Job Description

In this fast-paced role, PIP Claims Representatives adjust first party personal injury claims according to state compliance requirements and guidelines.

Essential Functions and 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.

Qualifications and Education

• 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.

About the Company

The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner’s insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.

Job Tags

Similar Jobs