EDI Specialist

CorVel Corporation is seeking a highly skilled EDI Specialist to join our team. As an EDI Specialist, you will play a critical role in supporting our department by submitting claims to the State in a timely and accurate manner.

• Create and submit EDI First Report of Injury and Subsequent Reports using our vendor Ebix's web-based portal WCIRS.
• Research Workers Compensation Claims in applicable claim system for information needed to complete EDI reports.
• Review state websites for filing information, potential penalties or fines, and analyze any EDI errors and make necessary corrections as stipulated by the state requirements.
• Compile all data using state EDI reporting requirements and time frames, involving an understanding of the EDI Tables and implementation guides at the state level.
• Remain current on EDI rules and requirements, as well as IAIABC release updates.
• Communicate with claims adjusting staff or other necessary internal staff regarding missing necessary EDI filing data.
• Responsible for ensuring submissions are accepted.
• Utilize all resources, including Caremc, SharePoint, State Workers Comp Site, EBIX, and independent research to resolve rejected reports.
• Responsible for meeting production standards or expectations daily.
• Maintain HIPAA/Privacy compliance in all aspects of communications.
• May provide assistance in training of new employees.
• Provides general support.
• Punctual and consistent attendance is required in this position.
• Additional duties as assigned.

• High school diploma or equivalent.
• Data Entry experience.

• Proficient in Microsoft Office suite, mainly Outlook, Excel, WORD.
• Ability to do critical thinking, analyzing data, and is detailed oriented.
• Daily Prioritization and balancing fluctuating workloads.
• Ability to read and comprehend excel worksheets along with strong math skills.
• Paperless entry with 2 monitors with ability of multitasking between numerous applications.
• Exceptional organizational skills and ability to work independently.
• Strong communication skills both verbal and written.
• The ability to work in a fast-paced/production environment.

CorVel Corporation is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health, and disability management industries. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug-free workplace, and complies with ADA regulations as applicable.