(Remote) EDI Support Specialist - Casualty

Sedgwick • Little Rock, AR • 1w ago

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

(Remote) EDI Support Specialist - Casualty

PRIMARY PURPOSE : To identify, research, resolve, and respond to complex technical EDI issues or questions received from internal and external customers; escalates issues to the appropriate parties; provides status and follow up information to internal or external customers; and assists real-time in the resolution of support issues to decrease penalty exposure.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Advises and supports EDI Support Associates and EDI Support Representatives on a variety of complex issues including expert review of International Association of Industrial Accident Boards and Commissions (IAIABC) standards, individual state EDI event tables, and element requirement tables. Edits matrix tables and change logs and applies them to the technical EDI mapping in JURIS identifying system defects and managing escalation and resolution with the EDI IT team.

Responds to telephone calls, emails, and technical support requests; assists internal customers by troubleshooting error events to resolve EDI related issues ensuring timely and accurate adherence to state regulator expectations; and documents, tracks, and monitors issues ensuring a timely resolution.

Assists in roll-out of state EDI implementations, new client implementations, and client program changes that impact EDI.

Oversees complex EDI troubleshooting; notifies operations and external customers of state acknowledgement delays, error issues, JURIS technical issues, jurisdiction and vendor issues/delays, etc.

Trains internal colleagues, clients, state representatives and EDI vendors as required on EDI processes, technical programming, utilization of the EDI vendor system, state and client implementations, parameter set up, data mapping and the IAIABC EDI Standard. Creates EDI job aids and training materials.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned.

Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing

High school diploma or GED required. Associate degree in a computer technology field preferred.

Experience

Five (5) years of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including interpretation of IAIABC implementation tables or equivalent combination of education and experience required. JURIS or claims management application experience preferred.

Skills & Knowledge

Demonstrates extensive knowledge of IAIABC Standards, individual state EDI event tables, element requirement tables, edit matrix tables and change logs and JURIS EDI technical mapping; existing workers' compensation claim systems, workers compensation adjuster job functions, client parameter structures, assigned state EDI paperwork requirements, implementations and conversions processes, pay code use, and company workflow and processes to the degree needed to solve support related issues.

Excellent oral and written communication skills, including presentation skills

PC literate, including Microsoft Office products

Analytical and interpretive skills

Strong organizational skills

Excellent interpersonal skills

Ability to create and complete comprehensive, accurate and constructive written reports

Ability to work in a team environment

Ability to meet or exceed Performance Competencies

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (42,310.00 - 55,000.00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #remote

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Similar Jobs

Pharmacy Technician - Inpatient

Veterans Affairs, Veterans Health Administration • Little Rock, AR • 56min ago

Hospital & Medical

Summary This position is for a certified Pharmacy Technician, which is nationally certified by PTCB or ExCPT and can work autonomously, using independent judgement to perform a full range of duties. Pharmacy technicians...

56min ago

Go to Apply

CPC Support Team Lead

Datavant • Little Rock, AR • 1h ago

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is power...

1h ago

Go to Apply

CPC Processor Customer Support - 4845

Datavant • Little Rock, AR • 1h ago

Management & Administrative

1h ago

Go to Apply

Lead Health Information Specialist

Datavant • Little Rock, AR • 1h ago

Hospital & Medical

1h ago

Go to Apply

Sr Hedge Analytics Associate - Remote

SitusAMC • Little Rock, AR • 2h ago

IT & Engineering

SitusAMC is where the best and most passionate people come to transform our client's businesses and their own careers. Whether you're a real estate veteran, a passionate technologist, or looking to get your start, join u...

2h ago

Go to Apply

Senior National Account Manager

Indeed • Little Rock, AR • 2h ago

Management & Administrative

Our Mission As the world's number 1 job site*, our mission is to help people get jobs. We strive to cultivate an inclusive and accessible workplace where all people feel comfortable being themselves. We're looking to gro...

2h ago

Go to Apply

Director, Account Management

Concentrix • Little Rock, AR • 3h ago

Management & Administrative

Job Title: Director, Account Management Job Description Director, Account Management, Mobility Sector We're Concentrix. The intelligent transformation partner - solution-focused, tech-powered, intelligence-fueled. As a g...

3h ago

Go to Apply

SAP Finance - Tech Consulting - Oil & Gas - SAP Retail Fuel - Senior

EY • Little Rock, AR • 3h ago

Retail & Hospitality

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY...

3h ago

Go to Apply

ERP Industry Sales Executive - Higher Ed, Northeast

Oracle • Little Rock, AR • 7h ago

Sales & Marketing

Job Description Are you a sales pro looking to excel in an exciting, large-scale arena? Oracle is a market leader in Cloud ERP because we connect thousands of companies with enterprise products they can trust. This is yo...

7h ago

Go to Apply

BMS Design Engineer - Data Center (Remote)

Olsson • Little Rock, AR • 8h ago

IT & Engineering

BMS Design Engineer - Data Center (Remote) Arizona - Remote; Arkansas - Remote; Florida - Remote; Georgia - Remote; Idaho - Remote; Indiana - Remote; Iowa - Remote; Kansas - Remote; Kentucky - Remote; Louisiana - Remote;...

8h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.