Electronic Data Interchange (EDI) Technical Specialist
About The Position
The Virginia Workers' Compensation Commission is seeking an EDI Technical Specialist to support Virginia's workers' compensation system through data analysis, technical troubleshooting, and customer support. This role is part of a team that receives national recognition for having one of the best Workers' Compensation EDI Programs. The EDI Quality Assurance (EDI QA) team ensures the accuracy and integrity of workers' compensation claims data reported to the Virginia Workers' Compensation Commission. They work closely with employers, insurance carriers, claim administrators, and other stakeholders to support EDI reporting, resolve data issues, maintain compliance standards, and improve data quality. As an EDI Technical Specialist, you will help investigate reporting issues, resolve transaction errors, support customers, and ensure critical claims information is processed accurately. This role combines customer service, problem-solving, data analysis, and technical support to keep Virginia's workers' compensation reporting system running smoothly.
Requirements
- Experience providing customer service in a professional office environment
- Experience with data entry, claims processing, records management, or administrative support functions
- Strong attention to detail and ability to maintain accuracy when processing large volumes of information
- Strong written and verbal communication skills
- Experience working with databases, business systems, or electronic records
- Ability to research information, interpret procedures, and solve problems independently
- Proficiency with Microsoft Office applications, including Outlook, Word, and Excel
Nice To Haves
- Experience working with workers' compensation programs, procedures and practices with emphasis on EDI compliance.
- Experience with workers’ compensation EDI programs, data reporting, claims processes and/or insurance processes.
- Knowledge of Virginia Workers' Compensation rules, regulations, or business processes
- Experience using PowerBi or other data query tools
Responsibilities
- Responding to customer inquiries related to EDI filings, corrections, consolidations, and compliance requirements
- Researching and resolving rejected, flagged, or failed EDI transactions
- Analyzing claims data and electronic submissions to identify reporting issues
- Reviewing and processing claim consolidation requests and related documentation
- Interpreting and applying EDI reporting requirements, procedures, and regulations
- Collaborating with internal teams, insurance carriers, employers, and third-party administrators
- Maintaining accurate documentation and ensuring high standards of data quality
- Supporting process improvement and quality assurance initiatives
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
