Inside Claims Representative I

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

📋 Description

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

• Address coverage and liability matters in line with applicable state insurance regulations, laws, and procedures.

• Investigate and assess claims while ensuring adherence to statutory requirements.

• Verify coverage, set and maintain reserves, obtain recorded statements, and draft as well as process correspondence, reports, and records.

• Gather additional information to assess liability.

• Document claim files and assist in claim processing with other departments.

• Engage external experts as necessary to aid investigations and potential recovery efforts.

• Establish communication with all parties involved in the claims process.

• Evaluate and negotiate claims, identify subrogation opportunities, and take appropriate action.

• Arrange or issue settlement payments using approved methods, or deny payments within assigned authority.

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

• Address intercompany arbitration applications with supervisor guidance and submit contentions and supporting documents.

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

• Provide assistance for property claims during peak volume periods.

⛳️ Requirements

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

• The selected candidate must live in close proximity to the Raleigh Branch Office.

• The chosen candidate must secure the necessary licensing within 45 days of employment.

• Remote employees are required to have an internet connection with a minimum of 50 Mbps download and 10 Mbps upload speed.

• Availability for weekday evening shifts and/or Saturday shifts is required based on business and service-level demands.

• Familiarity with liability laws for each state.

• Understanding of motor vehicle codes.

• Knowledge of no-fault/medical management/FPB laws for each state, including recognition of bodily injury claims.

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

• A Bachelor's or Associate's degree is preferred.

• Regular and predictable attendance is mandatory.

• Proficiency in manual keying, data entry, information input, and computer usage.

🏝️ Benefits

• Comprehensive health, prescription, dental, and vision benefits for you and your dependents; coverage starts on 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) plan 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 available for children and adults.

• Adoption assistance programs.

• Fertility and infertility coverage options.

• Well-being initiatives.

• Paid volunteer hours for community service activities.

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

• Opportunity to work from home near the Raleigh Branch Office.

• Career development opportunities, including industry-related training programs.