Claims Associate, PIP (IA Channel)

plymouthrock; Port Reading (NJ); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Paid time off

Health insurance

401(k) plan

Onsite gym & health center

Professional development

Wellness program

Paid family leave

Tuition reimbursement

Job summary

The Plymouth Rock Company in New Jersey is seeking a PIP Associate to adjust first party personal injury claims in compliance with state requirements. The role handles NJ PIP and Extended Medical Expense Benefit claims, prioritizing service, patient contact, and timely claim disposition.

Responsibilities include first reports, medical bill review, treatment monitoring, and follow-up on pending files while adhering to privacy guidelines and regulatory requirements.

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.

Responsibilities

• Handle New Jersey Personal Injury Protection (PIP) and Extended Medical Expense Benefit claims.
• Receive 3 to 5 first reports per day with emphasis on service, patient contact and claim disposition.
• Perform daily duties such as first reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction.
• Maintain an effective follow-up system on pending files, multitask, adjust to workload fluctuations and inform injured parties on claim status.

Skills

Bachelor's Degree

MS Office

Education

Bachelor's Degree

Tools

Microsoft Office Suite

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 $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”.

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