Location
United States
Job Type
Full-time
Posted
June 29, 2026
Job Description
Position Type
Full-Time/Regular
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
**Job Summary:**
The Claims Quality Inspector is responsible for the thorough and accurate review of adjudicated claims and Enrollment entry against established corporate guidelines and protocols specific to claim adjudication and Enrollment entry. Ideal candidates will maintain a broad knowledge of corporate claims processing and enrollment entry rules for use in conducting all review functions.
Our Investment in You:
· Full-time remote work
· Competitive salaries
· Excellent benefits
**Key Functions/Responsibilities:**
· Conduct accurate and timely quality reviews of claim adjudication activities including appropriate adjudication decisi...
Full-Time/Regular
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
**Job Summary:**
The Claims Quality Inspector is responsible for the thorough and accurate review of adjudicated claims and Enrollment entry against established corporate guidelines and protocols specific to claim adjudication and Enrollment entry. Ideal candidates will maintain a broad knowledge of corporate claims processing and enrollment entry rules for use in conducting all review functions.
Our Investment in You:
· Full-time remote work
· Competitive salaries
· Excellent benefits
**Key Functions/Responsibilities:**
· Conduct accurate and timely quality reviews of claim adjudication activities including appropriate adjudication decisi...