Chicago, IL
3 days ago
EDI Specialist

Combined Insurance, a Chubb Company, is seeking an EDI Specialist to join our fast-paced, high energy, growing company. We are proud of our tradition of success in the insurance industry of over 100 years. Come join our team of hard-working, talented professionals!

JOB Summary 

This position will support our internal sales organization and external clients within our fast-growing Chubb Workplace Benefits division to ensure successful implementation of complex, sensitive, and high-profile enrollments.

The EDI (Electronic Data Interface) Specialist will be responsible for the implementation, technical specification mapping and ongoing maintenance for voluntary customers using EDI files for the purposes of enrolling benefits. This role is focused on delivering excellent service, maximizing operational efficiency, influencing key stakeholders, and timely project management.

Responsibilities 

Analyze customer requests for EDI file set-up, including but not limited to, suitability of billing type, plan design, and EDI benefit administration platform. Communicate required EDI information to customers and benefit administration vendors in a clear and timely manner. Including, but not limited to, file specifications, testing process, SFTP requirements, and production instructions. Monitor the monthly EDI file upload process, address any internal issues within the required procedural timeframe, report issues to customer and benefit administration vendors. Lead the process for resolution focusing on reducing impact to the customer. Collaborate and communicate cross functionally with the home office departments, clients, brokers, and external vendors to address test and production issues in a timely manner.  Proactively monitor and analyze production EDI files for quality, accuracy, adherence to eligibility/plan design (guaranteed issue amounts), and mapping issues. Maintain EDI status tracking and management reporting. Serve as the primary point of contact to customers and benefit administration vendors on all EDI interactions. Serve as a subject matter expert and resource for internal operations for EDI workflow, process and procedures. Assists in identifying opportunities within the EDI process for service delivery, operational efficiencies and effectiveness. Proactively manage expectations of broker and employer partners to address issues as they arise while concisely and effectively communicating status, issues and timelines Collaborate with other departments to resolve issues Develop and maintain strong working relationships with our broker and employer group partners

COMPETENCIES 

Relationship-Builder – Is helpful, respectful, approachable, team and service-oriented, building strong working relationships and a positive work environment; maintains an exceptional client service mindset. Problem Solving – Takes an organized and logical approach to thinking through problems and complex issues. Simplifies complexity by breaking down issues into manageable parts. Looks beyond the obvious to get at root causes. Develops insight into problems, issues and situations. Continuous Learning – Demonstrates a desire and capacity to expand expertise, develop new skills and grow professionally. Seeks and takes ownership of opportunities to learn, acquire new knowledge and deepen technical expertise. Takes advantage of formal and informal developmental opportunities. Takes on challenging work assignments that lead to professional growth.  Initiative – Willingly does more than is required or expected in the job. Meets objectives on time with minimal supervision. Eager and willing to go the extra mile in terms of time and effort. Is self-motivated and seizes opportunities to make a difference.  Adaptability – Ability to re-direct personal efforts in response to changing circumstances. Is receptive to new ideas and new ways of doing things. Effectively prioritizes according to competing demands and shifting objectives. Can navigate through uncertainty and knows when to change course.  Results Orientation – Effectively executes on plans, drives for results and takes accountability for outcomes. Perseveres and does not give up easily in challenging situations. Recognizes and capitalizes on opportunities. Takes full accountability for achieving (or failing to achieve) desired results.  Values Orientation – Upholds and models Chubb values and always does the right thing for the company, colleagues and customers. Is direct, truthful, and trusted by others. Acts as a team player. Acts ethically and maintains a high level of professional integrity. Fosters high collaboration within own team and across the company; constantly acts and thinks “One Chubb.”  Detail Oriented – Has exceptional attention to detail and focus on accurate and timely delivery. Creativity – Possess the ability to analyze a situation and develop an alternative method for handling a situation when traditional methods aren’t successful. 

Skills

Exceptional service, critical thinking and problem-solving skills Excellent written and verbal communication skills Must be self-motivated, organized and results oriented Ability to thrive in a fast-paced, challenging and collaborative sales-driven environment Excellent interpersonal skills, ability to develop strong working relationships with other departments, clients and external vendors Ability to display and use excellent discretion and judgment, and must be able to maintain confidential information Strong MS Office Suite knowledge, namely MS Excel required

Education and Experience 

Bachelor’s Degree in Business Administration or related field preferred 3-5 years insurance industry experience required Must have a general knowledge of insurance administration practices, benefit administration and enrollment lifecycle Excellent project management experience with demonstrated end-to-end results
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