Claims QA Administrator

AssuranceAmerica • Atlanta, GA

3d

About The Position

The Claims QA Administrator supports timely and accurate claims-related system activities to promote efficient department operations. The role manages incoming helpdesk tickets, coordinates requests, and supports testing and quality assurance for claims systems. It also provides administrative, configuration, reporting, access, and operational support, while coordinating with claims business stakeholders and system development and support teams.

Requirements

• Experience in claims adjudication is preferred.
• Two to five years of experience in claims and/or claims data analysis is a plus.
• Proficiency in data analysis tools such as Excel, SQL, Python, or R.
• Experience with business intelligence tools such as Tableau or Power BI.
• Familiarity with claims management systems and databases.
• Strong problem-solving skills and the ability to analyze complex data sets and draw meaningful conclusions.
• Exceptional accuracy in reviewing and interpreting data.
• Excellent verbal and written communication skills to present findings and collaborate with cross-functional teams.

Nice To Haves

• Bachelor’s degree preferred but not required.
• Experience in claims adjudication.
• Two to five years of experience in claims and/or claims data analysis.

Responsibilities

• Serve as a liaison between claims business stakeholders and claims system development and support teams, facilitating communication about requests, requirements, and system updates.
• Coordinate and support user acceptance testing for claims system enhancements, fixes, and integrations, including test planning, execution, and documentation.
• Monitor, triage, and respond to incoming claims system helpdesk tickets; resolve routine issues independently and escalate complex issues as appropriate.
• Provide claims system administrative and configuration support, including creating or modifying system letters, maintaining activity note types and templates, and managing configurable system content such as dotClaim.
• Support basic reporting and data tasks, including managing and modifying SSRS/Report Manager subscriptions and assisting with light troubleshooting and dataset validation.
• Log, track, and help coordinate data and system-related projects to ensure visibility and accountability across teams.
• Assist with user access, system setup, and operational support tasks to maintain smooth daily claims system operations.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed