Claims Examiner jobs in United States
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Erie Insurance Group · 1 day ago

Claims Examiner

Erie Insurance Group is a Fortune 500 company that values diversity and inclusivity among its employees. They are seeking a Claims Examiner to perform independent claims examination activities, focusing on complex claims with high exposure and liability coverage. The successful candidate will manage litigation processes and collaborate with field management to ensure compliance and improve claims handling processes.

Property Insurance

Responsibilities

Directs field management on the handling of complex claims including coverage, reserving and resolution strategy
Responsible for files involving litigation against ERIE. Manages the litigation process including collaboration with Claims Legal Department and outside counsel
Directs investigation, settlement, and/or coverage denials of claims. Directs appeal process and handling of excess verdicts
Reviews files and collaborates with field Management on recommendations for improvement as appropriate. Visits field offices on a periodic basis to conduct training including, but not limited to, claims handling processes and procedures, coverage, statutory changes and reserving
Reviews and analyzes statutory changes and works to ensure applicable changes are implemented for compliance in designated jurisdictions
Assists defense counsel in litigation and trial as needed
Participates in or leads special projects with other departments

Qualification

Claims ExaminationLiability KnowledgeCoverage AnalysisProfessional DesignationAdjusting Complex ClaimsSelf-DevelopmentNimble LearningDecision QualityInformation ManagementCollaborationCustomer Focus

Required

Bachelor's degree with five years' experience adjusting complex claim matters, required; or
Associate's degree with seven years' experience adjusting complex claim matters, required; or
High school diploma or GED with nine years' experience adjusting complex claim matters, required
Extensive knowledge of applicable line of business (Worker's Compensation, Liability, Medical Management, or Property) required
Valid driver's license required

Preferred

Pursuit and successful completion of a professional designation, such as AIC, CPCU, SCLA, WCLA or equivalent, preferred

Benefits

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 one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service.
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.
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
Dollar-for-dollar matching of your charitable gifts each year.

Company

Erie Insurance Group

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Erie Insurance offers a range of services to meet family insurance needs, including a variety of home and tenant (renters) insurance policy.

Funding

Current Stage
Public Company
Total Funding
unknown
1995-10-13IPO

Leadership Team

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Ron Habursky
SVP & Chief Investment Officer
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Timothy Shine
Senior Vice President, IT
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Company data provided by crunchbase