Senior Claims Specialist: Data & EDI (Workers’ Comp)

IdahoPTV; Boise (ID); On-site; USD 24,000 - 34,000; Full time

Benefits offered by this job

11 paid holidays a year

Paid parental leave

Public Service Loan Forgiveness (PSLF)

Basic life insurance

Wellness programs

Job summary

The Idaho Industrial Commission is seeking a Senior Claims Specialist (TRS 2) to maintain accurate workers’ compensation claim data and benefits. You will analyze claims, audit SROI and Final Report transactions, and use EDI reporting knowledge to support trading partners.

Based in Boise, this full-time, 40-hour weekly role offers a stable hourly wage and opportunities to apply analytical skills in a government context, with comprehensive benefits and state retirement programs.

Qualifications

• Monitoring record systems to identify and correct errors
• Interpreting, explaining, and applying laws, regulations, and complex policies to carry out assignments
• Analyzing information and researching a variety of sources to identify and resolve problems or issues
• Entering and retrieving data using a computerized record system
• Composing and proofreading business correspondence
• Compiling information in a report format using database software

Responsibilities

• Gather information, issue correspondence, and make decisions
• Utilize independent judgment and discretion when completing assignments
• Audit complex benefit calculations of Subsequent Reports of Injury (SROI) and Final Report transactions
• Examine insurer claim files to evaluate performance
• Resolve higher level claims issues
• Use analytical software to provide data to EDI trading partners
• Communicate EDI transaction requirements to trading partners

Job description

The Idaho Industrial Commission is seeking a Senior Claims Specialist (TRS 2) to maintain accurate workers’ compensation claim data and benefits. You will analyze claims, audit SROI and Final Report transactions, and use EDI reporting knowledge to support trading partners.

Based in Boise, this full-time, 40-hour weekly role offers a stable hourly wage and opportunities to apply analytical skills in a government context, with comprehensive benefits and state retirement programs.