Claims Associate, PIP

Plymouth Rock Assurance; Mount Laurel Township (NJ); On-site; USD 48,000 - 61,000; Full time

Benefits offered by this job

PTO 4 weeks

8 paid holidays + 2 floating holidays

Health insurance starting Day 1

401(k) employer contribution

Professional development resources

Wellness program & fitness reimburse

Paid family leave

Job summary

Plymouth Rock Assurance in New Jersey is hiring a PIP Associate to adjust first-party personal injury claims in line with state compliance guidelines. The role emphasizes accurate claim disposition, timely reports, and close coordination with medical providers.

The ideal candidate will have a Bachelor's degree and basic Microsoft Office skills, with the ability to multitask in a deadline-driven, small team environment and maintain high service standards.

Qualifications

• Bachelor’s Degree from a four-year college or university.
• Basic PC skills including working knowledge of Microsoft Office Suite products.

Responsibilities

• Handle New Jersey Personal Injury Protection (PIP) and Extended Medical Expense Benefit claims.
• Receive 3–5 first reports per day with focus on service, patient contact and claim disposition.
• Perform daily duties including first reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and nursing interaction.
• Maintain an effective follow-up system on pending files and manage multiple tasks in a fast-paced environment.
• Investigate and interpret policy provisions to make coverage determinations.
• Possess knowledge of medical terminology and PIP regulatory requirements; multitask in time-sensitive situations.

Skills

Customer service

Communication

Organizational skills

Time management

Education

Bachelor's degree (B.A.)

Tools

Microsoft Office

Job description

In this fast-paced role, the PIP Associate 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 $47,500 to $61,000 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
• 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