EDI Technician – Workers Compensation

Ensure timely and accurate filings to jurisdictions for the specific type of reports being filed on Work Comp claims.

Duties and Responsibilities:

  • Submit timely and accurate reports to jurisdictions as indicated by the claim file.
  • Responsible for TPA compliance with reporting requirements.
  • Accurately report facts and figures, resubmit changes as needed.
  • Advise adjusters as needed answering questions regarding state filings, and assist with electronic filings as required.
  • Remain on target with project spreadsheet, reporting status to manager frequently.
  • Utilize jurisdictional contacts to garner information regarding report filings and changes in report requirements or implementation. Keep adjusters aware of any changes.
  • Establish connections with and written procedures to complete filings with new jurisdictions.
  • Make sure facts reported to jurisdictions are supported by electronic claim notes, paperwork in the physical file and payment data.
  • Document previously accepted fillings and other pertinent information on claims as obtained from jurisdictions.
  • Track progress of filings as they are made and update claims notes to reflect the same.
  • Assist adjusters in determining if overpayments have been made and file reports to show the application of overpayment credits.
  • Transcribe claims statements and requested documents.
  • Assist in other areas or special projects as directed by the manager or director.

Qualification Requirements:

  • Education
    • High School Diploma or higher with 2+ years of claim experience.
  • Technical skills:
    • Must have a high level of interpersonal skills to handle sensitive and confidential situations and information.
    • Must be able to work independently and possess excellent written and verbal communication skills.
    • Advanced knowledge of a variety of computer software applications in word processing, spreadsheets, database, and presentation software. (Microsoft Office platform.)
  • Abilities:
    • Requires long periods of sitting
    • Requires working indoors in environmentally controlled conditions
    • Requires lifting of files and boxes up to approximately 20 pounds

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To apply, please send your resume to twilliams@narisk.com. Be sure to include the job title in the subject line of your email.

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