Medical claims processor Jobs in Raleigh, NC

Division or Field Office: Casualty Claims Division Department of Position: Zone Operations Dept Work from: Raleigh Branch Office Salary Range: $40,121.00-$64,090.00* salary range is for thislevel 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 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. 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 Under minimal supervision, settles claims within limits of authority. • The selected candidate will report to the Raleigh Branch. • The selected candidate will be required to obtain appropriate licensing within 45 days. Duties and Responsibilities * Processes first party automobile, third party clear liability automobile and low severity property claims within limits of authority.
Contacts Policyholders and/or claimants, verifies coverage, sets reserves, sets up and/or issues payment using ERIE's approved payment methods, and settles claims. * Establishes contact with all parties involved in the claim in accordance with ERIE's expectations. * Handles inquiries from Policyholders, Agents, insurance carriers, claimants and others. * Enters loss information into claims system. * Prepares correspondence, forms and related materials.
Reviews all pending claims/activities on a regular basis. * Provides support for property claims during periods of heavy volume. The first six 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. 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 * Self-Development * Collaborates * Cultivates Innovation * Instills Trust * Decision Quality * Values Diversity * Nimble Learning * Customer Focus * Optimizes Work Processes (IC) * Ensures Accountability * Detail Orientation * Information Management Skills * Job-Specific Knowledge Qualifications Minimum Educational and Experience Requirements * High school diploma or GED and one year of related claims handling, customer service, or clerical experience required; or equivalent educational experience required. * Bachelor's or Associate's degree preferred. Additional Experience * Pursuit of general insurance education preferred. Designations and/or Licenses * Obtain appropriate licenses as required by state within 45 days of employment in the role for external applicants and 90 days of employment in the role for internal applicants. Physical Requirements * Driving; Rarely * Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%) * Climbing/accessing heights; Rarely * Ability to move over 50 lbs using lifting aide equipment; Rarely * Lifting/Moving 0-20 lbs; Rarely * Lifting/Moving 20-50 lbs; Rarely * Pushing/Pulling/moving objects, equipment with wheels; Rarely Nearest Major Market: Raleigh