Claims Assistant I

Erie and Niagara Insurance•Williamsville, NY

13d•$41,600 - $56,160

About The Position

Erie and Niagara is seeking a Claims Assistant to serve as a primary point of contact for processing claim payments. The role analyzes information to evaluate claims, determine coverage and the extent of loss or liability, and settle claims within prescribed limits. It operates under general supervision and requires independent judgment within a defined scope of authority. The Claims Assistant handles claim intake and documentation, payment and reserve processing, claims reporting and reconciliation, complaint responses, and communication with insureds, claimants, agents, colleagues, and business partners. The position also prepares reports and training materials and performs related administrative or technical duties as assigned by Claims Specialists and/or the Director of Claims.

Requirements

INS designation or pursuit of an INS designation is required.
Demonstrated knowledge of insurance policy forms and coverages.
Proficiency with Microsoft Word, Excel, and Outlook.
Ability to work independently and in a team environment.
Strong verbal and written communication skills.
Attention to detail and a high level of accuracy.
Good judgment when corresponding with agents, insureds, and claimants.
Ability to maintain confidential information.

Nice To Haves

Associate’s degree is preferred.

Responsibilities

Process daily incoming and outgoing claims mail, email, and faxed material; document files and systems accordingly.
Set up claims by taking new loss reports, establishing claim files, obtaining policy information, and entering or documenting information in computer systems.
Document file and system activity promptly, clearly, and concisely.
Communicate effectively and build rapport with insureds, claimants, agents, internal and external colleagues, and associated business partners.
Enter and process indemnity and expense payments accurately and promptly through manual and system-based applications, ensuring outgoing payments are delivered daily for mailing.
Enter indemnity and expense reserves promptly and accurately within systems, based on predetermined authority or direction.
Submit and reconcile claims through ISO for first-party property and third-party CMS reporting; incorporate ISO responses into claim files and systems.
Enter prepared responses to NYDFS, BBB, and third-party formal complaints through applicable websites, portals, or other required methods, and catalog responses in the appropriate claim system.
Add file markers and associated classifications in systems, including reinsurance, subrogation, liability, property, litigation, and CAT markers.
Reconcile payments, including adjuster expenses and subrogation payments.
Prepare and distribute claim reports to ENIA staff.
Prepare training materials related to Claims Assistant duties and functions, and assist with or lead training exercises.
Perform related administrative and technical tasks and duties as assigned by Claims Specialists and/or the Director of Claims.