Bodily Injury Claims Specialist

Plymouth Rock Assurance; Boston (MA); On-site; USD 65,000 - 90,000; Full time

Job summary

Plymouth Rock Assurance is seeking a Bodily Injury Claims Representative to investigate, evaluate, and resolve First- and Third-Party bodily injury claims across Personal Lines and Commercial insurance in Massachusetts.

You will work with policyholders, injured parties, attorneys, and internal partners to deliver fair, timely claim resolutions, leveraging your knowledge of liability investigations, coverage analysis, and negotiation skills to close claims efficiently.

Qualifications

• Education – Bachelor’s degree from an accredited institution preferred.
• Experience – 1-3 years of insurance claims handling preferred, with bodily injury claims experience a plus.
• Claims Knowledge – Understanding of liability investigations, coverage analysis, claim evaluation, and settlement negotiation.
• Litigation Knowledge – Familiarity with litigation, arbitration, and defense counsel is beneficial.
• Analytical & Organizational Skills – Strong attention to detail, sound judgment, and the ability to manage multiple claims and priorities effectively.
• Communication Skills – Effective written, verbal, negotiation, and interpersonal skills.
• Regulatory Knowledge – Ability to learn and apply state laws, regulatory guidelines, and statutory requirements.
• State Experience – Experience handling claims in Massachusetts is preferred. The role will primarily involve Massachusetts losses, with claims in other states handled as business needs require.

Responsibilities

• Claim Investigation – Conduct thorough investigations into coverage, liability, and injuries, including obtaining statements and reviewing supporting documentation.
• Coverage Analysis – Review insurance policies to determine applicable coverage, including Primary and Excess coverage when appropriate.
• Field Investigation Coordination – Coordinate field investigations and work with vendors, defense counsel, and other partners to gather information and support claim resolution.
• Reserve Management – Establish and maintain accurate claim reserves based on the facts of the loss and ongoing claim developments.
• Litigation & Fraud Awareness – Collaborate with defense counsel on litigated claims and identify potential fraud indicators for referral to the Special Investigations Unit (SIU).
• Negotiation & Resolution – Evaluate claims and negotiate settlements with injured parties and attorneys to achieve fair, appropriate outcomes.
• Subrogation & Recovery – Identify potential recovery opportunities and pursue subrogation when applicable.
• Claim Documentation & Compliance – Maintain accurate claim files, document decisions, and ensure compliance with applicable company guidelines and regulatory requirements.
• Professional Development – Participate in training, stay current on industry practices, and contribute to team goals and initiatives.

Skills

Communication

Analytical thinking

Organization

Education

Bachelor’s degree

Job description

Plymouth Rock Assurance is seeking a Bodily Injury Claims Representative to investigate, evaluate, and resolve First- and Third-Party bodily injury claims across Personal Lines and Commercial insurance in Massachusetts.

You will work with policyholders, injured parties, attorneys, and internal partners to deliver fair, timely claim resolutions, leveraging your knowledge of liability investigations, coverage analysis, and negotiation skills to close claims efficiently.