Inside Claims Representative I
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, with candidates near ERIE’s Harrisburg Branch Office 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 licenses within the applicable timeframe. Remote employees must have 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.
- Obtain appropriate state licenses within 45 days of employment for external applicants; internal applicants have 90 days.
- Remote work requires internet service with minimum speeds of 50 Mbps download and 10 Mbps upload.
Nice To Haves
- Bachelor’s or Associate’s degree.
- Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30).
- Location within proximity to ERIE’s Harrisburg Branch Office.
Responsibilities
- Investigate and adjudicate claims within designated authority, complying with applicable statutory laws; verify coverage, establish and maintain reserves, secure recorded statements, prepare and process correspondence, reports, and records, obtain additional information to determine liability, document claim files, coordinate claim processing with other departments, and assign outside experts when needed.
- Establish contact with all parties involved in a claim in accordance with ERIE’s expectations.
- Evaluate and negotiate claims, recognize subrogation opportunities, and initiate action; arrange or issue 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 liability laws and motor vehicle codes for each state.
- Learn and maintain knowledge of each state’s no-fault, medical management, and FPB laws, including recognizing 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 and other training to stay current on policy changes, interpretation, and new legislation.
- Provide support for property claims during periods of heavy volume.
- Maintain regular and predictable attendance.
Benefits
- Premier health, prescription, dental, and vision benefits for employees and dependents, with coverage beginning on 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
