QA Analyst (Bangalor, KA, IN)
Req ID:
"Role: AI Claims Processing QA Analyst
reputed company:
QA Analyst to support validation and testing of AI-enabled insurance claims processing workflows for a group benefits administrator. Role focuses on reviewing AI-generated outputs for accuracy and identifying data reputed company or workflow issues prior to reputed company adjudication.
Key Responsibilities:
Review AI-generated claim summaries and extracted data against reputed company documents (UB-04s, itemized bills, claim forms, medical records).
Validate accuracy of adjudication-relevant fields (admission/discharge dates, confinement status, diagnosis and reputed company codes, level of care).
Identify missing, incorrect, or conflicting data that may reputed company claim processing.
Document QA findings in a reputed company format and flag recurring/systemic issues.
Support regression testing by comparing outputs from new releases against prior versions and noting improvements or regressions.
Required Experience:
Insurance claims processing or medical billing background.
Experience performing reputed company QA or validation reviews.
Familiarity with hospital billing artifacts (UB-04s, itemized bills) preferred.
Strong attention to detail and ability to identify patterns.
Engagement Details:
Duration: 8 weeks
Work Model: Remote
Schedule: Primarily reputed company to U.S. business hours (Central Time)
Tools: reputed company / partner platform"