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Plymouth Rock Assurance · 2 weeks ago

Claims Representative, Casualty

Mount Laurel, NJ

Full-time

Onsite

Mid Level

$58K/yr - $76K/yr

3+ years exp

Plymouth Rock Assurance is a leading insurance company managing over $2 billion in personal and commercial insurance. They are seeking a Casualty Claim Representative responsible for handling First- and Third-Party Bodily Injury and Physical Damage claims, conducting investigations, and managing vendor interactions to ensure claims are resolved efficiently.

Auto InsuranceFinancial ServicesInsurance

H1B Sponsor Likely

Responsibilities

Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims

Analyze, review and interpret policies to assess coverage and liability. Provide advice to Excess and Primary coverage issues

Willing to conduct investigations, interviews with insureds, witnesses and claimants while maintaining a pending of represented claimant cases

Manage and direct outside vendors (Field/Counsel/Surveillance, Etc..) to determine what investigation is necessary and give them direction to bring a claim to conclusion. Ensure only necessary work is completed

Investigate cases timely so that reserves are established and maintained at proper levels. Revise reserves timely based on developments in the course of the claim

Investigate the validity of bodily injury claims being presented by individual insureds/claimants or attorneys representing insureds/claimants. Be aware of certain “Red Flags” to identify potential fraudulent claims. Refer to SIU for investigation timely

Have advanced skills in coverage, investigation, litigation/ legal issues, negotiations, evaluations, medical terminology, and subrogation. Handle more complex claims to include coverage issues, UM/UIM, etc.. Also, must have prior litigation handling

Recognize and investigate subrogation potential

Negotiate both 1st and 3rd party claims directly with injured parties or their attorneys

Exercises proper judgment and decision making to analyze exposure, determine the proper course of action and make recommendations for final resolution

Attend litigation proceedings to either represent the company or participate in arbitrations/depositions/settlement conferences/ mediations/ trials

Attend all internal and external training events as required

Participate in proactive team activities to achieve departmental and company objectives. May be asked to participate in special projects, committees or assignments from management

Possess strong organizational skills, able to demonstrate time management, has the ability to prioritize multiple tasks/duties, and be proficient in the utilization of all claims systems, Excel, Word and social media search engines

Have strong communication skills both verbal and written. Provide strong customer service. Prepare case summary for significant reserve increase and/or trial alerts. Participate in roundtables

Capable of working independently without close supervision, high level of self motivation, effectively manage workload while maintaining diary and focus on claims quality

Ability to handle multiple responsibilities and be adept at conflict resolution while working in a team environment. Work well under pressure. Able to think strategically, solve problems, set priorities, make the necessary decisions to resolve complex/regular issues/claims

Possess knowledge of and adherence to State(s) laws and regulatory claim handling guidelines and statutory regulations

Adhere to departmental internal control requirements. Comply with Plymouth Rock’s standards, best practices and ethical guidelines, adhere to Plymouth Rock’s culture

Qualification

Bodily Injury ClaimsLitigation ExperienceClaims HandlingMedical TerminologyNegotiation SkillsTime ManagementState LawsCommunication SkillsConflict ResolutionOrganizational SkillsTeamworkProblem Solving

Required

A bachelor's degree (B.A.) from an accredited four year college or university

3 - 5 years' experience handling liability and/or Personal Injury Protection claims

1 year of experience handling bodily injury or casualty claims

Advanced skills in coverage, investigation, litigation/legal issues, negotiations, evaluations, medical terminology, and subrogation

Ability to conduct investigations, interviews with insureds, witnesses and claimants

Strong organizational skills, able to demonstrate time management, and ability to prioritize multiple tasks/duties

Strong communication skills both verbal and written

Ability to handle multiple responsibilities and be adept at conflict resolution while working in a team environment

Knowledge of and adherence to State(s) laws and regulatory claim handling guidelines and statutory regulations

Adhere to departmental internal control requirements

Preferred

Some litigation experience and knowledge of the New Jersey court system

Knowledge of PA, CT or NY claims handling

Currently holds and/or can readily obtain an out of State License(s) (i.e. - CT, Delaware, Florida, etc.)

Benefits

4 weeks accrued paid time off + 9 paid national holidays per year

Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)

Annual 401(k) Employer Contribution

Resources to promote Professional Development (LinkedIn Learning and licensure assistance)

Robust health and wellness program and fitness reimbursements

Various Paid Family leave options including Paid Parental Leave

Tuition Reimbursement

Company

Plymouth Rock Assurance

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Founded in 2001

Boston, Massachusetts, USA

1001-5000 employees

https://www.plymouthrock.com

H1B Sponsorship

Plymouth Rock Assurance has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (11)

2024 (12)

2023 (6)

2022 (7)

2021 (5)

2020 (12)