Inside Claims Representative I

Erie InsuranceBrentwood, TN
95d$44,055 - $70,372Remote

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 position. Candidate must reside within 50 miles of ERIE's Nashville office (Brentwood, TN) or the Kentucky office (Lexington, KY). Schedule is Monday - Friday, 8:00 am - 4:30 pm Central Time. There is a requirement for the candidate to work evening and Saturday shifts on a rotating basis. Hours and schedule subject to change based on business and service level needs.

Requirements

  • High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required.
  • Bachelor's or Associate's degree preferred.
  • Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred.
  • 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.

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 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.
  • 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.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Insurance Carriers and Related Activities

Education Level

High school or GED

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