Claims Assistant I

Erie and Niagara Insurance; Eggertsville (NY); Sur place; USD 42 000 - 56 000; Plein temps

Avantages offerts par ce poste

Health, Dental and Vision insurance

Life Insurance

Short- and long-term disability

401k with up to 6% company match

Pension

Generous PTO

Profit sharing

Résumé du poste

Erie and Niagara Insurance in Williamsville, NY, seeks a Claims Assistant to support daily claim payments and processing. You will analyze information to evaluate coverage, determine liability, and settle claims within authority.

The role involves interacting with insureds, claimants, agents, and partners while maintaining accurate records. The position offers comprehensive benefits and opportunities to grow within a respected Western New York company.

Qualifications

• Associate degree preferred; INS designation or pursuit required.
• Knowledge of insurance policy forms and coverages.
• Proficient in Word, Excel and Outlook.
• Strong verbal and written communication; detail oriented.
• Ability to work independently or in a team; maintain confidentiality.

Responsabilités

• Process daily incoming/outgoing claims mail, email and faxed material; document files.
• Set up claims, obtain policy information, and input data into systems.
• Document all activity clearly and timely in the claim system.
• Communicate effectively with insureds, claimants, agents and colleagues.
• Enter indemnity and expense payments and reconcile payments daily.
• Input reserves accurately within authority; prepare and reconcile reports.
• Submit and reconcile claims via ISO and respond to formal complaints timely.
• Classify files with markers and manage revenue-related reconciliations.
• Prepare training materials and assist with training for claim assistants.

Connaissances

Verbal communication

Written communication

Detail oriented

Formation

Associate’s degree preferred

INS Designation or pursuing thereof

Outils

Microsoft Word

Microsoft Excel

Microsoft Outlook

Description du poste

Williamsville, NY, US

Salary Range: $41,600.00 To $56,160.00 Annually

Position Overview

Erie and Niagara is seeking a Claims Assistant. This is a great opportunity to join an established WNY company. The Claims Assistant is the primary point of contact for processing claim payments, is responsible for analyzing information obtained in order to evaluate claims; determine coverage; extent of loss or liability; settles claims within prescribed limits. Works under general supervision and is required to exercise independent judgment within a defined scope of authority.

We offer a competitive benefits package including:

• Health, Dental and Vision insurance
• Life Insurance
• Short- and long-term disability insurance
• Supplemental benefit and insurance options
• 401k with up to 6% company match
• Pension
• Generous PTO
• Profit share and more!

Responsibilities

• Responsible for processing daily incoming and outgoing claims mail, email and faxed material. Document files and/or systems accordingly.
• Responsible for setting up claims, including taking new loss reports, establishing claim files, obtaining policy information and inputting and/or documenting same within various computer systems.
• Responsible for documenting all file and/or system activity timely, clearly and concisely.
• Effectively communicate and build rapport with insureds, claimants, agents, internal and external colleagues and associated business partners.
• Responsible for timely and accurate indemnity and expense payment entries and processing via manual and system-based applications. Responsibilities include ensuring outgoing payments are delivered daily for mailing.
• Responsible for inputting indemnity and expense reserves timely and accurately within systems based on a predetermined scope of authority and/or as directed.
• Responsible for timely and accurate submission and reconciliation of claims via ISO for purposes of first party property (NYCRR 62.2.2) and third-party CMS reporting. Responsibilities include incorporating ISO responses within specific claim files and/or systems.
• Responsible for entering prepared responses to NYDFS, BBB and/or third-party formal complaints timely via NYDFS/BBB web site, portal and/or by other means dictated. Responsibility includes timely cataloging said responses in the appropriate claim system.
• Responsible for adding file markers (ie: reinsurance, subrogation, liability, property, litigation, CAT) and associated classifications within systems.
• Responsible for payment reconciliation (ie: Adjuster expense, subrogation).
• Responsible for preparing and distributing various claim reports to ENIA staff.
• Responsible for preparing training material in connection with Claim Assistant duties and functions, to include assistance with and or leading training exercises.
• Responsible for performing related administrative and/or technical tasks and duties as assigned by Claims Specialists and/or Director of Claims

Qualifications

• Associate’s degree is preferred
• INS Designation or pursuit thereof is required
• Demonstrated knowledge of insurance policy forms and coverages
• Proficient computer skills include Microsoft Word, Excel, and Outlook applications
• Must work well both independently and in a team environment.
• Strong verbal and written communication skills
• Detailed oriented, maintaining high level of accuracy
• Exercises good judgment when corresponding with agents, insureds and claimants
• Ability to maintain confidential information

Pay range for this position is $41,600-$56,160 annually depending on experience and qualifications of the selected candidate. The expected salary range for this position is displayed in accordance with the New York State Pay Transparency Law.

Erie and Niagara is proud to be an equal opportunity employer.