Inside Claims Representative

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Manage liability and property claims within assigned authority under close supervision.

• Address coverage and liability matters in compliance with relevant state insurance laws, regulations, and procedures.

• Investigate and adjudicate claims while confirming coverage and establishing and maintaining reserves.

• Gather recorded statements and draft as well as process correspondence, reports, and records.

• Collect information to assess liability and document claim files.

• Coordinate claim processing with other departments.

• Engage external experts as necessary for investigation and potential recovery.

• Establish communication with all parties involved in claims.

• Assess and negotiate claims, identify subrogation opportunities, and initiate necessary actions.

• Set up or issue settlement payments using approved methods, or decline payment within designated authority.

• Address inquiries from policyholders, agents, insurance carriers, claimants, assigned experts, and others.

• Respond to intercompany arbitration applications with supervisor guidance, filing contentions and supporting documents.

• Conduct research and participate in industry-related and other training programs.

• Provide assistance for property claims during high-volume periods.

⛳️ Requirements

• High school diploma or GED along with two years of relevant claims handling or customer service experience, or equivalent educational experience required.

• Bachelor’s or Associate’s degree is preferred.

• Must secure all required state licenses within 45 days of employment for external candidates and 90 days for internal candidates.

• Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) is preferred.

• Internet service with minimum speeds of 50 Mbps download and 10 Mbps upload is necessary for remote work.

• Availability for a primary schedule of 8:00 a.m.–4:30 p.m., Monday through Friday, Eastern Time.

• Rotating weekday evening and Saturday shifts are required based on business and service-level demands.

• Regular and reliable attendance is necessary.

• Ability to frequently perform manual keying, data entry, information inputting, and computer use.

• Must learn and maintain knowledge of liability laws, motor vehicle codes, no-fault/medical management/FPB laws, bodily injury claims, policy changes, interpretation, and new legislation.

🏝️ Benefits

• Comprehensive health, prescription, dental, and vision benefits for you and your dependents; coverage starts your first day of work.

• Minimal contributions to medical and prescription premiums; Erie currently covers up to 97% of employees’ monthly premium costs.

• Traditional pension plan; full-time employees become 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 both children and adults.

• Adoption assistance.

• Coverage for fertility and infertility treatments.

• Well-being programs.

• Paid volunteer hours.

• Dollar-for-dollar matching of charitable contributions each year.

• Potential annual bonus payment.

• Remote, work-from-home position.