, according to ZipRecruiter salary data. Most workers in this role earn between $21.73 and $34.13 per hour, depending on experience, location, and employer.

What is a QA Claims?

A QA Claims job involves reviewing and analyzing insurance claims to ensure accuracy, compliance, and adherence to company policies and industry regulations. Professionals in this role identify errors, inconsistencies, or potential fraud while providing feedback for process improvements. They work closely with claims adjusters and management to enhance efficiency and maintain quality standards. Strong attention to detail, analytical skills, and knowledge of insurance guidelines are essential for success in this role.

What does a QA Claims do?

A QA Claims role involves reviewing claims files for accuracy, completeness, and compliance with company policies and regulations, often requiring careful analysis and documentation. You may be tasked with identifying trends, proposing process improvements, and providing feedback or training to claims adjusters to enhance quality standards. One common challenge is balancing the high volume of claims with the need for thorough quality checks, especially during peak periods. These professionals often collaborate closely with claims teams, auditors, and compliance staff to resolve complex cases and streamline workflows, making attention to detail and strong communication essential for success.

What are the key skills and qualifications needed to thrive in a QA Claims position?

To thrive as a QA Claims professional, you need a strong understanding of insurance claims processes, quality assurance methodologies, and attention to detail, often supported by industry certifications such as CPCU or AIC. Familiarity with claims management systems, data analysis tools, and workflow tracking software is typically required. Excellent analytical thinking, effective communication, and problem-solving skills help you excel in identifying discrepancies and collaborating with adjusters or other departments. These abilities are vital for ensuring claim accuracy, regulatory compliance, and continuous process improvement within an insurance organization.

What cities near Raleigh, NC are hiring for Qa Claims jobs?

Cities near Raleigh, NC with the most Qa Claims job openings:

Infographic showing various Qa Claims job openings in Raleigh, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $59,449 per year, or $28.6 per hour.

IT Senior QA Automation Tester - HYBRID

Chandra Technologies, Inc.

Raleigh, NC • On-site

Other

Posted 5 days ago


Job description

Job Description:

***Crop to Crop resumes are accepted

NC Dept of Health and Human Services (DHHS) is seeking an Automation Tester to perform QA and Testing work related to support the Managed Care Transition Project.
This position is responsible for the following activities related to a critical system being developed in-house at the State:

  • Experience assessing the testability of requirements and developing test cases based on Business Requirements and Software Design Documents.
  • Experience in the execution of functional, integration and regression tests.
  • Experience developing SQL queries.
  • Experience in scripting automated Test Suites.
  • Experience in the review, analysis and reporting of test results.
  • Experience with Test and Defect Management Tools. HP ALM, JIRA preferred.
  • Experience on testing web applications
  • Experience with Healthcare Claims Processing Testing.
  • Must be an excellent team player and be able to prioritize concurrent deadlines.
  • Ability to communicate effectively and be able to work independently with minimal supervision.
  • Proficiency in MS Office including Excel, Word, PowerPoint.
  • Work with end users to ensure user acceptance testing is thorough and complete
  • Employees should be able to work independently with minimal supervision.
  • Knowledge of Agile Methodology

Required Skills:

Experience on TOSCA Automated Testing Tool

Demonstrated proficiency in conducting QA and testing on EDI applications

Experience assessing the testability of requirements and developing test cases based on Business Requirements and Software Design Documents.

Experience in the execution of functional, integration and regression tests.

Experience in the review, analysis and reporting of test results.

Experience on testing web applications

Proven experience developing SQL queries.

Experience in scripting automated Test Suites.

Experience in working with the Business Teams to write Business and QA Documents .

Local candidates only accepted.

Desired Skills:

Hands on Experience with Test and Defect Management Tools. HP ALM, JIRA

Excellent verbal and written communication skills with the ability present to both technical and business audiences.

Knowledge of Agile Methodology