Plymouth Rock Assurance · 12 hours ago
Claims Representative, PIP
Woodbridge, NJ
Full-time
Onsite
Entry, Mid Level
$50K/yr - $68K/yr
2+ years expPlymouth Rock Assurance is a leading provider of personal and commercial auto and homeowner’s insurance in the Northeast and mid-Atlantic regions. They are seeking a Claims Representative to manage Personal Injury Protection claims, ensuring compliance with state requirements while providing excellent customer service.
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
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, organization, verbal and written skills
Ability to work in a small team environment
Ability to multitask in time sensitive situations
Maintains an effective follow-up system on pending files
Prioritize and handle multiple tasks simultaneously
Adjust to fluctuating workload
Adheres to privacy guidelines, law and regulations pertaining to claims handling
Investigates and interprets policy provisions and conditions to make a coverage determination
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
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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1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Bill Martin
President and CEO of Home Assurance
Max Malaret
Vice President of Claims - Independent Agency Auto Group
Recent News
Plymouth Rock
2025-10-14
2025-08-13
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