EDI Technician

EDI Technician at Mutual Of Omaha in Puerto Rico, United States.

Role Summary

As an EDI Technician, you'll monitor and maintain Electronic Data Interchange (EDI) eligibility files, conduct analysis of EDI transactions to ensure proper function and accuracy, and contributes to the EDI team's success by meeting established goals and objectives through the accurate & timely eligibility processing and file maintenance activity.

Responsibilities

• 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.

Requirements

• 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.
• We value unique experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply!
• If you have questions about your application or the hiring process, email our Talent Acquisition area at . Please allow at least one week from time of applying if you are checking on the status.

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• Hiring Policies and Legal Notices
• Salary: C19 | Pay Scale: CRP C19 - Hourly

Benefits

WHAT WE CAN OFFER YOU

• 401(k) plan with a 2% company contribution and 6% company match.
• Work-life balance with vacation, personal time and paid holidays. See our benefits and perks page for details.
• Applicants for this position must not now, nor at any point in the future, require sponsorship for employment.