Inside Claims Specialist - Erie Insurance

Division or Field Office:

Customer Service Division
Department of Position: Zone Operations Dept
Work from:
Salary Range:
$53,114.00-$84,844.00*

salary range is for thislevel and may vary based on actual level of role hired for

*This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment.

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.

Benefits That Go Beyond The Basics

We strive to be Above all in Service® to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including:

• Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work.
• Low contributions to medical and prescription premiums. We currently pay up to 97% of employees' monthly premium costs.
• Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service.
• 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension.
• Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave.
• Career development. Including a tuition reimbursement program for higher education and industry designations.

Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.

Position Summary

Investigates and adjudicates complex claims within designated authority. Resolves coverage and/or liability issues in accordance with applicable state laws, regulations and procedures.

Please note, this position is being reposted due to a salary grade change.

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.

Investigates and determines applicability of coverage in claims, included, but not limited to ride share claims, repossession claims, low limit property damage and insured non-cooperation issues; or investigates auto theft and fire claims under the personal, commercial and garage auto policies, ensuring compliance with appropriate statutory laws. Interacts with Home Office examination regarding claims that meet conversion criteria.

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, ISS, Claims Examination, assigned experts and others.

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

Duties and Responsibilities (cont'd if applicable)

Secures and maintains licenses as required in order to investigate and adjudicate claims that arise in territories external to ERIE's footprint.

Serves as a mentor and/or trainer for individuals new to the ICR role.

Identifies subrogation opportunities and responds to intercompany-arbitration applications.

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.

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

This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident.

The first six 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

Self-Development

Collaborates

Cultivates Innovation

Instills Trust

Decision Quality

Values Diversity

Nimble Learning

Customer Focus

Optimizes Work Processes

Ensures Accountability

Detail Orientation

Information Management Skills

Job-Specific Knowledge

Qualifications

Bachelor's degree and one year of claims handling experience required; or

Associate's degree and three years of related claims handling or customer service experience required; or

High school diploma or GED and five years of related claims handling or customer service experience required.

Successful completion of Associate in Claims (AIC 30) preferred.Obtain appropriate licenses as required by state within 45 days of employment in the role for external applicants and 90 days of employment in the role for internal applicants. Position requires incumbents to provide support for property claims during periods of heavy volume.

Physical Requirements

Manual Keying/Data Entry/inputting information/computer use; Often (20-50%)

Ability to move over 50 lbs using lifting aide equipment; Rarely

Driving; Rarely

Lifting/Moving 0-20 lbs; Rarely

Lifting/Moving 20-50 lbs; Rarely

Pushing/Pulling/moving objects, equipment with wheels; Rarely

Nearest Major Market: Canton
Nearest Secondary Market: Akron