Claims Associate, PIP

Plymouth Rock Assurance; California (MO); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

4 weeks PTO and holidays

Health insurance from Day 1

401(k) employer contribution

Free onsite gym

Professional development resources

Wellness program and reimbursements

Paid family leave options

Tuition reimbursement

Job summary

The Plymouth Rock Assurance is seeking a PIP Claims Associate to handle New Jersey Personal Injury Protection and Extended Medical Expense Benefit claims in a fast-paced environment. The role requires a Bachelor's Degree and basic PC skills including MS Office.

You will process 3–5 first reports daily, review medical bills, monitor treatment, and determine coverage in line with NJ PIP regulations, while maintaining privacy and service excellence.

Qualifications

• Bachelor’s Degree required.
• Basic PC skills including Microsoft Office Suite.

Responsibilities

• This position will handle New Jersey Personal Injury Protection and Extended Medical Expense Benefit claims.
• The PIP Claim Associate 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 Associate must have the ability to multitask in time sensitive situations.
• Ensures that service, loss and expense control are adhered.
• 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.

Skills

Microsoft Office

Education

Bachelor’s Degree (B.A.)

Job description

In this fast-paced role, the PIP Representatives adjusts first party personal injury claims according to New Jersey state compliance requirements and guidelines.

RESPONSIBILITIES

• This position will handle New Jersey Personal Injury Protection and Extended Medical Expense Benefit claims.
• The PIP Claim Associate 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 Associate must have the ability to multitask in time sensitive situations.
• Ensures that service, loss and expense control are adhered.
• 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

• A Bachelor’s Degree (B.A.) from a four-year college or university.
• Basic personal computer skills including working knowledge of Microsoft Office Suite products.

SALARY RANGE

The pay range for this position is $50,000 to $65,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.

PERKS & BENEFITS

• 4 weeks accrued paid time off, 8 paid national holidays per year. and 2 floating holidays
• Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
• Annual 401(k) Employer Contribution
• Free onsite gym and health center 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

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”. #LIDNI