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Qa Claims Jobs (NOW HIRING)

Amwins

Self-Funded Claims Manager

Phoenix, AZ · Hybrid

Quality Assurance Partnership: Partners with the Claims Quality team to use centralized audit findings in support of team development, performance management, and operational oversight. Reviews QA ...

Amwins

Medical Claims Manager

Scottsdale, AZ · On-site

  • PTO

Quality Assurance Partnership: Partners with the Claims Quality team to use centralized audit findings in support of team development, performance management, and operational oversight. Reviews QA ...

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How much do qa claims jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for qa claims in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 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.

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What states have the most Qa Claims jobs?

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Qa Claims jobs near you
Infographic showing various Qa Claims job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Claims Quality Assurance Analyst

First Acceptance Corporation

Marianna, FL • On-site, Remote

Full-time

Posted 7 days ago

Job description

RESPONSIBILITIES
  • Conducts daily, monthly, quarterly, and targeted quality audits and determines quality scores.
  • Reviews and monitors employees' work to assess technical accuracy, customer service performance, and departmental conformity.
  • Prepares and conducts quarterly meetings to review Quality Assurance scores and company and state-mandated expectations.
  • Partners with the Senior QA Analysts and supervisors to identify QA trends.
  • Collaborates with the QA Department to maintain quality standards; ensures proper evaluation.
  • Identifies and recommends training enhancements.
  • Assesses and recommends changes to the quality review guideline.
  • Detects opportunities in the operations process and proposes recommendations to improve efficiency.
  • Develops new audits and current audit enhancements.
  • Participates in special projects or performs duties in other areas as requested.
  • Communicates with other departments, including but not limited to Claims, FNOL, Underwriting, and Compliance.
  • Performs other duties as assigned.

JOB REQUIREMENTS
  • Requires a high school diploma or equivalent education.
  • Requires a minimum of 5 years of experience of claims handling; preferably with a strong focus in bodily injury and material damage handling.
  • Applicable state-specific adjuster licenses and/or certificates.
  • Training in systems and QA Department processes and procedures.
  • Proficient in Microsoft Suite (i.e. Word, Excel, PowerPoint, etc.).
  • Additional extensive training in Excel is preferred.
  • Ability to make effective decisions on behalf of the organization.
  • Excellent interpersonal and communication skills, including presentation skills.
  • Commitment to First Acceptance's company values.

PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to do manual tasks, which may include the use of hands to finger and handle controls. Tasks may also require the ability to talk or hear. The employee will frequently sit, bend, and reach with hands and arms and is occasionally required to stand and walk. The employee may occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. Other abilities include possessing the capacity to learn, concentrate, think, and read. Oftentimes the employee will be communicating and interacting with others while working.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employee(s) will be required to follow any other job-related instructions and perform any other job-related duties requested by anyone authorized to give instructions or assignments.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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