Senior (EDI) Electronic Data Interchange Coordinator

Amerisure Insurance; Lawrenceville (GA); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Amerisure Insurance seeks an experienced Senior (EDI) Electronic Data Interchange Coordinator to monitor and improve workers’ compensation EDI data quality. The role involves coordinating with departments and vendors to ensure regulatory-compliant data submissions.

The position emphasizes ensuring accurate data, root-cause analysis of errors, and providing training to staff while supporting audits and regulatory inquiries. A hybrid schedule is available with onsite expectations.

Qualifications

• High school diploma or GED.
• 2 years worker’s compensation EDI or worker’s compensation claims adjuster experience.
• Proficient computer skills required, including Microsoft Office Suite.
• Excellent problem solving, critical thinking and decision-making skills.

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.
• Provide training to claims staff on workers' compensation EDI transactions and business processes.
• Serve as subject matter expert providing information to support audit and state regulatory inquiries.

Skills

EDI experience

Worker's comp knowledge

Microsoft Office

Communication skills

Analytical thinking

Education

High school diploma or GED

Job description

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus.

Amerisure is currently recruiting a Senior (EDI) Electronic Data Interchange Coordinator

that can do a 2-day hybrid approach onsite in one of our offices. The ideal candidate will also possess the following skill set.

Summary Statement

Independently monitors and updates internal claims data to ensure timeliness and quality of data for transmission. Analyzes data quality and timeliness issues and communicates findings to adjusting staff and leadership. Manages claims vendor database to ensure data entered is accurate.

Essential Tasks/Major Duties

• 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.

Knowledge, Skills & Abilities

• High school diploma or GED.
• 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 successful ability to build positive relationships and partnerships within department, across the organization and with external customers.
• Excellent problem solving, critical thinking and decision-making skills.
• Strong analytical skills and attention to detail.
• Excellent verbal and written communication skills with the ability to interact with internal and external customers.
• Excellent organizational skills, including ability to multi-task and prioritize workload.

Just as we are committed to creating exceptional value for our Partners For Success agencies and policyholders, Amerisure also remains committed to being an employer of choice. We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the Best and Brightest Companies to Work For in the Nation and one of Business Insurance magazine’s Best Places to Work in Insurance, we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you.

Amerisure Mutual Insurance Company is an Equal Employment Opportunity employer. Amerisure provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (to include sexual orientation and gender identity), national origin, age, disability, genetic information, veteran status, or any other protected characteristic under applicable federal, state, or local laws. Amerisure complies with all applicable laws governing nondiscrimination in employment in all locations where the company operates. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Amerisure prohibits harassment or discrimination of any kind and is committed to maintaining a workplace free from unlawful harassment or discrimination. Amerisure prohibits retaliation against anyone who reports discrimination, participates in an investigation, or opposes unlawful practices. Any improper interference with an employee’s ability to perform their job duties may result in disciplinary action, up to and including termination.