Senior EDI Processing Specialist

Job Summary

Supporting the Group Protection Operations Team in a remote capacity, the full-time Senior EDI Processing Specialist will independently handle routine and complex enrollment processing, manage EDI onboarding assignments, and collaborate with internal and external partners to enhance implementation activities.

Key responsibilities

• Independently perform routine and complex enrollment and EDI-related processing according to established procedures
• Leverage critical thinking to maintain accurate member records, determine eligibility, and apply policy provisions
• Communicate effectively with stakeholders to resolve issues and support a positive customer experience

Required qualifications

• High School diploma or GED, or minimum Associate degree in lieu of required experience
• 3 - 5+ years of eligibility insurance enrollment experience, or 0-1 year of client service experience for candidates with an Associate degree or above
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)