Medical Management Specialist – Personal Injury Protection

Erie Insurance Group

. Handle first-party medical benefit claims, including fatalities and wage loss claims, within designated authority .

Posted 11/6/2026full-timeWarrendale • Pennsylvania • United StatesJuniorMid-Level💰 $50,327 - $80,392 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in handling first-party medical benefit claims, including evaluating coverage, conducting investigations, and managing claims in compliance with applicable state laws. Proficient in medical terminology and capable of preparing detailed reports and correspondence.

Highest-signal resume keywords

Claims Handling ExperienceKnowledge Of Applicable State LawsMedical Terminology ExpertiseAIC Courses CompletionHigh School Diploma Or GED

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims EvaluationInvestigation TechniquesWage Loss CalculationClaims ManagementData EntryMedical Bill RepricingSubrogation IdentificationLegal ComplianceReport PreparationVendor Activity Control

Soft Skills

Communication SkillsProblem-SolvingAttention To DetailOrganizational SkillsTeam Collaboration

Certifications & Qualifications

Appropriate State LicenseCompletion Of Formal ERIE Training Program

Industry Keywords

First-Party Medical Benefit ClaimsNo-Fault LawsCivil LawHuman Anatomy KnowledgeInsurance Department ComplaintsFraud InvestigationClaims In LitigationTraining ProgramsClaim-Related Bills EvaluationEmployment-Related Records

About the role

Key responsibilities & impact

Handle first-party medical benefit claims, including fatalities and wage loss claims, within designated authority
Evaluate and make decisions regarding coverage
Conduct investigations, determine total claim values, set and maintain adequate reserves, and manage cases
Prepare correspondence and reports
Obtain medical and employment-related records
Calculate wage loss claims according to applicable state laws and bring claims to conclusion
Investigate, evaluate and resolve coverage questions in compliance with applicable state laws
Establish immediate contact with policyholders and claimants and contact agents as necessary
Review claim files regularly and take follow-up or closing action
Evaluate and process claim-related bills and medical, rehabilitation and special investigative reports
Determine claims to be paid, compromised or contested
Coordinate with the Home Office on serious or massive injury cases
Notify company investigative services regarding suspected fraud
Manage claims in litigation when appropriate and assist legal counsel with case strategy
Attend industry-related training programs to remain current on legal developments and ensure compliance
Assist or act on behalf of the supervisor, including handling insurance department complaints
Identify subrogation situations and initiate appropriate action
Develop expertise in legal and medical terminology and procedures
Assist in training branch office personnel
Assign, monitor and control vendor activities cost-effectively

Requirements

What you’ll need

High School Diploma or GED and two years of general claims handling experience required, or Bachelor’s Degree required
OR completion of formal ERIE training program required
Strong working knowledge of applicable state laws preferred
Good working knowledge of human anatomy and medical terminology preferred
Expertise in state no-fault laws and working knowledge of civil law preferred
Working knowledge of medical bill repricing system preferred
Successful completion of AIC courses preferred
Appropriate license as required by state
Regular and predictable attendance is an essential job function
Ability to perform occasional lifting/moving of 0–20 lbs and 20–50 lbs
Ability to move over 50 lbs using lifting aide equipment occasionally
Ability to push/pull/move wheeled objects or equipment occasionally
Manual keying, data entry, inputting information and computer use often
Driving rarely; climbing/accessing heights rarely

Benefits

Comp & perks

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; Erie currently pays up to 97% of employees’ monthly premium costs
Traditional pension plan; full-time employees are vested after five years of service
401(k) with up to 4% contribution match
Paid vacation, personal days, sick days, bereavement days and parental leave
Career development, including tuition reimbursement 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 community service
Dollar-for-dollar matching of charitable gifts each year
Position may be eligible for an annual bonus payment