Claims Representative, Personal Injury Protection

In this fast-paced role, the PIP Representatives adjusts first party personal injury claims according to state compliance requirements and guidelines. This role will be based in our Boston, MA location. 

Here is what you will do:

• This position will handle Personal Injury Protection claims in multiple states.
• The PIP Claim Representative will receive between 2 to 4 first reports a day with a priority on patient contact, service, and claim disposition.
• Daily duties include first reports, mail tasks, medical bill review, treatment monitoring, and reserve assessment.
• Thoroughly screen all injured parties, investigate new losses in compliance with defined procedures and establish appropriate claims.
• Conduct thorough and prompt investigations of accidents recognizing SIU and Subrogation potential.
• 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. Assure that voice mail is properly utilized and telephone messages are promptly returned.
• 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.
• 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.

Here is what you will bring to the table:

• Auto Claims handling experience. 
• A Bachelor’s degree from an accredited four-year college or university is a plus.
• Strong telephone customer service skills and the ability to empathize is needed.
• Basic personal computer skills including working knowledge of Microsoft Office Suite products.

Why work for us:

• 4 weeks accrued paid time off + 9 paid national holidays per year
• Remote work equipment
• Tuition Reimbursement 
• Low cost and excellent coverage health insurance options (medical, dental, vision)
• Gym membership reimbursement
• Robust health and wellness program and fitness reimbursements
• Auto and home insurance discounts
• Matching gift opportunities
• Annual 401(k) Employer Contribution (up to 7.5% of your base salary)
• Various Paid Family leave options including Paid Parental Leave

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”. 

 

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