Inside Claims Representative I

Erie Insurance•Upper Allen Township, PA

8d•$44,936 - $71,781•Remote

About The Position

Under close supervision, handles liability and property claims within designated authority and 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 near ERIE’s Harrisburg Branch Office are preferred. The primary schedule is 8:00 a.m. to 4:30 p.m., Monday through Friday, Eastern Time, with rotating weekday evening and Saturday shifts required based on business and service-level needs. The schedule may change based on business needs. The selected candidate must obtain required state licensing within 45 days of employment. Remote employees must have internet service with minimum speeds of 50 Mbps download and 10 Mbps upload. The role requires regular and predictable attendance. Its first five listed duties are identified as essential functions. The position description notes that other job-related duties may be assigned by the supervisor or arise as needed.

Requirements

High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience.
Obtain appropriate state licenses within 45 days of employment for external applicants; internal applicants must obtain them within 90 days.
Remote employees must have internet service with minimum speeds of 50 Mbps download and 10 Mbps upload.
Regular and predictable attendance.

Nice To Haves

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

Responsibilities

Investigate and adjudicate claims within designated authority, ensuring compliance with applicable statutory laws; verify coverage, establish and maintain reserves, obtain recorded statements, draft and process correspondence, reports, and records, obtain information needed to determine liability, document claim files, coordinate claim processing with other departments, and assign outside experts when necessary.
Establish contact with all parties involved in a claim in accordance with ERIE’s expectations.
Evaluate and negotiate claims, identify subrogation opportunities, and initiate action; issue or arrange settlement payments using approved methods, or decline payment within designated authority.
Respond to inquiries from policyholders, agents, insurance carriers, claimants, assigned experts, and others.
Learn and maintain knowledge of each state’s liability laws and motor vehicle codes.
Learn and maintain knowledge of state no-fault, medical management, and FPB laws, including recognition of bodily injury claims.
With supervisor guidance, respond to intercompany arbitration applications and file contentions and supporting documents on behalf of the insured or driver.
Conduct research and attend industry-related training and other training sessions to stay current on policy changes, interpretations, and legislation.
Provide support for property claims during periods of heavy volume.

Benefits

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 are vested 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.