Remote Medical Claims Processor

Erie Insurance; Columbus (OH); Remote; USD 56,000 - 90,000; Full time

Benefits offered by this job

Health benefits

Pension plan

401(k) with match

Paid time off

Career development

Job summary

Erie Insurance is seeking a remote Home & Auto Liability Claims professional to handle complex liability claims for the State of Ohio. The role supports the Casualty Claims Division and offers a comprehensive benefits package.

Responsibilities include investigations, evaluating coverage, setting reserves, and negotiations with parties. The role may involve travel for training, with strong emphasis on accuracy and customer service.

Qualifications

• High school diploma or equivalent and two years of claims or customer service experience, preferably with casualty claims.
• Equivalent educational experience will be considered.
• Associate's or Bachelor's degree is preferred.

Responsibilities

• Conducts investigations, evaluates coverage and liability.
• Sets and maintains reserves and documents files.
• Negotiates settlements and communicates with involved parties within designated authority.
• Trains and mentors others and may travel for training.

Skills

Claims experience

Customer service

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Job description

Division or Field Office:

Casualty Claims Division

Department of Position: Home & Auto Liability Dept

Work from:

Remote

Salary Range: $56,367.00 - $90,040.00 *

salary range is for this level and may vary based on actual level of role hired for

*This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment.

At Erie Insurance, you’re not just part of a Fortune 500 company; you’re also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia.

Benefits That Go Beyond The Basics We strive to be Above all in Service to our customers-and to our employees. That’s why Erie Insurance offers you an exceptional benefits package, including:

• ~ Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work.
• ~ Low contributions to medical and prescription premiums. We currently pay up to 97% of employees’ monthly premium costs.
• ~ Pension. We are among the 2% of Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of services.
• ~401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension.
• ~ 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.

Position Summary

Exercises independent discretion and judgement in claims handling involving complex liability issues, to include coverage issues and minor injury claims.

• ~ Candidates can live anywhere in the state of Ohio.
• ~ This is a remote, work from home position handling claims for the State of Ohio.

Duties and Responsibilities

• Conducts investigations, evaluate and make recommendations regarding coverage and liability.
• Sets and maintains reserves. Obtains documents to establish the value of claims and negotiates settlement or declines claim.
• Documents files and submits final report.
• Identifies subrogation opportunities and initiates appropriate action.
• Negotiates with all parties, or their representatives, within designated authority.
• Completes required training.
• Trains and mentors.
• Travel for training may be required.

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.

Regular and predictable attendance is an essential job function. For certain positions at ERIE, including leadership roles, regular and predictable onsite presence may also be an essential job function based on business and operational needs.

This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident.

Capabilities

• Values Diversity
• Nimble Learning
• Self-Development
• Collaborates
• Customer Focus
• Cultivates Innovation
• Information Management Skills
• Instills Trust
• Optimizes Work Processes (IC)
• Job-Specific Knowledge
• Ensures Accountability
• Decision Quality

Qualifications

Minimum Educational and Experience Requirements

High school diploma or equivalent and two years of claims or customer service experience, preferably with casualty claims, required.

Equivalent educational experience will be considered.

Associate's or Bachelor's degree, preferred.

Designations and/or Licenses

• ~ Appropriate license(s) as required by state(s) of operation.

Physical Requirements

• Lifting/Moving 0-20 lbs; Occasional (%)
• Lifting/Moving 20-50 lbs; Occasional (%)
• Driving; Occasional (%)
• Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%)