Support and manage EDI compliance and reporting for workers compensation claims (FROI/SROI, Medicare Section 111). Reconcile and validate EDI transactions, investigate and resolve errors, maintain documentation and workflows, assist audits, support trainings, collaborate with IT/vendors, and provide analytical and project-based support to Claims and stakeholders.

The Actuarial Specialist produces analyses, manages projects, and oversees team workload to enhance actuarial processes in the organization, ensuring business growth and profitability.