Claims Representative, PIP jobs in United States
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Plymouth Rock Assurance · 10 hours ago

Claims Representative, PIP

Plymouth Rock Assurance is a company that writes and manages personal and commercial auto and homeowner’s insurance. They are seeking a Claims Representative to adjust first party personal injury claims according to state compliance requirements and guidelines, with a focus on service and effective claim disposition.

Auto InsuranceFinancial ServicesInsurance

Responsibilities

This position will handle Personal Injury Protection claims in multiple states
The PIP Claim Representative will receive between 3 to 5 first reports a day with a priority on service, patient contact, and claim disposition
Daily duties include first reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction
Maintains an effective follow-up system on pending files, prioritize and handle multiple tasks simultaneously, adjust to fluctuating workload, advises injured parties as to the status of the 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

Claims experienceMedical terminologyMicrosoft Office SuiteCustomer serviceOrganization skillsVerbal communicationWritten communication

Required

A Bachelor's Degree (B.A.) from a four-year college or university
Two (2) to four (4) years related claims experience and/or training
Basic personal computer skills including working knowledge of Microsoft Office Suite products
Strong customer service skills
Strong organization skills
Strong verbal and written skills
Ability to work in a small team environment
Ability to multitask in time sensitive situations
Ability to prioritize and handle multiple tasks simultaneously
Adherence to privacy guidelines, law and regulations pertaining to claims handling

Preferred

Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements

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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Funding

Current Stage
Late Stage

Leadership Team

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Bill Martin
President and CEO of Home Assurance
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Max Malaret
Vice President of Claims - Independent Agency Auto Group
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Company data provided by crunchbase