Inside Claims Representative I

Duties and Responsibilities

• Investigates and adjudicates claims within designated authority, ensuring compliance with applicable state insurance laws, regulations, and procedures.
• 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.
• 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.

Qualifications

• 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.