EDI Analyst

Description

Who are we?

Western National Insurance Group is a private mutual insurance company with over 120 years of experience serving customers' property-and-casualty insurance needs in the Midwestern, Northwestern, and Southwestern United States. Known as “The Relationship Company®,” we define success as a measure of the relationships we’ve built over time. In everything that we do, we know that delivering a friendly and helpful interaction makes for a better experience for everyone involved. That’s the power of “nice”. At Western National, nice is something we work to bring to every person and organization with whom we partner and serve.

Does this opportunity interest you?

Western National is seeking an EDI Analyst to join our team!

The individual in this role will have the opportunity to coordinate accurate and complete electronic transmission of Workers’ Compensation forms and data, ensuring compliance with regulatory requirements and supporting error resolution efforts.

What are the responsibilities and opportunities of this role?

• Provides subject matter expertise on Workers’ Compensation EDI processes and supports the development of documentation and training materials. 
• Provides direction to internal and external resources.
• Communicates updates or changes in EDI requirements and processes to relevant internal stakeholders.
• Troubleshoots Workers’ Compensation reporting errors and data issues; collaborates with internal and external stakeholders to resolve discrepancies.
• Identifies new requirements they may require policy and form language changes.
• Maintains up-to-date records and updates data fields in EDI systems and reporting platforms.
• Analyzes and interprets jurisdictional Workers’ Compensation EDI requirements and ensures compliance with policy, form, and regulatory updates.
• Identifies Workers’ Compensation reporting issues and recommends solutions to enhance process accuracy and compliance.
• Assists in training internal stakeholders to reduce EDI errors and increase understanding of compliance requirements.
• Collaborates with claims, compliance, and IT teams to ensure accurate configuration and functionality of EDI systems.
• Seeks relevant information and answers to key questions from defined sources.
• Collaborates effectively as part of a team by sharing information, actively listening, and keeping relevant stakeholders informed and updated.
• Engages in both formal and informal group problem solving to address immediate issues and proactively identifies areas for improvement within the work group.
• Makes routine decisions independently; escalates non routine or complex issues appropriately.
• Demonstrates intermediate analytical skills to interpret data, identify trends, and support decision making.
• Looks for opportunities to improve processes.
• Applies knowledge to help solve problems of relatively limited scope and complexity.
• Interacts with other internal departments and team members.
• Communicates primarily on task- and learning-related topics, delivering clear and varied types of messages and information effectively.
• Consistently acts according to our customer experience standards by responding quickly, maintaining a positive attitude, building rapport, demonstrating empathy, managing the customer’s expectations, using the proper communication channel for the situation, and taking ownership to ensure the customer’s issue is resolved.

Requirements

What are the must-have qualifications for a candidate?

• Demonstrated experience with data integrity and resolution.
• Demonstrated knowledge and understanding of Workers’ Compensation claims.
• Strong analytical and problem-solving skills.
• High attention to detail and accuracy.
• Customer service skills. 
• Ability to follow process.
• Ability to meet deadlines consistently. 
• Ability to communicate with both technical and nontechnical audiences.
• Strong collaboration skills.
• Strong communication skills.
• Bachelor’s degree preferred; experience in lieu of degree acceptable.
• Proficient use of various core systems, office and computer equipment, and software packages.
• Prior experience with multiple platforms, including Verisk.
• Insurance industry-related certification or experience in Workers’ Compensation.

What will our ideal candidate have?

• Knowledge of IAIABC, NCCI, and Section 111 reporting preferred.

Compensation overview

The full hiring range for this role is $58,000 – $79,750, annually. However, the base pay offered may vary depending on the job-related knowledge, skills, credentials, and experience of each candidate, as well as other factors such as the scope and location of the role. Candidates looking for compensation outside of the posted range are encouraged to apply and will be considered based on their individual qualifications and / or may be considered for other positions.

Western National Insurance Group reserves the right to fill this position at a level above or below the level included in this posting.

Culture and Total Rewards

Western National has long been known as “The Relationship Company®” and caring for our employees is part of that relationship commitment. We value connectiveness, empowerment, and accountability, and we believe that our employees are our biggest asset. 

Currently ranked as the 41st largest private company by revenue in Minnesota (Minneapolis/St. Paul Business Journal), Western National has earned accolades year-over-year as an employer of choice and garnered multiple awards for wellness in the workplace. Western National has also been named a Top Workplace by the Star Tribune for the past four consecutive years. In addition, the Group is consistently recognized as a Ward’s 50 property-and-casualty insurance company for its outstanding financial results.

Western National offers full-time employees a significant Total Rewards Package, including:

• Medical insurance plan options and other standard employee benefits, including dental insurance, vision benefits, life insurance, disability insurance, and more!
• Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)
• 401(k) Plan (participants are eligible for 100% matching on the first 6% of their contributions)
• Wellbeing Program, including onsite fitness studio
• Paid Time Off – including holiday, vacation, and volunteer
• 100% company-paid tuition reimbursement for approved job-relevant coursework and access to The Institutes (Risk and insurance education)
• Paid parental leave
• Bonus opportunities

Western National believes in supporting balance between work and life by providing a flexible work environment, which includes a variety of hybrid and remote work arrangements designed to balance individual, job, department, and company needs. 

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Western National provides employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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