Network Data Specialist

Job Posting End Date: August 31

When you join the team at Unum you become part of an organization committed to helping you thrive.

Here we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout lifes moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this we provide:

• Award-winning culture

• Inclusion and diversity as a priority

• Performance Based Incentive Plans

• Competitive benefits package that includes: Health Vision Dental Short & Long-Term Disability

• Generous PTO (including paid time to volunteer!)

• Up to 9.5% 401(k) employer contribution

• Mental health support

• Career advancement opportunities

• Student loan repayment options

• Tuition reimbursement

• Flexible work environments

And thats just the beginning

With 10000 employees helping more than 39 million people worldwide every role at Unum is meaningful and impacts the lives of our customers. Whether youre directly supporting a growing family or developing online tools to help navigate a difficult loss customers are counting on the combined talents of our entire team. Help us help others and join Team Unum today!

The Network Data Specialist (NDS) is responsible for researching and resolving provider data issues across claims processing and record management systems. The role requires judgment to evaluate incomplete or conflicting information reconcile discrepancies determine root cause assess downstream business and regulatory impact and decide when issues can be resolved within scope versus through cross-functional collaboration or escalation. This work directly supports claims accuracy provider directories network reporting compliance privacy and data-driven business decision-making.

Principal Duties and Responsibilities

• Research and diagnose provider data issues by evaluating and reconciling information across multiple systems and sources.
• Determine root cause of data discrepancies and assess downstream impacts to claims adjudication reporting accuracy provider directories privacy incident occurrence and regulatory compliance.
• Apply sound judgment to evaluate incomplete or conflicting information and determine the appropriate resolution approach including whether issues can be resolved within scope require cross-functional collaboration or warrant escalation.
• Perform provider location and payee data updates in accordance with established standards and configuration guidelines when corrective action is within scope.
• Support accurate and timely resolution of issues affecting claims processing provider records and payment accuracy.
• Provide cross-functional partners (e.g. claims or network teams) with clear research findings impact assessments and recommended actions to support issue resolution.
• Document research decisions actions taken and outcomes with clarity to support auditability consistent handling and data integrity.
• Ensure all work meets established quality compliance and documentation standards.
• Identify recurring data issues root causes and provide recommendations to improve data standards workflows and operational reliability.
• Manage and prioritize work received through multiple intake channels (e.g. system queues shared inboxes and structured workflows) based on urgency business impact and turnaround expectations.

Job Specifications

• Bachelors degree preferred or equivalent combination of education and experience
• 2 years of experience in a data-centered technical analytical or metrics-based operations role preferred
• Demonstrated ability to research issues evaluate incomplete or conflicting information determine root cause and recommend or implement appropriate solutions using sound judgment
• Demonstrated ability to assess downstream impacts and communicate findings risks and recommended actions clearly
• Strong working knowledge of provider data claims processing and downstream data dependencies across reporting compliance and operational processes
• Proficiency in Microsoft Excel and the ability to utilize systems tools and available resources to investigate and validate information
• Strong written and verbal communication skills
• Ability to work effectively with cross-functional teams to support issue resolution and data accuracy
• Strong critical-thinking analytical and problem-solving skills
• High attention to detail and commitment to data accuracy and integrity
• Ability to manage competing priorities in a dynamic deadline-driven environment

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Unum and Colonial Life are part of Unum Group a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga TN with international offices in Ireland Poland and the UK Unum also has significant operations in Portland ME and Baton Rouge LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia SC with over 40 field offices nationwide.

Unum is an equal opportunity employer considering all qualified applicants and employees for hiring placement and advancement without regard to a persons race color religion national origin age genetic information military status gender sexual orientation gender identity or expression disability or protected veteran status.

The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description actual pay will be based on skill geographical location and experience.

$36000.00-$62400.00

Additionally Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health vision dental) insurance benefits (short & long-term disability) performance-based incentive plans paid time off and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.

Company:

Unum