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Qa Claims Jobs in Raleigh, NC (NOW HIRING)

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 ...

Hybrid The client is seeking an Automation Tester to perform QA and Testing work related to support ... Experience on testing web applications Experience with Healthcare Claims Processing Testing. Must ...

Senior Automation Tester

Raleigh, NC

$30 - $35/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Our client is seeking an Automation Tester to perform QA and Testing work related to support the ... Experience with Healthcare Claims Processing Testing. * Must be an excellent team player and be ...

Implement and maintain Quality Assurance Agreements (QAA) across suppliers * Drive root cause ... Handle non-conformities, supplier claims, and cost recovery processes * Collaborate with R&D , ...

IT Senior Automation Tester

Raleigh, NC · On-site

$35 - $40/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... QA Documents. * Experience with Healthcare Claims Processing Testing. * Proficiency in MS Office including Excel, Word, and PowerPoint. Responsibilities: * Assess the testability of requirements and ...

IT Senior Automation Tester

Raleigh, NC · On-site

$35 - $40/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... QA Documents. Experience with Healthcare Claims Processing Testing. Proficiency in MS Office including Excel, Word, and PowerPoint. Responsibilities: Assess the testability of requirements and ...

Automation Tester

Raleigh, NC · On-site

$44.75 - $59/hr

Required 1 Years Experience in working with the Business Teams to write Business and QA Documents ... Experience with Healthcare Claims Processing Testing. * Must be an excellent team player and be ...

... development, and quality assurance initiatives. This role ensures compliance with NCQA ... and claims-related matters. This position will support as a consulting Medical Director role ...

... development, and quality assurance initiatives. This role ensures compliance with NCQA ... and claims-related matters. This position will support as a consulting Medical Director role ...

... claims processing/investigation) risk exposures and liabilities * Serves as a liaison with ... Risk Management, QI/QA, Healthcare Administration, Insurance investigation/Settlement. 7 years of ...

... claims processing/investigation) risk exposures and liabilities * Serves as a liaison with ... Risk Management, QI/QA, Healthcare Administration, Insurance investigation/Settlement. 7 years of ...

Automation Tester

Raleigh, NC · On-site

$44.75 - $59/hr

Client is seeking an Automation Tester to perform QA and Testing work related to support the ... Experience with Healthcare Claims Processing Testing. * Must be an excellent team player and be ...

EDI Operations Analyst

Cary, NC · Remote

$75K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Quality Assurance & Operational Support * Perform quality checks to ensure files processed ... claims, eligibility, enrollment, or EDI experience strongly preferred. * Experience working within ...

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Showing results 21-40

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.

Field Quality Engineer (Solar)

Voltage LLC

Chapel Hill, NC

$61K - $79K/yr

Full-time

Re-posted 14 days ago


Job description

Job Summary:
The Quality Engineer will be responsible for implementing and maintaining quality assurance processes, conducting inspections and tests, and driving continuous improvement initiatives to enhance product quality and customer satisfaction.

Essential Duties and Responsibilities:

  • Develop and implement quality assurance processes and procedures to ensure compliance with industry standards, customer requirements, and regulatory guidelines.

  • Conduct inspections, audits, and tests throughout the manufacturing and installation process to verify product quality, performance, and safety.

  • Review engineering designs, specifications, and documentation to identify potential quality issues or areas for improvement.

  • Collaborate with cross-functional teams, including engineering, procurement, construction, and sales, to address quality-related concerns and implement corrective actions.

  • Analyze data and metrics to monitor quality performance, identify trends, and drive continuous improvement initiatives.

  • Investigate non-conformances, customer complaints, and warranty claims to determine root causes and implement effective corrective and preventive actions.

  • Develop and deliver training programs and workshops to educate employees on quality standards, procedures, and best practices.

  • Participate in supplier qualification and evaluation activities to ensure the quality and reliability of materials, components, and services.

  • Prepare quality reports, documentation, and presentations for internal and external stakeholders, including management, customers, and regulatory agencies.

  • Stay informed about industry trends, emerging technologies, and regulatory requirements related to solar energy and quality management systems.

  • Other duties as needed.

Education/Experience/Skills:

  • Bachelors degree in engineering, Quality Management, or a related field; certification in Quality Engineering or Quality Management preferred.

  • 3-5 years of proven experience in quality engineering or quality assurance role within the renewable energy industry or a related field.

  • Experience in conducting inspections, audits, and testing wiring, harnesses, etc.

  • NABCEP certification, preferred.

  • Knowledge of solar energy systems, electrical wiring, and industry standards, such as NEC (National Electrical Code), UL (Underwriters Laboratories), and IEC (International Electrotechnical Commission).

  • Excellent analytical, problem-solving, and decision-making skills, with the ability to interpret technical data and make sound judgments.

  • Strong communication and interpersonal skills, with the ability to collaborate with diverse teams and stakeholders at all levels of the organization.

  • Detail-oriented and organized, with the ability to manage multiple priorities and meet deadlines in a fast-paced, dynamic environment.

  • Proficiency in quality management software, document control systems, and Microsoft Office applications.

This job description is intended to describe the essential job functions of this position and is not intended to be an all-inclusive statement of job responsibilities.

Physical Requirements/Work Environment:

Work is performed in an office environment with options to sit, stand, and walk around periodically. Occasional traveling to customer sites and events (traveling up to 25%). Must have a valid drivers license with a clean driving record.