Claims Examiner

Erie Insurance • Erie, PA

2d • Remote

About The Position

Performs independent claims examination activities for the field or home offices. Analyzes claims with high exposure and/or complexity. The successful candidate will have a focus on and be well versed in Liability and Coverage. Successful candidate will work from the Home and live in ERIE’s Footprint.

Requirements

• Bachelor's degree with five years’ experience adjusting complex claim matters, required; or
• Associate's degree with seven years’ experience adjusting complex claim matters, required; or
• High school diploma or GED with nine years’ experience adjusting complex claim matters, required.
• Extensive knowledge of applicable line of business (Worker’s Compensation, Liability, Medical Management, or Property) required.
• Valid driver's license required.

Nice To Haves

• Pursuit and successful completion of a professional designation, such as AIC, CPCU, SCLA, WCLA or equivalent, preferred.

Responsibilities

• Directs field management on the handling of complex claims including coverage, reserving and resolution strategy.
• Responsible for files involving litigation against ERIE. Manages the litigation process including collaboration with Claims Legal Department and outside counsel.
• Directs investigation, settlement, and/or coverage denials of claims. Directs appeal process and handling of excess verdicts.
• Reviews files and collaborates with field Management on recommendations for improvement as appropriate. Visits field offices on a periodic basis to conduct training including, but not limited to, claims handling processes and procedures, coverage, statutory changes and reserving.
• Reviews and analyzes statutory changes and works to ensure applicable changes are implemented for compliance in designated jurisdictions.
• Assists defense counsel in litigation and trial as needed.
• Participates in or leads special projects with other departments.

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 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. The 401(k) is offered in addition to the pension.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level