Plymouth Rock Assurance · 1 day ago
Claims Representative, PIP IA
Plymouth Rock Assurance is a leading insurance provider specializing in personal and commercial auto and homeowner’s insurance. They are seeking a Claims Representative to handle Personal Injury Protection claims, ensuring compliance with state guidelines and providing excellent customer service.
Responsibilities
This position will handle Personal Injury Protection claims in multiple states, including NJ and PA
The PIP Claim Representative will receive between 3 to 5 first reports a day with a priority on patient contact, service, and claim disposition
Daily duties include first claim reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction
Maintains an effective follow-up system on pending files, prioritizes and handles multiple tasks simultaneously, adjusting to fluctuating workload, and advises injured parties as to the status of their claim
Investigates and interprets policy provisions and conditions to make a coverage determination
Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements is preferred but not necessary
The PIP Claim Representative must have the ability to multitask in time sensitive situations
Ensures that service, loss, and expense control are maintained at all times
Adheres to privacy guidelines, law and regulations pertaining to claims handling
Candidates must have strong customer service, organization, verbal and written skills and have the ability to work in a small team environment
Qualification
Required
Recent college graduates are encouraged to apply
A Bachelor's degree from an accredited four-year college or university is a plus
Experience in other Claims areas would be beneficial
Basic personal computer skills including working knowledge of Microsoft Office Suite products
This position will handle Personal Injury Protection claims in multiple states, including NJ and PA
The PIP Claim Representative will receive between 3 to 5 first reports a day with a priority on patient contact, service, and claim disposition
Daily duties include first claim reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction
Maintains an effective follow-up system on pending files, prioritizes and handles multiple tasks simultaneously, adjusting to fluctuating workload, and advises injured parties as to the status of their claim
Investigates and interprets policy provisions and conditions to make a coverage determination
The PIP Claim Representative must have the ability to multitask in time sensitive situations
Ensures that service, loss, and expense control are maintained at all times
Adheres to privacy guidelines, law and regulations pertaining to claims handling
Candidates must have strong customer service, organization, verbal and written skills and have the ability to work in a small team environment
Preferred
Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements is preferred but not necessary
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
Free onsite gym at our Woodbridge Location
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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H1B Sponsorship
Plymouth Rock Assurance has a track record of offering H1B sponsorships. Please note that this does not
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Funding
Current Stage
Late StageLeadership Team
Recent News
Plymouth Rock
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