• 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.

• Manage rejected claims follow-up and resolution • Track claim submissions and monitor for denials or rejections • Investigate claim issues and coordinate corrective actions • Communicate directly with insurance companies regarding billing and reimbursement concerns • Handle insurance credentialing fixes and provider enrollment issues • Ensure provider credentialing remains updated and active within insurance systems and Tebra Care • Process insurance verification and eligibility checks • Support copay collection and insurance coordination workflows • Manage prior authorization workflows • Transfer patient information from Zocdoc into Tebra EMR • Assist with schedule management and calendar optimization • Maintain organized follow-up systems and documentation tracking • Collaborate closely with internal staff to support operational efficiency

Professional Liability Claims Examiner Location: Philadelphia, PA Job Description: Temporary Remote  contract interim position handling commercial  professional liability E&S related claims for an A rated insurance company. Must have a minimum of 5 years experience directly handling and settling commercial professional liability claims in an insurance carrier environment. Litigation experience is required. Strong knowledge  of coverages and exclusions. Must have a current Adjuster license or licenses.  This position is fully remote with all equipment provided.  Weekly pay. Apply today to Western International Staff, your insurance staffing specialists since 1996.  Dayne Hayes Western International Staff, Inc. President Please contact me with any questions: Email:  dhayes@westerninternational.com Phone:  (w) 480-777-0008 Ext 1 &nb

• Analyze mid- and higher-level workers compensation claims to determine benefits due • Ensure ongoing adjudication of claims within company standards and industry best practices • Identify subrogation of claims and negotiate settlements • Manage workers compensation claims determining compensability and benefits due on long term indemnity claims • Monitor reserve accuracy and file necessary documentation with state agency • Develop and manage workers compensation claims' action plans to resolution • Approve and process assigned claims and determine benefits due • Manage subrogation of claims and negotiate settlements • Communicate claim action with claimant and client • Ensure claim files are properly documented and claims coding is correct • Maintain professional client relationships