Resolving errors listed in the reports from the carrier files and records that were invalidated by the Enrollment System
Some of the tasks you need to do:
Reviews layouts, structures and carrier specifications needed to create the EDI file feeds
Reaches out to the client/carriers/brokers via email or call to obtain needed information necessary for the EDI file build and to address issues or any related concerns
Develop and document data exchange specifications and processes with clients and insurance carriers
Configure the system (utilizing web-based GUI) based on the needs outlined by the client and carriers
Analyze and digest business and technical requirements as provided by multiple sources
Analyze and develop mapping and translations between the data elements in different systems, interfacing with the client’s platform
Build import files from various data sources and execute the data import process (end-to-end)
Develop XML configuration files
Skills/Requirements needed for the job:
Bachelor’s degree or relevant work experience
Working knowledge in MS Excel
Working knowledge in data integration
Working knowledge in XXL file and conversion
Good verbal and written communication skills
Willingness to work extended hours or alternate shifts as necessary (may include holidays, weekends, or nights)
