
Inside Claims Representative
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in Pennsylvania.
• Manage liability and property claims within assigned authority with close oversight.
• Address coverage and liability concerns in compliance with relevant state insurance laws, regulations, and procedures.
• Conduct investigations and adjudicate claims while confirming coverage and establishing and maintaining reserves.
• Collect recorded statements and draft/process necessary correspondence, reports, and records.
• Gather additional information to assess liability.
• Maintain documentation of claim files and assist in claim processing with other departments.
• Engage outside experts to aid in investigations and potential recoveries.
• Communicate with all parties involved in claims.
• Assess and negotiate claims, identify subrogation opportunities, and take necessary actions.
• Arrange for and issue settlement payments through approved methods or decline payments within assigned authority.
• Address inquiries from policyholders, agents, insurance providers, claimants, assigned experts, and others.
• Respond to intercompany arbitration requests with guidance from supervisors and file contentions along with supporting documents.
• Perform research and participate in industry-related training sessions.
• Provide assistance for property claims during peak volume periods.
• A high school diploma or GED along with two years of relevant claims handling or customer service experience, or equivalent educational background is required.
• A Bachelor’s or Associate’s degree is preferred.
• Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) is preferred.
• Must secure all necessary state licenses within 45 days of employment for external candidates and 90 days for internal candidates.
• Access to internet service with minimum speeds of 50 Mbps for downloads and 10 Mbps for uploads.
• Ability to work the primary schedule of 8:00 a.m. to 4:30 p.m., Monday through Friday, Eastern Time.
• Flexibility to work rotating weekday evening and Saturday shifts based on business and service-level demands.
• Regular and dependable attendance is required.
• Proficient in manual keying/data entry/computer usage.
• Capability to learn and retain knowledge of liability laws, motor vehicle codes, no-fault/medical management/FPB laws, and bodily injury claims.
• Ability to move over 50 lbs with the occasional use of lifting aid equipment.
• Ability to lift/move 0–20 lbs and 20–50 lbs on rare occasions.
• Comprehensive health, prescription, dental, and vision benefits for you and your dependents; coverage starts on your first day of employment.
• 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) plan with up to 4% contribution matching.
• Paid vacation, personal days, sick days, bereavement days, and parental leave.
• Tuition reimbursement program for higher education and industry qualifications.
• Company-sponsored basic life insurance.
• Short- and long-term disability insurance.
• Orthodontic coverage available for both children and adults.
• Adoption assistance provided.
• Coverage for fertility and infertility treatments.
• Well-being programs available.
• Paid volunteer hours offered.
• Dollar-for-dollar matching of charitable contributions each year.
• Remote, work-from-home position available.
• Opportunities for career development and industry-related training programs.
Great American Insurance Group
Blue Cross and Blue Shield of Louisiana
Counterpart
Sedgwick
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