Inside Claims Representative I
About The Position
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. This is a remote, work-from-home position. Candidates located within proximity to ERIE’s Harrisburg Branch Office are preferred. The 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. The selected candidate must obtain all required state licensing within 45 days of employment. Employees working remotely must have access to internet service with minimum speeds of 50 Mbps download and 10 Mbps upload.
Requirements
- High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required.
- 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.
- Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%)
Nice To Haves
- Bachelor’s or Associate’s degree preferred.
- Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred.
Responsibilities
- 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.
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. 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.
- 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
- Dollar-for-dollar matching of your charitable gifts each year.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
