EDI Analyst I

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 weve built over everything that we do we know that delivering a friendly and helpful interaction makes for a better experience for everyone involved. Thats 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 Medicare to join our team!

The individual in this role will have the opportunity to coordinate accurate and complete electronic transmission of Medicare forms and data ensuring compliance with regulatory requirements while supporting data integrity error resolution and continuous process improvement.

What are the responsibilities and opportunities of this role

• Coordinates the accurate and timely electronic transmission of Medicare forms and data in compliance with regulatory requirements.
• Provides subject matter expertise on Medicare reporting processes and supports the development of documentation and training materials.
• Communicates updates and changes in Medicare requirements and processes to internal stakeholders.
• Troubleshoots reporting errors and data issues collaborating with internal and external partners to resolve discrepancies.
• Analyzes and interprets Medicare requirements to ensure alignment with policy form and regulatory updates.
• Identifies reporting issues and recommends solutions to improve accuracy efficiency and compliance.
• Maintains accurate records and updates data fields within systems and reporting platforms.
• Assists in training internal stakeholders to reduce errors and increase understanding of Medicare compliance requirements.
• Collaborates with the claims compliance and IT teams to ensure proper system configuration and functionality.
• Identifies the potential impacts of new requirements including needed updates to policy and form language.
• Participates in team-based problem solving and escalates complex or nonroutine issues as appropriate.

What are the must-have qualifications for a candidate

• Demonstrated experience with data integrity validation and issue resolution.
• Working knowledge of personal and commercial claims processes.
• Strong analytical and problem-solving skills.
• High attention to detail and accuracy.
• Ability to follow established processes and meet deadlines consistently.
• Strong communication skills with the ability to engage both technical and nontechnical audiences.
• Proven collaboration and teamwork skills.
• Customer service mindset with a focus on responsiveness and ownership.

What will our ideal candidate have

• Bachelors degree or equivalent experience.
• Experience working with multiple systems and platforms including Verisk.
• Knowledge of IAIABC NCCI and Section 111 reporting standards.
• Insurance industry certifications or additional Medicare experience.
• Experience supporting or delivering training related to systems or compliance.

Compensation overview

The full hiring range for this role is $59200 - $81400 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 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 consecutive addition the Group is consistently recognized as a Wards 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 vision life and disability insurance
• Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)
• 401(k) Plan with 100% matching on the first 6% of contributions
• Wellbeing program including onsite fitness studio
• Paid Time Off including holiday vacation and volunteer
• 100% company-paid tuition reimbursement and access to The Institutes
• Paid parental leave
• Bonus opportunities

Western National supports work-life balance through flexible work arrangements including hybrid and remote options based on role and business 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 equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any kind in accordance with applicable laws.

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