Inside Claims Representative Job at Erie Insurance
Division or Field Office:
Customer Service Division
Work from:
At Erie Insurance, you’re not just part of a Fortune 500 company; you’re also a valued member of a diverse and inclusive team that includes more than 5,000 employees and over 2,200 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia.
We strive to be Above all in Service® to our customers—and to our employees. That’s why Erie Insurance offers you an exceptional benefits package, including:
- 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.
- A 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.
- A 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension.
- Paid vacation, personal days, sick days, bereavement days and parental leave.
- Career development, including a tuition reimbursement program for higher education and industry designations.
- Additional benefits that include 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.
Position Summary
Handles liability and property claims within designated authority. Resolves coverage and/or liability issues in accordance with applicable state insurance laws, regulations and field office procedures.
- There are multiple positions available.
- Weekday evening shifts and/or Saturday shifts will be required based on business and service level needs.
- The selected candidate for this position may reside anywhere in the state of North Carolina and will work from home. The selected candidate will be required to obtain appropriate licensing.
- 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.
Duties and 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. 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. Issues checks for settlement or declines payment within designated authority.
Responds to inquiries from Policyholders, Agents, insurance carriers, claimants, assigned experts and others.
Obtains additional information as required to determine ERIE's liability.
Duties and Responsibilities (cont'd if applicable)
Learns and maintains knowledge of no fault/medical management/FPB laws for each state, including recognition of bodily injury claims.
Learns and maintains knowledge of liability laws for each state. Learns and maintains knowledge of motor vehicle codes.
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.
The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.
Competencies
Qualifications
Education Equivalents
High school diploma or GED and three years of related claims handling or customer service experience required; or
Associate's degree and 1 year of related claims handling or customer service experience required; or
Bachelor's degree required.
Completion of LOMASelect tests required. Passing score on LOMASelect tests preferred. Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred. Ability to obtain appropriate license as required by state within 90 days of employment in role. Position requires incumbents to provide support for property claims during periods of heavy volume.
Physical Requirements
Nearest Major Market: Raleigh
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