EDI Compliance Specialist

 

EDI Compliance Specialist  Location: Metairie, LA (Hybrid) Schedule: Full-Time | Monday-Friday | 8:00 AM-4:30 PM with flexible start time Salary Range: $40,000-$55,000 annually

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don’t just process claims—we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

CCMSI is seeking an EDI Compliance Specialist to support the development, maintenance, and monitoring of Electronic Data Interchange (EDI) reporting processes. This role works closely with state agencies, information technology teams, and operations teams to maintain compliant EDI protocols, resolve reporting issues, validate submissions, and support ongoing process improvements.  The ideal candidate is analytical, detail-oriented, highly organized, and comfortable working in a structured, repetitive environment while managing multiple priorities.

 

 

• →Coordinate communication with state agencies regarding EDI reporting requirements and specifications.
• →Assist with the development and maintenance of state-specific EDI protocols and documentation.

• →Partner with IT and operational teams to support EDI process implementation and validation.

• →Monitor reporting activity and support timely resolution of EDI errors according to state guidelines.

• →Prepare and maintain monthly EDI status reporting.

• →Maintain state-specific EDI specifications and process documentation.

• →Support training efforts related to EDI processes and submissions.

 

 

Required:

• HS diploma or equivalent required.
• Strong analytical thinking and problem-solving skills.
• Strong organizational and time management abilities.
• Detail-oriented with the ability to prioritize multiple responsibilities.
• Effective verbal and written communication skills.
• Ability to work independently with minimal supervision.
• Ability to collaborate effectively in a team environment.
• Proficiency with Microsoft Excel, Word, PowerPoint, and database systems.
• Adaptability in a changing work environment.
• Reliable and predictable attendance during business hours.

Nice to Have:

• Workers’ Compensation EDI experience.
• Advanced Microsoft Excel skills.
• Experience working with regulatory reporting requirements.

Success in this role is measured by:

• Accurate and timely EDI submissions.
• Compliance with applicable state reporting requirements.
• Timely resolution of EDI errors and exceptions.
• Quality and accuracy of EDI documentation and reporting.
• Effective collaboration with IT, operations, and internal stakeholders.
• Consistent support of process improvement and operational efficiency initiatives.

• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
• Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
• Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth: Internal training and advancement opportunities
• Culture: A supportive, team-based work environment

This is where we shine, and we hire adjusters who want to shine with us.

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

• Lead with transparency We build trust by being open and listening intently in every interaction.
• Perform with integrity We choose the right path, even when it is hard.
• Chase excellence We set the bar high and measure our success. What gets measured gets done.
• Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
• Win together Our greatest victories come when our clients succeed.

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #InsuranceCareers #IND123 #EDI #ComplianceJobs #DataReporting #RegulatoryCompliance