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About the Role
The Claims Assistant is the primary point of contact for processing claim payments, analyzing information to evaluate claims, determining coverage, extent of loss or liability, and settling claims within prescribed limits. This role requires independent judgment within a defined scope of authority.
Responsibilities
- Process daily incoming and outgoing claims mail, email, and faxed material, documenting files and/or systems accordingly.
- Set up claims, including taking new loss reports, establishing claim files, obtaining policy information, and inputting/documenting within various computer systems.
- Document 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.
- Process timely and accurate indemnity and expense payments via manual and system-based applications, ensuring outgoing payments are delivered daily for mailing.
- Input indemnity and expense reserves timely and accurately within systems based on a predetermined scope of authority or as directed.
- Submit and reconcile claims via ISO for first-party property and third-party CMS reporting, incorporating ISO responses within specific claim files and/or systems.
- Enter prepared responses to NYDFS, BBB, and/or third-party formal complaints timely via specified web sites or portals, cataloging said responses in the appropriate claim system.
- Add file markers (e.g., reinsurance, subrogation, liability, property, litigation, CAT) and associated classifications within systems.
- Reconcile payments (e.g., Adjuster expense, subrogation).
- Prepare and distribute various claim reports to ENIA staff.
- Prepare training material in connection with Claim Assistant duties and functions, including assistance with or leading training exercises.
- Perform related administrative and/or technical tasks and duties as assigned by Claims Specialists and/or Director of Claims.
Requirements
- 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 a high level of accuracy.
- Exercises good judgment when corresponding with agents, insureds, and claimants.
- Ability to maintain confidential information.
Skills
- Claims processing
- Data entry
- Communication
- Interpersonal skills
- Attention to detail
- Problem-solving
- Computer proficiency
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Location
- WNY
Work Type
- Full-time
Experience Level
- Depending on experience and qualifications
Education Level
- Associate’s degree is preferred
- INS Designation or pursuit thereof is required
Salary/Compensations
- $41,600-$56,160 annually
Benefits
- 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
About the Company
- Erie and Niagara is an established WNY company.
Equal Opportunity
- Erie and Niagara is proud to be an equal opportunity employer.