Business Analyst II - Claims Solutions

We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable.

About the Role

This role requires extensive experience in Workers Compensation compliance reporting and a full understanding of IAIABC Release 3.1 EDI claim standards as well as industry best practices in data management.  This knowledge is required to serve as the conduit between external trading partners, state clients and the software development team through which the system requirements flow.

In this role you will be expected to communicate effectively with internal staff, client services and the development team as well as any and all external data reporters in order to identify and diagnose data reporting issues and determine appropriate resolution measures. 

About the Day to Day Responsibilities of the Role

• Provide support for wcCapture FROI/SROI and Medical reporting products for new client implementations, existing client maintenance (which includes researching client requirements, IAIABC standards, and providing detailed responses to emails on behalf of clients), serve as working meeting host and provide other various client support processes.
• Provide specifications/information needed for wcCapture system changes to comply with state requirement changes for IAIABC standards to have these changes implemented into wcCapture systems.
• Provide support to internal ISO staff based on specific assignments and subject matter (which includes SQL support).
• Responsible for keeping manager apprised of customer issues during and after integration as well as providing updates regarding account progress and potential red flags.
• Provide support and training to wcCapture clients and their Trading Partners including the ISO hosted website, the wcCapture system, the wcPrism free web system, and the Trading Partner Profile Registration system.
• Manage specifications for wcCapture state website updates, state announcements; create and manage the client Implementation Guide and Test Plan
• Manage the client announcement distribution, the completion of the weekly trading partner profile updates.
• Monitor and update all EDI Medical Code Lists to ensure the latest code values are present in the system.
• Manage the documentation and maintenance of the ISO edits and conditions.
• Research, diagnostics, and issue resolution play a large role in day to day.

About You and How You Can Excel in This Role

• College degree, preferably in Business Administration, and 5+ years’ experience in client facing services role or equivalent experience required.
• Customer Service/Project Management skills required
• Excellent troubleshooting ability required
• Excellent oral/written communication and interpersonal skills required
• Proficiency in Microsoft Office, Microsoft Project or equivalent required
• Mastery of IAIABC Claims standards (Release 3.0 and 3.1) required
• Data Reporting Experience required
• Data Processing Experience required
• Data Analysis/Research Skills required
• Existing relationships with state accident boards preferred
• Must be available to travel in response to business needs

For over 50 years, Verisk has been the leading data analytics and technology partner to the global insurance industry by delivering value to our clients through expertise and scale. We empower communities and businesses to make better decisions on risk, faster.

At Verisk, you'll have the chance to use your voice and build a rewarding career that's as unique as you are, with work flexibility and the support, coaching, and training you need to succeed. 

For the eighth consecutive year, Verisk is proudly recognized as a Great Place to Work® for outstanding workplace culture in the US, fourth consecutive year in the UK, Spain, and India, and second consecutive year in Poland.  We value learning, caring and results and make inclusivity and diversity a top priority.  In addition to our Great Place to Work® Certification, we’ve been recognized by The Wall Street Journal as one of the Best-Managed Companies and by Forbes as a World’s Best Employer and Best Employer for Women, testaments to the value we place on workplace culture.

We’re 7,000 people strong.  We relentlessly and ethically pursue innovation. And we are looking for people like you to help us translate big data into big ideas. Join us and create an exceptional experience for yourself and a better tomorrow for future generations.

Verisk Businesses

Underwriting Solutions — provides underwriting and rating solutions for auto and property, general liability, and excess and surplus to assess and price risk with speed and precision

Claims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline workflow, improve claims management, and support better customer experiences

Property Estimating Solutions — offers property estimation software and tools for professionals in estimating all phases of building and repair to make day-to-day workflows the most efficient

Extreme Event Solutions — provides risk modeling solutions to help individuals, businesses, and society become more resilient to extreme events.

Specialty Business Solutions — provides an integrated suite of software for full end-to-end management of insurance and reinsurance business, helping companies manage their businesses through efficiency, flexibility, and data governance

Marketing Solutions — delivers data and insights to improve the reach, timing, relevance, and compliance of every consumer engagement

Life Insurance Solutions – offers end-to-end, data insight-driven core capabilities for carriers, distribution, and direct customers across the entire policy lifecycle of life and annuities for both individual and group.

Verisk Maplecroft — provides intelligence on sustainability, resilience, and ESG, helping people, business, and societies become stronger

Verisk Analytics is an equal opportunity employer.

All members of the Verisk Analytics family of companies are equal opportunity employers. We consider all qualified applicants for employment without regard to race, religion, color, national origin, citizenship, sex, gender identity and/or expression, sexual orientation, veteran's status, age or disability.

http://www.verisk.com/careers.html

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