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Inside Claims Representative I

Erie Insurance Group, Tucson, Arizona, United States, 85718

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divh2Inside Claims Representative I/h2pUnder close supervision, handles liability and property claims within designated authority. Resolves coverage and/or liability issues in accordance with applicable state insurance laws, regulations, and procedures. This is a remote position. Candidate must reside within 50 miles of ERIEs Lexington, KY Branch Offices. Hours are Monday - Friday, 8:00 am - 4:30 pm, with required evening and Saturday hours on a rotating basis. Schedule and work location is subject to change based on business and service level requirements./ppInvestigates 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./ppEstablishes contact with all parties involved in the claim in accordance with ERIEs expectations./ppEvaluates and negotiates claims, recognizes subrogation opportunities, and initiates action. Sets up and/or issues payment using ERIEs approved payment methods for settlement; or declines payment within designated authority./ppResponds to inquiries from Policyholders, Agents, insurance carriers, claimants, assigned experts and others./ppLearns and maintains knowledge of liability laws for each state. Learns and maintains knowledge of motor vehicle codes./ppLearns and maintains knowledge of no fault/medical management/FPB laws for each state, including recognition of bodily injury claims./ppWith supervisor guidance, responds to intercompany arbitration applications. Files contentions and supporting documents on behalf of the insured/driver./ppConducts research, attends industry-related training programs and other training sessions to stay current on policy changes, interpretation, or new legislation./ppProvides support for property claims during periods of heavy volume./ppSelf-Development, Collaborates, Cultivates Innovation, Instills Trust, Decision Quality, Values Diversity, Nimble Learning, Customer Focus, Optimizes Work Processes (IC), Ensures Accountability, Detail Orientation, Information Management Skills, Job-Specific Knowledge/ppMinimum Educational and Experience Requirements: High school diploma or GED and two years of related claims handling or customer service experience, or equivalent educational experience required. Bachelors or Associates degree preferred./ppDesignations and/or Licenses: 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./ppPhysical Requirements: Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%). Climbing/accessing heights; Rarely. Ability to move over 50 lbs using lifting aide equipment; Rarely. Driving; Never. Lifting/Moving 0-20 lbs; Rarely. Lifting/Moving 20-50 lbs; Rarely. Pushing/Pulling/moving objects, equipment with wheels; Rarely./p/div