Job Description
Job Description: • 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. • Obtains additional information as required to determine liability. • 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. • Sets up and/or issues payment using ERIE’s approved payment methods for settlement; or declines payment within designated authority. • Responds to inquiries from Policyholders, Agents, insurance carriers, claimants, assigned experts and others. • Learns and maintains knowledge of liability laws for each state. • Learns and maintains knowledge of motor vehicle codes. • Learns and maintains knowledge of no fault/medical management/FPB laws for each state, including recognition of bodily injury claims. • With supervisor guidance, 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. • Provides support for property claims during periods of heavy volume. Requirements: • High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required. • Bachelor’s or Associate’s degree preferred. • Successful completion of Introduction to Insurance (INTRO) and Introduction to 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. Benefits: • 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. • 401(k) with up to 4% contribution match. • Paid time off. • Career development. • 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.