Software Testing Professional - Health Insurance Domain

4 - 9 years

5 - 8 Lacs

Posted:1 day ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

We are looking for a skilled Software Tester with 4 to 12 years of experience in the health insurance domain. The ideal candidate will have a strong understanding of health insurance processes, including claims and enrollment.

Roles and Responsibility
  • Develop test cases and scenarios for Facets and EDI-X12 transactions (837, 834 & 835).
  • Perform detailed testing on EDI transactions, including enrollment, claims eligibility, and provider data.
  • Validate Facets benefit plans, claims processing, and pre/post-adjudication rules.
  • Collaborate with Business analysts and developers to understand business requirements and user stories.
  • Utilize SQL for data validation and possess proficiency in defect management tools like JIRA/Rally/ADO.
  • Analyze and resolve complex problems using strong analytical and problem-solving skills.
Job Requirements
  • Minimum 4 years of experience in software testing, preferably in the health insurance domain.
  • Strong knowledge of customer-facing applications and healthcare standards, including HIPPA and SNIP level validations.
  • Experience with X12 segment and looping structure validations against healthcare standards.
  • Excellent verbal and written communication skills, with the ability to work closely with cross-functional teams.
  • Strong analytical and problem-solving skills, with the ability to analyze complex data sets.
  • Proficiency in SQL for data validation and experience with defect management tools like JIRA/Rally/ADO.
  • Healthcare certifications are an added advantage.

Location - Bengaluru,Chennai,Kolkata,Noida,Pune

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