EDI Technician

What We Can Offer You

Estimated Salary: $22.75 - $25.00 per hour, plus annual bonus opportunity.
401(k) plan with a 2% company contribution and 6% company match.
Work-life balance with vacation, personal time and paid holidays.

What You'll Do

• Identify & process eligibility discrepancies accurately & communicate issues to clients promptly while meeting production and quality standards.
• Evaluate and maintain employee eligibility, ensuring compliance with policyholder contracts and legal requirements, insurance policy review.
• Review and analyze submitted data, initiate correspondence for missing information, and educate policyholders and brokers.
• Understand different file types submitted by Benefit Administrators and their impact on processing and eligibility downstream.
• Utilize various applications to assess employee and group eligibility. Applications include, but are not limited to COMPASS, GSAP, Salesforce, EDI Processor, BAM, Ultra Edit, Employer Access.

What You'll Bring

• A minimum of 1 year of prior EDI experience, with a proven ability to troubleshoot, analyze, and resolve data-related issues efficiently.
• Strong customer service background, ideally in a call center setting, with a professional, solutions-focused approach when working with clients, vendors, and internal teams.
• Proficiency in Microsoft Office, especially Excel. Exceptional data entry and typing skills with a high degree of accuracy and attention to detail.
• Excellent verbal and written communication skills, with the ability to clearly convey information to various audiences, including internal associates, customers, brokers, vendors, and benefits administrators.
• Highly organized with strong time management skills. Able to prioritize, manage multiple projects, meet deadlines, and adapt quickly in a dynamic environment.
• You promote a culture of diversity and inclusion, value different ideas and opinions, and listen courageously, remaining curious in all that you do.
• Able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico.

PREFERRED

• Strong multitasking skills
• Familiarity with applications used for eligibility investigation - COMPASS, GSAP, Salesforce, EDI Processor, BAM, Ultra Edit, Employer Access
• Knowledge of eligibility requirements, contract provisions, and applicable federal/state laws and emerging industry trends.