Senior EDI Data Coordinator - Workers' Comp & Claims

Amerisure Insurance; Tampa (FL); Hybrid; USD 65,000 - 75,000; Full time

Job summary

Amerisure Insurance in Tampa is seeking a Senior (EDI) Electronic Data Interchange Coordinator to monitor and update internal claims data, ensure timeliness and data quality for transmission, and manage vendor data.

The role requires 2 years of workers' compensation EDI or claims experience, strong analytical and communication skills, and the ability to work with minimal supervision in a collaborative, hybrid environment.

Qualifications

• 2 years worker’s compensation EDI or worker’s compensation claims adjuster experience.
• Proficient computer skills required, including Microsoft Office Suite.
• Ability to work effectively with minimal supervision.
• Demonstrated strong analytical skills and attention to detail.
• Excellent verbal and written communication skills for internal and external customers.
• Excellent problem solving, critical thinking and decision-making skills.
• Proven ability to build positive relationships within department, across the organization and with external customers.
• High school diploma or GED.

Responsibilities

• Monitor existing worker’s compensation EDI transactions and work with internal departments and vendors to correct errors and resubmission ensuring data is accepted by insurance regulators.
• Investigate errors to determine root cause and resolution and communicate lessons learned to claims staff, information technology and/or vendor partners.
• Analyze periodic worker’s compensation EDI data evaluation reports to promote data quality.
• Manage and resolve claim system inquiries and/or transfer to appropriate staff.
• Monitor Claim Administration email inbox and respond or elevate as appropriate.
• Monitor, reconcile and maintain vendor information in database and assist tax department with filings.
• Review, approve or reject additions or changes of vendor data ensuring accuracy of the database.
• Develop requirements for claims system changes and enhancements.
• Perform user acceptance testing for system updates related to EDI.
• Provide training to claims staff on workers' compensation EDI transactions and business processes.
• Responsible for claim transfer process.
• Serve as subject matter expert providing information to support audit and state regulatory inquiries.
• Participate in claims department projects as assigned.

Skills

EDI transactions

Data analysis

MS Office

Education

High school diploma or GED

Job description

Amerisure Insurance in Tampa is seeking a Senior (EDI) Electronic Data Interchange Coordinator to monitor and update internal claims data, ensure timeliness and data quality for transmission, and manage vendor data.

The role requires 2 years of workers' compensation EDI or claims experience, strong analytical and communication skills, and the ability to work with minimal supervision in a collaborative, hybrid environment.