Electronic Data Interchange (EDI) Specialist...

Are you someone who enjoys digging into data, identifying discrepancies, and ensuring workers’ compensation claims are processed accurately? The Senior Claims Specialist (TRS2) plays a key role in maintaining the accuracy of workers’ compensation claims and benefits. This position combines analytical review, problem-solving, and subject matter expertise in Electronic Data Interchange (EDI) reporting., + 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

Typically met by at least one year in each of the following areas.

• 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, + Experience using word processing and spreadsheet software at an intermediate skill level

• Certified Idaho Workers’ Compensation Specialist (CIWCS): Certified as an Idaho Workers’ Compensation Specialist or willing to certify within six (6) months of hire

• Participation in one of the Nation’s best state retirement systems (PERSI (https://www.persi.idaho.gov/members-1) )

• Access to excellent medical, dental, and vision (https://ogi.idaho.gov/benefits-plans/) plans

• Eligible for Public Service Loan Forgiveness (PSLF)

• 11 paid holidays a year

• Paid parental leave for new parents

• Generous sick and vacation leave that begins accruing on your first day

• Optional 401(k) and 457 retirement savings plans