Inside Claims Representative
Date: Apr 20, 2021
Location: Raleigh, NC, US, 27518
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Division or Field Office: |
Customer Service Division |
| Department of Position: | Zone Operations Dept |
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Work from: |
Raleigh 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.
- The successful candidate will work out of the Cary office with hours from 8:00 – 4:30.
- The successful candidate could be expected to work weekday evenings until 7pm and/or rotating Saturdays based upon business need.
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
Job Segment:
Claims, Liability, Law, Customer Service Representative, Insurance, Legal, Customer Service
