Inside Claims Representative

Date: Aug 25, 2019

Division or Field Office:

Customer Service Division

Department of Position: Zone Operations Dept 

Work from:

Kentucky Branch Office

 

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.  To attract and retain the best talent, we reward our team members with competitive salaries and a very generous benefits package.

 

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.

 

**This position is being re-posted.**

 

***There are three (3) positions available***

 

  • The selected candidate(s) will work out of our Kentucky Branch Office
  • Candidates with West Virginia and Kentucky licensing highly preferred
Duties and Responsibilities

Establishes contact with all parties involved in the claim in accordance with ERIE’s expectations.

 

 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. 

 

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.

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.

 

Obtains additional information as required to determine ERIE's liability.

 

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 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
Ability to Manage Complexity
Detail Orientation
Developing And Maintaining Relationships
Information Management Skills
Interpersonal Communication
Job-Specific Knowledge
Oral Communication
Planning And Organizing
Service Orientation
Time Management
Flexibility/Adaptability
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
Lifting 0-20 lbs; Occasional (<20%)
Lifting 20-50 lbs; Occasional (<20%)
Lifting Over 50 lbs; Occasional (<20%)
Driving; Rarely
Pushing/Pulling; Occasional (<20%)
Manual Keying/Data Entry; Frequent (50-80%)
Climbing; Rarely


Nearest Major Market: Lexington

Job Segment: Claims, Law, Liability, Customer Service Representative, Insurance, Legal, Customer Service