SCA Associate, EDI Operations II

Duties :

Provides first and second level technical support to a variety of customers comprising the submitter community, as well as basic internal support via analysis and research into EDI-related issues as required by business contracts.

• 60% Provides quality / timely internal / external customer technical support / service for variety of insurance contracts as assigned. This encompasses, but is not limited to, support of communication interfaces / transactions / functions as required by insurance laws (such as support of claims, remit advices, inquiry / response for claims status / eligibility, enrollment, premium payment etc.), support of all current formats / transactions required by law / BCBSSC lines of business.
• 40% Responsible for the setup of all electronic transactions submission by processing enrollment applications, updating associated system files, and managing customer notification.

Skills :

Required Skills and Abilities : Good system research and analysis skills. Working knowledge of relevant EDI software and tools used by the company / contract. Good organizational, judgment, customer service, and both verbal and written communication skills. Good spelling, punctuation, and grammar skills. Basic math and computer skills. Ability to handle confidential or sensitive information with discretion. Required Software and Other Tools : Microsoft Office. Work Environment : Typical office environment.