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 while under close supervision.

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

• Investigate and adjudicate claims, validating coverage and establishing and maintaining reserves.

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

• Gather information to ascertain liability and document claims files.

• Coordinate claim processing with other departments.

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

• Initiate contact with all parties involved in the claims process.

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

• Arrange or issue settlement payments using authorized payment methods, or decline payments within assigned authority.

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

• Respond to intercompany arbitration applications with guidance from a supervisor and file contentions along with supporting documents.

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

• Offer support for property claims during periods of high volume.

⛳️ Requirements

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

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

• Must acquire all necessary state licensing within 45 days of employment.

• Remote employees are required to have internet service with minimum speeds of 50 Mbps download and 10 Mbps upload.

• Ability to adhere to the primary schedule of 8:00 a.m.–4:30 p.m., Monday through Friday, Eastern Time.

• Must work rotating weekday evening and Saturday shifts based on business and service-level requirements.

• Understanding of liability laws applicable in each state.

• Familiarity with motor vehicle codes.

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

• Frequent manual keying, data entry, and computer usage required.

• Consistent and predictable attendance is essential.

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

🏝️ Benefits

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

• Minimal contributions to medical and prescription premiums; Erie 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 leave, bereavement days, and parental leave.

• Tuition reimbursement program for higher education and industry certifications.

• Company-paid basic life insurance.

• Short- and long-term disability insurance options.

• Orthodontic coverage available for both children and adults.

• Adoption assistance program.

• Coverage for fertility and infertility treatments.

• Well-being initiatives.

• Paid volunteer hours for community service activities.

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

• Flexible remote work-from-home arrangements.