Claims QA Administrator

TWAY Trustway Services • Atlanta, GA

1d

About The Position

The Claims QA Administrator supports timely and accurate claims-related system activities and efficient department operations. The role handles incoming helpdesk tickets, coordinates requests, and supports testing and quality assurance for claims systems. It serves as a liaison between claims business stakeholders and claims system development and support teams, and provides system administration, configuration, reporting, data, access, and operational support.

Requirements

• Proficient in data analysis tools such as Excel, SQL, Python, or R.
• Strong problem-solving skills and ability to analyze complex data sets and draw meaningful conclusions.
• Exceptional accuracy when reviewing and interpreting data.
• Excellent verbal and written communication skills to present findings and collaborate with cross-functional teams.
• Familiarity with claims management systems and databases.

Nice To Haves

• Experience in claims adjudication.
• Two to five years of experience in claims and/or claims data analysis.
• Bachelor’s degree preferred but not required.
• Experience with business intelligence tools such as Tableau or Power BI.

Responsibilities

• Serve as a liaison between claims business stakeholders and claims system development and support teams to communicate 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 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 support visibility and accountability across teams.
• Assist with user access, system setup, and operational support tasks to maintain daily claims system operations.

What This Job Offers

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