[Hiring] Workers' Compensation EDI Specialist I @CorVel Corporation

Role Description

CorVel is seeking an experienced and detail-oriented Workers' Compensation EDI Specialist to join our State Filing team. This position is responsible for the timely and accurate submission of First Reports of Injury (FROI) and Subsequent Reports of Injury (SROI) in compliance with state workers' compensation reporting requirements.

The ideal candidate will possess:

• Strong analytical and problem-solving skills
• The ability to interpret state-specific EDI implementation guides and reporting matrices
• Experience researching claim information to determine appropriate filing actions

This role requires:

• A high level of accuracy
• Independent decision-making
• The ability to manage production expectations in a fast-paced environment

Direct Workers' Compensation EDI experience is preferred but not required. We welcome candidates with transferable experience in:

• Insurance
• Claims
• Compliance
• Data analysis
• Other detail-oriented roles

Successful candidates are naturally curious, analytical, and detail-oriented. They enjoy:

• Researching complex issues
• Interpreting regulatory requirements
• Ensuring accuracy in their work

They are comfortable working independently, communicating across departments, and balancing production expectations with compliance responsibilities. This is a remote position.

Qualifications

• Strong attention to detail and commitment to data accuracy
• Ability to analyze complex information and make sound filing decisions based on state reporting requirements
• Understanding of workers' compensation claims processes and terminology
• Ability to interpret and apply state-specific EDI implementation guides, reporting matrices, and sequencing requirements
• Strong critical thinking and problem-solving skills
• Experience researching and resolving reporting errors and data discrepancies
• Effective time management and prioritization skills in a production-based environment
• Ability to independently manage workload while meeting deadlines and performance expectations
• Strong verbal and written communication skills
• Proficiency with Microsoft Office Suite, particularly Outlook, Excel, and Word
• Ability to work effectively across multiple applications and systems in a paperless environment
• Strong organizational skills and adaptability in a changing regulatory environment

Requirements

• High School Diploma, GED, or equivalent
• Minimum one (1) year of experience in an administrative, data entry, customer service, insurance, claims, compliance, or other detail-oriented role
• Demonstrated ability to work accurately in a fast-paced environment while managing multiple priorities and deadlines

Preferred Qualifications

• Experience in Workers' Compensation claims, claims administration, insurance operations, EDI reporting, regulatory compliance, or a related field
• Knowledge of Workers' Compensation terminology, claim processes, and state reporting requirements
• Experience with First Reports of Injury (FROI), Subsequent Reports of Injury (SROI), EDI transactions, or electronic regulatory reporting
• Familiarity with IAIABC standards, state implementation guides, or reporting compliance requirements
• Experience researching and resolving data discrepancies, reporting errors, or rejected transactions
• Associate's degree or coursework in Business, Insurance, Healthcare Administration, Information Systems, or a related field is a plus, but not required

Pay Range

CorVel uses a market-based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors:

• Federal, state, and local minimum wage requirements
• The geographic location differential
• Job-related skills, experience, qualifications
• Internal employee equity
• Market conditions

Pay Range: $16.54 - $24.95 per hour

Benefits

A comprehensive benefits package is available for full-time regular employees and includes:

• Medical (HDHP) w/Pharmacy
• Dental
• Vision
• Long Term Disability
• Health Savings Account
• Flexible Spending Account Options
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K, ROTH 401K
• Paid time off