EDI Analyst- Workers Compensation Reporting

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett’s Berkshire Hathaway group – one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.

Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company’s success is grounded in our core values:  accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!

Benefits:

We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You’ll be surprised by all we have to offer!

• Competitive compensation
• Healthcare benefits package that begins on first day of employment
• 401K retirement plan with company match
• Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
• Up to 6 weeks of parental and bonding leave
• Hybrid work schedule (3 days in the office, 2 days from home)
• Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
• Tuition reimbursement after 6 months of employment
• Numerous opportunities for continued training and career advancement
• And much more!

Our organization is hiring and we’re looking for an EDI Analyst to join our team and establish a rewarding career with us.

• 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 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

• IAIABC Claims EDI reporting standards with 0-3 years of experience
• Knowledge of multiple state-reporting requirements for WC Claims EDI
• FROI/SROI experience
• 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

Salary Range

$55,000.00-$75,000.00 USD 

The successful candidate is expected to work in one of our offices 3 days per week and also be available for travel as required.

The annual base salary range posted represents a broad range of salaries around the U.S. and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training.