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EDI Analyst

Company: Berkshire Hathaway GUARD Insurance Companies
Location: Kissimmee
Posted on: May 26, 2023

Job Description:

Overview
EDI Analyst
Berkshire Hathaway GUARD offers a collaborative company culture with outstanding benefits and competitive compensation. Our organization is hiring and we're looking for an EDI Analyst join our team and establish a rewarding career with us.
Our success is founded on our strong reputation, and we have received an A+ "Superior" grade by the leading independent insurance rating organization. Backed by our ultimate parent company, Berkshire Hathaway Inc., our brand is founded upon trust, service, and innovation. If you're looking for an employer with integrity and flexibility, keep reading to learn about our benefits and job openings.
Benefits:


  • Work life balance schedule- No Nights or Weekends!
  • Generous vacation and sick time
  • Closed on all major holidays
  • Healthcare benefits begin on your first day of employment
  • 401K with company match and profit sharing
  • Every 5 years employees receive a generous monetary award to be used toward a vacation!
  • Tuition reimbursement after six months of employment
  • Discover opportunities to advance your career
  • Be part of Berkshire Hathaway Inc., one of the world's most admired companies

    Responsibilities

    • Implement state-reporting requirements for Workers' Compensation Claims EDI
    • Monitor states for updates or implementations to Workers' Compensation Claims EDI reporting requirements
    • Analyze IAIABC standards and state-specific Claims EDI requirements and ensure GUARD's claim system reflects all required reportable data features -
    • Champion EDI internal system changes with programming and Business Systems
    • Partner with programming and Business Systems to ensure system compliance with Claims EDI reporting.
    • Work with adjusters to address reporting errors timely to avoid state issued penalties
    • Collaborate with the state EDI contacts to resolve any issues with Claims EDI reporting.
    • Maintain Claims EDI Trading Partner Agreements with individual states.
    • Analyze EDI system errors to determine root causes and work with programming and Business Systems to address current errors and prevent future errors
    • Test new programming deployments for EDI updates
    • Provide adjusters with overview Claims EDI errors and provide ongoing adjuster training to improve compliance
    • Build and maintain relationships with internal (supervisors and adjusters) and external partners (jurisdictional staff and IAIABC committees) to establish trust, knowledge, and effective communication regarding Claims EDI reporting
    • Identify error trends and collaborate with parties, internal and/or external, to develop a strategy to decrease and prevent system errors
    • Analyze EDI state generated penalties to determine the root cause and identify trends, and then create action plans to assist in reducing and preventing penalties -

      Qualifications

      • 2-3 years of EDI experience
      • IAIABC Claims EDI reporting standards
      • Knowledge of multiple state-reporting requirements for WC Claims EDI
      • Ability to query and analyze data
      • Ability to engage with IT and system programmers to improve EDI process, efficiency and state compliance
      • Ability to manually address system errors and recommend program/system changes to prevent future errors
      • IT and/or system programming experience a plus
      • Strong analytical, organizational and problem-solving skills

Keywords: Berkshire Hathaway GUARD Insurance Companies, Kissimmee , EDI Analyst, Professions , Kissimmee, Florida

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