... QA and Testing work related to support the Managed Care Transition Project. This position is ... Experience with Healthcare Claims Processing Testing. * Must be an excellent team player and be ...
... QA and Testing work related to support the Managed Care Transition Project. This position is ... Experience with Healthcare Claims Processing Testing. * Must be an excellent team player and be ...
Job Title: QA Automation Tester Location: Raleigh, NC / Hybrid Duration: 10+ Months * Experience ... Experience with Healthcare Claims Processing Testing. * Must be an excellent team player and be ...
New
Job Title: QA Automation Tester Location: Raleigh, NC / Hybrid Duration: 10+ Months * Experience ... Experience with Healthcare Claims Processing Testing. * Must be an excellent team player and be ...
New
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 ...
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 ...
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 ...
Claims Director
Durham, NC · Hybrid
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 Director
Durham, NC · Hybrid
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 Director
Durham, NC · On-site
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 ...
Quick apply
Claims Director
Durham, NC · On-site
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 Coordinator
Durham, NC · On-site
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
Quick apply
Claims Coordinator
Durham, NC · On-site
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 Coordinator
Durham, NC · Hybrid
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 · Hybrid
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 ...
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 ...
QA Shipping Coordinator
Durham, NC · On-site
$52K - $55K/yr
SUMMARY Overview of the position The QA Shipping Coordinator serves as a departmental lead ... Strong working knowledge of shipping carriers, tracking systems, and claims processes for both ...
Quick apply
QA Shipping Coordinator
Durham, NC · On-site
$52K - $55K/yr
SUMMARY Overview of the position The QA Shipping Coordinator serves as a departmental lead ... Strong working knowledge of shipping carriers, tracking systems, and claims processes for both ...
QA Shipping Coordinator
Durham, NC · On-site
$52K - $55K/yr
SUMMARY Overview of the position The QA Shipping Coordinator serves as a departmental lead ... Strong working knowledge of shipping carriers, tracking systems, and claims processes for both ...
Quick apply
QA Shipping Coordinator
Durham, NC · On-site
$52K - $55K/yr
SUMMARY Overview of the position The QA Shipping Coordinator serves as a departmental lead ... Strong working knowledge of shipping carriers, tracking systems, and claims processes for both ...
Senior QA Automation Engineer Client : NCDHHS Work Type : Onsite Location : Raleigh,NC Duration ... Experience with Healthcare Claims Processing Testing. * Must be an excellent team player and be ...
Senior QA Automation Engineer Client : NCDHHS Work Type : Onsite Location : Raleigh,NC Duration ... Experience with Healthcare Claims Processing Testing. * Must be an excellent team player and be ...
North Carolina Duration: 12+ Months Seeking a Senior Automation Tester to lead QA and testing for a ... Ideal candidates will have hands-on experience testing web applications, healthcare claims ...
North Carolina Duration: 12+ Months Seeking a Senior Automation Tester to lead QA and testing for a ... Ideal candidates will have hands-on experience testing web applications, healthcare claims ...
... QA and automated testing for critical systems supporting the Managed Care Transition Project ... claims processing systems. - Utilize test and defect management tools (HP ALM, JIRA preferred ...
Quick apply
... QA and automated testing for critical systems supporting the Managed Care Transition Project ... claims processing systems. - Utilize test and defect management tools (HP ALM, JIRA preferred ...
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 ...
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 ...
Quality Analyst Analyst/Insurance
Durham, NC · On-site
Retirement
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 ...
Quality Analyst Analyst/Insurance
Durham, NC · On-site
Retirement
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 ...
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 ...
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 ...
Qa Claims information
See Raleigh, NC salary details
$14.96 - $17.65
8% of jobs
$17.65 - $20.35
11% of jobs
$21.48 is the 25th percentile. Wages below this are outliers.
$20.35 - $23.05
13% of jobs
$23.05 - $25.75
17% of jobs
The median wage is $26.08 / hr.
$25.75 - $28.44
8% of jobs
$28.44 - $31.14
9% of jobs
$33.54 is the 75th percentile. Wages above this are outliers.
$31.14 - $33.84
9% of jobs
$33.84 - $36.54
9% of jobs
$36.54 - $39.24
3% of jobs
$39.24 - $41.93
5% of jobs
$41.93 - $44.63
6% of jobs
$14
$28
$44
How much do qa claims jobs pay per hour?
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 are popular job titles related to Qa Claims jobs in Raleigh, NC?
For Qa Claims jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Qa Claims jobs in Raleigh, NC look for?
The top searched job categories for Qa Claims jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Qa Claims jobs?
Cities near Raleigh, NC with the most Qa Claims job openings:

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
About Chandra Technologies
Sourced by ZipRecruiter
Company size
11 - 50 Employees
Headquarters location
Madison, WI, US
Year founded
2002