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.
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.