Curogram Health · Quality Management
Claims Quality Assurance Associate
2 months · 12 hrs/week · Remote · Intermediate
Curogram Health is a fictional simulated work environment created for the Jay Health Work Experience Programme. It is not a real or verified employer, and this programme is an educational work-experience placement, not employment.
Programme overview
Practise quality assurance for claims review through structured sampling, consistent scoring and evidence-based feedback on documentation and decision accuracy.
Claims Quality Assurance Associate Work Lab
The Claims Quality Assurance Associate Work Lab programme scope centres on checklist-based claim audits. Its intended outputs include claims audit sampling plan, scored quality assurance reviews, corrective feedback report.
What you will do: Claims Quality Assurance Associate Work Lab
- Select claims samples against an audit plan
- Score review evidence using quality criteria
- Document findings and corrective feedback
Through role-focused educational assignments at Curogram Health, you will work through case briefs, document the evidence behind your decisions and prepare work samples relevant to checklist-based claim audits.
Work you will prepare for review
- Claims audit sampling plan
- Scored quality assurance reviews
- Corrective feedback report
Methods you will practise
- Audit sampling worksheets
- Claims quality assurance rubrics
Your weekly work cycle
- Develop and revise your claims audit sampling plan
- Submit progress on your scored quality assurance reviews with evidence and outstanding questions
- Discuss checklist-based claim audits findings in a supervisor review and record agreed next steps
Feedback and improvement. Your Claims Quality Assurance Associate assignments will be reviewed against the programme’s assessment criteria. You will explain your approach, discuss corrections and refine your deliverables before including permitted samples in your portfolio. The programme runs for 2 months, with an expected commitment of 12 hours per week; agreed assignments and review arrangements are confirmed in your enrolment offer.
Role description
Purpose of the role. The Claims Quality Assurance Associate programme develops role-specific judgement and professional work samples through checklist-based claim audits. The emphasis is on explaining your approach, producing clear evidence and improving work in response to supervisor feedback.
Work environment. A remote educational Claims Quality Assurance Associate programme set in the fictional Curogram Health environment, with role-focused case briefs, structured assignments and supervisor review.
Day-to-day responsibilities
- Select claims samples against an audit plan
- Score review evidence using quality criteria
- Document findings and corrective feedback
Weekly responsibilities
- Develop and revise your claims audit sampling plan
- Submit progress on your scored quality assurance reviews with evidence and outstanding questions
- Discuss checklist-based claim audits findings in a supervisor review and record agreed next steps
Expected deliverables
- Claims audit sampling plan
- Scored quality assurance reviews
- Corrective feedback report
Reporting and supervision. The Claims Quality Assurance Associate programme scope includes an assigned supervisor reviewing role-specific deliverables, explaining corrections and assessing work against the criteria in your enrolment offer.
Tools and methods relevant to this programme
- Audit sampling worksheets
- Claims quality assurance rubrics
Requirements
Qualifications or professional background
- Health, insurance, quality or audit background
Required skills
- Objectivity
- Attention to detail
- Structured reporting
Preferred skills
- Quality improvement or audit training
Previous experience. Prior exposure is helpful but not essential.
Digital literacy. Comfortable using web applications, spreadsheets and online communication tools.
Communication. Clear written English and timely responses to team messages and supervisor feedback.
Availability. 12 hours per week for 2 months, including scheduled reviews.
Technical requirements. A laptop or desktop computer, a modern browser and a stable internet connection.
Professional and ethical boundaries
- Educational casework only; no employment, real patient care, payer transactions or production system access is implied
- Use only fictional or authorised educational material; do not upload real patient or confidential employer information
- Specialist software, live integrations and dedicated role-specific workflows are not included in the current platform
Expected workload
Hours per week. 12 hours.
Assignment scope. Role-specific case briefs and deliverables focused on checklist-based claim audits. Assignment volume and due dates are confirmed in the enrolment offer within the 12-hour weekly commitment.
Deadlines and reporting. Tasks carry individual due dates; a weekly summary is due at the end of each week.
Meetings. One weekly team stand-up and one supervisor review session.
Attendance. Check in and out of the work lab for each working session.
How performance is evaluated
- Accuracy and relevance of claims audit sampling plan
- Evidence and reasoning in scored quality assurance reviews
- Documentation quality and professional boundaries
- Deadline adherence and response to feedback
Benefits
- Practical work-experience programme
- Access to Remote Career Launchpad
- Free mentor access according to the programme's mentoring arrangements
- Access to the Jay Health job board
- 10% discount on eligible Jay Health courses
- Supervisor feedback
- Opportunity to build a portfolio of permitted work samples
- Performance-based reward eligibility, where applicable (conditional, not guaranteed)
Learning outcomes
By the end of the programme you should be able to:
- Explain the key decisions and standards involved in checklist-based claim audits
- Prepare professional claims audit sampling plan
- Prepare professional scored quality assurance reviews
- Prepare professional corrective feedback report
- Use supervisor feedback to improve the clarity, accuracy and completeness of your work
Selection process
- Application review
- Interview
- Role-relevant assessment
- Acceptance decision
- Enrolment and payment of the ₦20,000 enrolment fee (only after acceptance)
- Onboarding