[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.

There are two positions available. Selected candidates will report to Robert Van Tash or Andrea Mumford.

Work location: This is a remote, work-from-home position. Candidates located within proximity to ERIE’s Harrisburg Branch Office are preferred.

Schedule:

• Primary schedule is 8:00 a.m. – 4:30 p.m., Monday through Friday, Eastern Time.
• Rotating weekday evening and Saturday shifts are required based on business and service-level needs.
• Schedule is subject to change based on business needs.

Licensing: The selected candidate must obtain all required state licensing within 45 days of employment.

Remote work requirements: Employees working remotely must have access to internet service with minimum speeds of 50 Mbps download and 10 Mbps upload.

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

• 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.
• 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.

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: We are among the 2% of Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of services.
• 401(k) with up to 4% contribution match.
• Paid time off: 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 that include 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.