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Division or Field Office:
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Claims Division
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| Department of Position: |
Corporate Claims Department |
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Work from:
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Home in Erie's Footprint |
| Salary Range: |
77,638.00 - 124,019.00 *
salary range is for this level and may vary based on actual level of role hired for
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*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, 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
Manages operations of the Medicare resource team, assisting in operational effectiveness, talent management, staffing, and responsible for overall Medicare compliance, processes, and reporting.
Duties and Responsibilities
- Manages overall operations of designated area of authority. Interviews, hires, trains, and directs personnel. Prepares and conducts performance assessments, coordinates discipline and oversees Employee development as required.
- Analyzes and evaluates workload and staffing, to ensure team productivity and performance is adequate.
- Monitors the day-to-day operations to ensure compliance with established policies and procedures, communicating updates on department to leadership.
- Compiles and reviews multiple reports for statistical and financial tracking purposes to identify trends and deficiencies in Medicare reporting and develop action plans to ensure compliance.
- Develops and conducts Medicare related training as needed.
The first four 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
- Collaborates (Leader)
- Self-development (Leader)
- Customer Focus (Leader)
- Instills Trust (Leader)
- Persuades (Leader)
- Drives vision and purpose (Leader)
- Decision Quality (Leader)
- Cultivates Innovation (Leader)
- Nimble Learning (Leader)
- Develops Talent (Leader)
- Plans and Aligns (Leader)
- Values Diversity (Leader)
- Ensures Accountability (Leader)
- Optimizes Work Processes (Leader)
Qualifications
Minimum Educational and Experience Requirements
- Bachelor Degree preferred with two years' previous medical claim handling or equivalent experience required.
- Associate degree and four years' medical claims adjusting or equivalent experience, required; or
- High school diploma or equivalent and six years' previous medical claims adjusting or equivalent experience, required.
Additional Experience
- Knowledge of medical terminology and medical coding preferred.
- Strong communication and presentation skills preferred.
- Travel for training and business required.
Designations and/or Licenses
- Willingness to obtain and maintain any state required licenses.
- Completion of Associate in Claims (AIC) designation preferred.
Physical Requirements
- Climbing/accessing heights; Rarely
- Driving; Occasional (<20%)
- Lifting/Moving 0-20 lbs; Occasional (<20%)
- Lifting/Moving 20-50 lbs; Occasional (<20%)
- Ability to move over 50 lbs using lifting aide equipment; Occasional (<20%)
- Manual Keying/Data Entry/inputting information/computer use; Often (20-50%)
- Pushing/Pulling/moving objects, equipment with wheels; Occasional (<20%)
