Inside Claims Representative I

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

📋 Description

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

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

• Investigate and adjudicate claims while ensuring compliance with statutory requirements.

• Confirm coverage, establish and maintain reserves, obtain recorded statements, and draft/process correspondence, reports, and records.

• Gather additional information to assess liability.

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

• Engage outside experts as needed to support investigations and potential recoveries.

• Establish communication with all parties involved in claims.

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

• Organize and issue settlement payments using approved methods, or decline payments within designated authority.

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

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

• Conduct research and participate in industry-related and other training programs to remain updated on policy changes, interpretations, and legislation.

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

⛳️ Requirements

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

• Appropriate state licensing must be obtained within 45 days of employment for external candidates and within 90 days for internal candidates.

• Candidates located near the Raleigh Branch office are preferred and will work remotely.

• Weekend evening shifts and/or Saturday shifts may be required based on business and service level needs.

• Must have access to internet service with a minimum bandwidth of 50 Mbps download and 10 Mbps upload for remote work.

• Familiarity with liability laws for each state is essential.

• Understanding of motor vehicle codes is required.

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

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

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

• Proficiency in manual keying/data entry/computer usage is necessary.

• Must be capable of occasional lifting/moving up to 20 lbs, 20–50 lbs, and over 50 lbs using lifting aid equipment.

• Rarely required to climb or access heights.

• Driving is not a requirement.

🏝️ Benefits

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

• Low 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 a 4% contribution match.

• Paid vacation, personal days, sick days, bereavement days, and parental leave.

• Tuition reimbursement program for advanced education and industry designations.

• Company-covered 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 for community service.

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

• Opportunity to work remotely from home.