Claims Associate, PIP (IA Channel)

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

Benefits offered by this job

PTO & holidays

Health coverage Day 1

401(k) match

Onsite gym

Licensure support

Wellness program

Paid family leave

Job summary

Plymouth Rock Assurance in New Jersey seeks a PIP Associate to adjust first-party Personal Injury Protection claims in compliance with state requirements. The role emphasizes accurate handling of NJ PIP and Extended Medical Expense Benefit claims, patient contact, and timely claim disposition.

The ideal candidate will possess a BA and basic computer skills, with strong customer service, organization, and written communications to support a small team in a busy claims environment.

Qualifications

• Bachelor’s degree from a four-year college or university.
• Basic computer skills including Microsoft Office Suite.

Responsibilities

• Handle New Jersey PIP and Extended Medical Expense Benefit claims.
• Receive 3–5 first reports per day with focus on service, patient contact, and claim disposition.
• Perform medical bill review, treatment monitoring, reserve assessment, and nursing interaction.
• Maintain follow-up on pending files and multitask in a fast-paced environment.
• Investigate policy provisions to determine coverage.
• Understand medical terminology relevant to PIP claim handling and regulatory requirements.
• Multitask effectively in time-sensitive situations.
• Adhere to privacy guidelines and regulations for claims handling.
• Communicate status to injured parties clearly.
• Collaborate effectively in a small team.

Skills

Customer service

Organizational skills

Verbal communication

Written communication

Education

Bachelor’s degree

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