Overview 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 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.
Responsibilities 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
Qualifications
- 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.