EDI Analyst- Workers Compensation Reporting

Overview Berkshire Hathaway GUARD Insurance Companies provide Property & Casualty insurance products and servicesthrough a nationwide network of independent agents/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 the 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 o Competitive compensation o Healthcare benefits package that begins on first day of employment o 401K retirement plan with company match and profit sharing o Generous paid vacation and sick time o Hybrid work schedule (three days in the office, two days from home) o Work/life balance schedule – no nights or weekends/closed for all major holidays o Longevity awards (every 5 years of employment receive a generous monetary award to be used toward a vacation) o Tuition reimbursement after six months of employment o Numerous opportunities for continued training and career advancement o And much more Responsibilities EDI Analyst Our organization is hiring and we’re looking for an E DI Analyst 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.