Inside Claims Representative

Erie Insurance Murrysville , PA 15668

Posted 4 weeks ago

Division or Field Office:

Customer Service Division

Department of Position: Zone Operations Dept

Work from:

Murrysville Field Office

At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 5,000 employees and over 2,200 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. To attract and retain the best talent, we reward our team members with competitive salaries and a very generous benefits package.

Position Summary

Handles liability and property claims within designated authority. Resolves coverage and/or liability issues in accordance with applicable state insurance laws, regulations and field office procedures.

  • During the current COVID19 event, the selected candidate will work from their home. The candidate will work from the Murrysville Branch Office once Erie's COVID19 restrictions are lifted.

Duties and Responsibilities

Investigates and adjudicates claims within designated authority, ensuring compliance with appropriate statutory laws. Verifies coverage, establishes and maintains reserves, secures recorded statements, drafts and processes correspondence, reports and records.

Documents claim files and facilitates processing of claims in collaboration with other departments. Assigns outside experts when necessary to assist in investigation and in support of potential recovery.

Establishes contact with all parties involved in the claim in accordance with ERIE's expectations.

Evaluates and negotiates claims, recognizes subrogation opportunities and initiates action. Issues checks for settlement or declines payment within designated authority.

Responds to inquiries from Policyholders, Agents, insurance carriers, claimants, assigned experts and others.

Obtains additional information as required to determine ERIE's liability.

Duties and Responsibilities (cont'd if applicable)

Learns and maintains knowledge of no fault/medical management/FPB laws for each state, including recognition of bodily injury claims.

Learns and maintains knowledge of liability laws for each state. Learns and maintains knowledge of motor vehicle codes.

Responds to intercompany arbitration applications. Files contentions and supporting documents on behalf of the insured/driver.

Conducts research, attends industry-related training programs and other training sessions to stay current on policy changes, interpretation or new legislation.

The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.

Competencies

Ability to Manage Complexity

Detail Orientation

Developing And Maintaining Relationships

Information Management Skills

Interpersonal Communication

Job-Specific Knowledge

Oral Communication

Planning And Organizing

Service Orientation

Time Management

Flexibility/Adaptability

Qualifications

Education Equivalents

High school diploma or GED and three years of related claims handling or customer service experience required; or

Associate's degree and 1 year of related claims handling or customer service experience required; or

Bachelor's degree required.

Completion of LOMASelect tests required. Passing score on LOMASelect tests preferred.

Successful completion of Introduction to Insurance (INTRO) and Introduction to Claims (AIC 30) preferred. Ability to obtain appropriate license as required by state within 90 days of employment in role. Position requires incumbents to provide support for property claims during periods of heavy volume.

Physical Requirements

Lifting 0-20 lbs; Occasional (< />

Lifting 20-50 lbs; Occasional (< />

Lifting Over 50 lbs; Occasional (< />

Driving; Rarely

Pushing/Pulling; Occasional (< />

Manual Keying/Data Entry; Frequent (50-80%)

Climbing; Rarely

Nearest Major Market: Pittsburgh



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Inside Claims Representative

Erie Insurance