Field Claims Specialist investigating and adjusting high exposure Minnesota workers' compensation claims. Collaborating closely with claimants, attorneys, and other vendors while handling settlements and negotiations.
About the role
- Claims Representative handling liability and property claims with close supervision at Erie Insurance. Resolving coverage and liability issues in accordance with state insurance laws in remote position.
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.
- 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.
- Low contributions to medical and prescription premiums.
- Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan.
- 401(k) with up to 4% contribution match.
- 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.
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