Inside Claims Representative I

Erie Insurance • Cary, NC

3d • $44,936 - $71,781 • Remote

About The Position

Under close supervision, handles liability and property claims within designated authority. Resolves coverage and liability issues in accordance with applicable state insurance laws, regulations, and procedures. The selected candidate will reside near the Raleigh Branch Office and work from home. Weekday evening and/or Saturday shifts may be required based on business and service-level needs. The candidate must obtain appropriate licensing within 45 days of employment. Remote employees must have internet service with at least 50 Mbps download and 10 Mbps upload bandwidth.

There are multiple positions available. This role investigates, evaluates, negotiates, and processes claims; communicates with involved parties; and collaborates with other departments and outside experts. It also requires learning and maintaining knowledge of relevant insurance laws, regulations, motor vehicle codes, and claims procedures. The position may support property claims during periods of heavy volume.

Requirements

• High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience.
• Obtain appropriate licenses as required by the state within 45 days of employment for external applicants.
• Ability to work weekday evening shifts and/or Saturday shifts as required by business and service-level needs.
• For remote work, access to internet service meeting ERIE’s minimum requirement of 50 Mbps download and 10 Mbps upload.
• Regular and predictable attendance.

Nice To Haves

• Bachelor’s or Associate’s degree.
• Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30).

Responsibilities

• Investigates and adjudicates claims within designated authority while ensuring compliance with applicable statutory laws.
• Verifies coverage, establishes and maintains reserves, secures recorded statements, prepares and processes correspondence, reports, and records, and obtains information needed to determine liability.
• Documents claim files and facilitates claim processing in collaboration with other departments; assigns outside experts when needed to support investigation and potential recovery.
• Establishes contact with all parties involved in a claim in accordance with ERIE’s expectations.
• Evaluates and negotiates claims, recognizes subrogation opportunities, and initiates appropriate action.
• Sets up and/or issues settlement payments using approved methods, 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 and motor vehicle codes for each state.
• Learns and maintains knowledge of no-fault, medical management, and FPB laws for each state, including recognition of bodily injury claims.
• With supervisor guidance, responds to intercompany arbitration applications and files contentions and supporting documents on behalf of the insured or driver.
• Conducts research and attends industry-related and other training to stay current on policy changes, interpretation, and legislation.
• Provides support for property claims during periods of heavy volume.
• Maintains regular and predictable attendance.

Benefits

• Premier health, prescription, dental, and vision benefits for employees and dependents, with coverage beginning the first day of work.
• Low employee contributions to medical and prescription premiums; the company currently pays up to 97% of employees’ monthly premium costs.
• Traditional pension plan; full-time employees vest after five years of service.
• 401(k) with up to 4% contribution match, in addition to the pension.
• Paid vacation, personal days, sick days, bereavement days, and parental leave.
• Tuition reimbursement 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 community service.
• Dollar-for-dollar matching of charitable gifts each year.
• Position may be eligible for an annual bonus payment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED