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Inside Claims Representative
Erie Indemnity Company
Cary, NC, United States
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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.
Duties and Responsibilities
• Establishes immediate contact with all parties involved in the claim.
• Handles claims within designated authority, ensuring compliance with appropriate statutory laws. Verifies coverage, establishes and maintains reserves, takes recorded statements and processes correspondence, reports and records. Documents claim files and facilitates processing of claims with respective branch offices.
• Reviews claims in process , updates customers , and submits final reports to file.
• Evaluates and negotiates claims, recognizes subrogable situations and initiates action. Issues checks for settlement or declines payment within designated authority.
• Responds to claim inquiries from Policyholders, Agents and branch office personnel.
• Learns and maintains knowledge of 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.
• Obtains additional information as required to determine ERIE's liability.
• Responds to intercompany-arbitration applications. Files contentions and supporting documents on behalf of the insured/driver.
• Develops and maintains working knowledge of statutory laws and assigned field office procedures.
• Attends industry-related training programs and attends 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 Learn And Follow Procedures
Ability To Maintain Composure
Ability to Manage Complexity
Decision Making
Detail Orientation
Developing And Maintaining Relationships
Information Management Skills
Interpersonal Communication
Job-Specific Knowledge
Oral Communication
Planning And Organizing
Problem Analysis
Reading Comprehension
Service Orientation
Time Management
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. Willingness to obtain appropriate license as required by state. Position requires the incumbent to serve on the Emergency Response Team, which may include, but is not limited to, travel on short notice to other locations for periods in excess of two consecutive weeks.
Physical Requirements
Lifting 0-20 lbs; Occasional (<20%)
Lifting 20-50 lbs; Occasional (<20%)
Lifting Over 50 lbs; Occasional (<20%)
Driving; Rarely
Pushing/Pulling; Occasional (<20%)
Manual Keying/Data Entry; Frequent (50-80%)
Climbing; Rarely