Claims Examiner
Date: Apr 15, 2024
Location: Erie, PA, US, 16530
Company: Erie Insurance
|
Division or Field Office: |
Claims Division |
| Department of Position: | Corporate Claims Department |
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Work from: |
ERIE's Footprint |
| Salary Range: |
$95,478.00 - $152,516.00 * salary range is for this level and may vary based on actual level of role hired for |
*This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment.
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 6,000 employees and over 13,000 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.
Benefits That Go Beyond The Basics
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.
- 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.
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
Performs independent claims examination activities for the field or home offices. Analyzes claims with high exposure and/or complexity.
- The successful candidate will have a focus on and be well versed in Liability, Coverage and Litigation.
- Successful candidate will work from the Home and live in ERIE’s Footprint.
Duties and Responsibilities
Directs field management on the handling of complex claims including coverage, reserving and resolution strategy.
Responsible for files involving litigation against ERIE. Manages the litigation process including collaboration with Claims Legal Department and outside counsel.
Directs investigation, settlement, and/or coverage denials of claims. Directs appeal process and handling of excess verdicts.
Reviews files and collaborates with field Management on recommendations for improvement as appropriate. Visits field offices on a periodic basis to conduct training including, but not limited to, claims handling processes and procedures, coverage, statutory changes and reserving.
Reviews and analyzes statutory changes and works to ensure applicable changes are implemented for compliance in designated jurisdictions.
Assists defense counsel in litigation and trial as needed.
Participates in or leads special projects with other departments.
The first four 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.
This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident.
Competencies
Qualifications
The minimum education and experience requirements are as follows:
Bachelor's degree with five years’ experience adjusting complex claim matters, required; or Associate's degree with seven years’ experience adjusting complex claim matters, required; or
High school diploma or GED with nine years’ experience adjusting complex claim matters, required.
Extensive knowledge of applicable line of business (Worker’s Compensation, Liability, Medical Management, or Property) required. Occasional overnight travel may be required. Valid driver's license required. Pursuit and successful completion of a professional designation, such as AIC, CPCU, SCLA, WCLA or equivalent, preferred.
Physical Requirements
Nearest Major Market: Erie
