[Hiring] Inside Claims Representative I @Erie Insurance

Role Description

Under close supervision, handles liability and property claims within designated authority. Resolves coverage and/or liability issues in accordance with applicable state insurance laws, regulations, and procedures.

The successful candidate will work remotely from the Cary Branch Office, Monday-Friday, 8:00-4:30pm.

• Investigates and adjudicates claims within designated authority, ensuring compliance with appropriate statutory laws.
• Verifies coverage, establishes and maintains reserves, secures recorded statements, drafts and processes correspondence, reports, and records.
• Obtains additional information as required to determine liability.
• Documents claim files and facilitates processing of claims in collaboration with other departments.
• Assigns outside experts when necessary to assist in investigation and in support of potential recovery.
• Establishes contact with all parties involved in the claim in accordance with ERIE’s expectations.
• Evaluates and negotiates claims, recognizes subrogation opportunities, and initiates action.
• Sets up and/or issues payment using ERIE’s approved payment methods for settlement; or declines payment within designated authority.
• Responds to inquiries from Policyholders, Agents, insurance carriers, claimants, assigned experts, and others.
• Learns and maintains knowledge of liability laws for each state.
• Learns and maintains knowledge of motor vehicle codes.
• Learns and maintains knowledge of no fault/medical management/FPB laws for each state, including recognition of bodily injury claims.
• With supervisor guidance, responds to intercompany arbitration applications. Files contentions and supporting documents on behalf of the insured/driver.
• Conducts research, attends industry-related training programs and other training sessions to stay current on policy changes, interpretation, or new legislation.
• Provides support for property claims during periods of heavy volume.

Qualifications

• High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required.
• Bachelor’s or Associate’s degree preferred.
• Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred.
• Obtain appropriate licenses as required by state within 45 days of employment in the role for external applicants and 90 days of employment in the role for internal applicants.

Requirements

• Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%)
• Climbing/accessing heights; Rarely
• Ability to move over 50 lbs using lifting aide equipment; Rarely
• Driving; Never
• Lifting/Moving 0-20 lbs; Rarely
• Lifting/Moving 20-50 lbs; Rarely
• Pushing/Pulling/moving objects, equipment with wheels; Rarely

Benefits

• Premier health, prescription, dental, and vision benefits for you and your dependents.
• Coverage begins your first day of work.
• Low contributions to medical and prescription premiums.
• We currently pay up to 97% of employees’ monthly premium costs.
• Pension - one of only 13 Fortune 500 companies to offer a traditional pension plan; full-time employees are vested after five years of service.
• 401(k) with up to 4% contribution match.
• Paid time off including paid vacation, personal days, sick days, bereavement days, and parental leave.
• Career development including a tuition reimbursement program for higher education and industry designations.
• Additional benefits such as company-paid basic life insurance, short-and long-term disability insurance, orthodontic coverage for children and adults, adoption assistance, fertility and infertility coverage, well-being programs, paid volunteer hours for service to your community, and dollar-for-dollar matching of your charitable gifts each year.