Claims Adjudication System Tester

Description

We are seeking a Claims Adjudication System Tester/Validator to join our Testing Department. This position is responsible for developing and validating test plans, conducting acceptance and regression testing for the heath claims processing system and other interactive systems. PRIMARY ACCOUNTABILITIES: • Primarily focusing on testing and validation for upgrades, add-ons, benefit changes and continued maintenance of the QNXT claims processing system. • Testing and validation of all business-related applications. • Work with Health Plan Business Analysts (and others as needed) to ensure that test plans and scenarios cover all testable requirements and provides detailed feedback to the Information Technology staff related to application set-up or possible design flaws. • Keep detailed testing documentation including screen prints of system set-up and testing results, both positive and negative. • Review and/or develops reports as needed to ensure thorough testing as well as to identify trends in system issues; • Identify innovative methodologies to guarantee that tests are as fail-safe as possible and that potential fallout from fixes is tested; • Documents details of bugs found during testing and notifies affected parties; • Schedules status meetings as necessary to include all affected parties; • Maintain and/or enhance system skills as needed to sustain a superior knowledge of the Plan’s workflow, policies, procedures and system(s) capabilities. • Work hours outside of normal work day/week when necessary; • Other duties as assigned.

Skills

Claims

Top Skills Details

Claims

Additional Skills & Qualifications

QUALIFICATIONS: 2-4 years software testing experience or 5+ years of experience in testing methodology and practical application in a healthcare environment. A minimum of 3 years healthcare claims processing, review or support staff experience. Excellent verbal and written communication skills. Excellent problem solving and issue identification skills. Ability to work well independently. Proficiency with Microsoft Suite. SQL knowledge preferred. Experience with the QNXT system is preferred. Experience and proficiency with claims editing software. Experience and proficiency with Claim Test Pro a plus. Experience with automated test tools a plus. A.A. degree and professional industry certification preferred.

Experience Level

Intermediate Level

This is a Permanent position based out of Elkridge, MD.

The pay range for this position is $85000.00 - $93000.00/yr.

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This is a hybrid position in Elkridge,MD.

This position is anticipated to close on Jun 26, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.