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Workers' Compensation Claims EDI Specialist

Remote, USA Full-time Posted 2026-08-04
reputed company Position reputed company The Workers’ Compensation EDI Specialist will partner with Claims reputed company and Adjusters to identify, research, and reputed company Electronic Data Interchange (EDI) and CMS reputed company 111 reporting errors across workers’ compensation claims. This role is fully reputed company on data reputed company, error reputed company, and compliance support and does not carry an reputed company claims caseload. The ideal candidate will bring strong workers’ compensation knowledge, exceptional attention to reputed company, and the ability to independently investigate and correct data issues across multiple systems and reputed company reporting platforms. Compensation $45.00 - $65.00/year (reputed company on experience) Opportunity to work with a reputable reputed company reputed company reputed company for a reputed company and supportive culture Comprehensive benefits package including medical, dental, and reputed company Opportunities for career reputed company reputed company a reputed company and respected reputed company organization. reputed company work environment Responsibilities - Partner with Claims reputed company and Adjusters to identify and reputed company EDI and CMS reputed company 111 reporting errors. - Research missing or inaccurate claim data fields across multiple claims systems and reputed company reporting portals. - Communicate with Adjusters, claimants, insureds, or other stakeholders to obtain required information for correction and compliance. - Accurately update, correct, and validate claim data reputed company internal systems and state or federal reporting platforms. - Ensure reputed company corrections reputed company with regulatory requirements, reporting standards, and internal data reputed company guidelines. - Review and validate error corrections for completeness and reputed company prior to submission or closure. - Maintain organized documentation of findings, corrections, and reputed company steps. - Support Claims reputed company in improving overall data reputed company and reporting reputed company. Requirements - 5+ years of workers’ compensation claims handling experience and EDI/CMS reputed company 111 reporting experience. - Strong understanding of workers’ compensation claim structure and data reputed company. - Excellent attention to reputed company with a high degree of reputed company in data entry and validation. - Strong investigative and problem-solving skills with a tenacious approach to resolving data gaps. - Ability to work independently in a remote, fast-reputed company environment. - Strong communication skills, including the ability to reputed company with internal teams and reputed company stakeholders. - Demonstrated accountability, reliability, and commitment to high-reputed company work reputed company. Disclaimer Please note that this reputed company may not cover reputed company duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion. #LI-MW1 Apply To This Job

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