Note: The job is a remote job and is open to candidates in USA. Mutual of Omaha is hiring an EDI Consultant to support efficient, compliant, and secure electronic data exchanges. The role leads EDI onboarding, reviews and analyzes submitted data, communicates with policyholders and brokers, tracks cases, and monitors production activity for quality, accuracy, mapping issues, and regulatory compliance.
Responsibilities
- Lead the customer through EDI onboarding, identifying business needs, delivering file specifications, creation of first file, testing, and providing feedback/overall EDI consultation
- Responsible for timely and accurate tracking of cases and statuses for management requirements and reports
- Review and analyze all data submitted and initiate calls to Policyholders and Brokers to obtain missing information or clarify questions to ensure proper handling. Educate our policyholders and brokers through written or verbal communication to ensure a smooth, transparent EDI experience and accurate eligibility and premium handling based on contract provisions
- Responsible for timely and effective communication and follow up to ensure EDI development of the group is progressing in a manner that aligns with our customer service goals
- Proactively monitor and analyze EDI production activity for quality, accuracy, mapping issues, and adherence to regulatory compliance requirements
Skills
- Must have direct EDI work history with solid working knowledge of EDI implementation
- Previous EDI experience or file feed experience working with vendors, benefits administration partners and/or customers
- Advanced Excel skills including VLOOKUP's, filters, formulas, etc
- A strong background with eligibility requirements, contract provisions, and applicable federal/state laws, and emerging industry trends
- Previous experience with Salesforce is a huge plus
- Strong customer-centric mindset, with the willingness and desire to drive resolution, and the ability to adapt and change
- Strong foundation with applications used for eligibility investigation - COMPASS, GSAP, BAM (internal candidates only)
- You promote a collaborative culture, 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
- Applicants for this position must not now, nor at any point in the future, require sponsorship for employment
- Thorough understanding of Workplace Solutions products, systems, and distribution channels (internal candidates only)
Benefits
- Annual bonus opportunity
- 401(k) plan with a 2% company contribution and 6% company match.
- Work-life balance with vacation, personal time and paid holidays.
- Able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico.
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