Inside Claims Representative

Erie Insurance-posted 7 months ago
$44,055 - $70,372/Yr
Full-time • Entry Level
Remote • Parkersburg, WV
Insurance Carriers and Related Activities
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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. The selected candidate will reside within 50 miles of the Parkersburg Branch office and will work from home. Weekday evening shifts and/or Saturday shifts will be required based on business and service level needs. The selected candidate will be required to obtain appropriate licensing within 45 days. All Employees that work remotely must have access to internet service bandwidth speeds that meet ERIE's requirement of 50 mbps download and 10 mbps upload.

  • 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.
  • 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.
  • 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.
  • High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required.
  • 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.
  • Bachelor's or Associate's degree preferred.
  • Premier health, prescription, dental, and vision benefits for you and your dependents.
  • Low contributions to medical and prescription premiums.
  • Pension plan for full-time employees vested after five years of service.
  • 401(k) with up to 4% contribution match.
  • Paid vacation, personal days, sick days, bereavement days and parental leave.
  • 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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