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 supervision.

• Address coverage and liability concerns in line with relevant state insurance laws, regulations, and procedures.

• Conduct investigations and adjudicate claims while ensuring adherence to statutory laws.

• Confirm coverage, establish and maintain reserves, secure recorded statements, and prepare and process correspondence, reports, and records.

• Gather information to assess liability and document claim files.

• Facilitate claim processing with other departments and engage external experts when necessary.

• Establish communication with all parties involved in claims.

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

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

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

• Maintain a thorough understanding of liability laws, motor vehicle codes, no-fault, medical management, and FPB laws applicable to each state.

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

• Participate in industry-related training programs and research policy updates, interpretations, and legislation.

• 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 an equivalent educational background is required.

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

• External applicants must obtain all necessary state licensing within 45 days of employment; internal applicants have 90 days.

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

• Access to internet service with minimum speeds of 50 Mbps download and 10 Mbps upload is required.

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

• Rotating weekday evening and Saturday shifts are necessary based on business and service-level needs.

• Regular and predictable attendance is expected.

• Frequent manual keying, data entry, inputting information, and computer use are part of the job.

🏝️ Benefits

• Comprehensive health, prescription, dental, and vision benefits for you and your dependents; coverage begins 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) with a contribution match of up to 4%.

• 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 for community service.

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

• This position may qualify for an annual bonus payment.