EDI Process Improvement Specialist

Job Summary

A company is looking for an EDI & Process Improvement Specialist.

Key Responsibilities

• Maintain high data quality standards and ensure compliance with state-specific requirements
• Perform data verification and validation, identifying and rectifying discrepancies
• Collaborate with internal teams and vendors to monitor and implement necessary system changes

Required Qualifications, Training, and Education

• Bachelor's degree in business, project management, or a related field, or equivalent experience
• Five years of experience in claims adjusting or related fields, including three years with state EDI requirements
• Knowledge of state-specific reporting requirements and EDI Tables
• Strong knowledge of workers' compensation claims processes and workflows
• Experience with data management tools for verification processes