Claims Associate, PIP (IA Channel)

Plymouth Rock Company; Port Reading, Northern (NJ, KY); Hybrid; USD 50,000 - 65,000; Full time

Benefits offered by this job

4 weeks accrued paid time off

8 paid national holidays

401(k) employer contribution

Free onsite gym and health center

Professional development resources

Wellness program and fitness reimburse

Paid family leave options

Tuition reimbursement

Job summary

The Plymouth Rock Company in Woodbridge, NJ is seeking a PIP Claim Associate to manage New Jersey Personal Injury Protection and Extended Medical Expense Benefit claims.

You will handle 3–5 first reports daily, perform medical bill review and treatment monitoring, and collaborate with a small team to determine coverage and next steps for each claim.

Qualifications

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

Responsibilities

• Handle New Jersey PIP and Extended Medical Expense Benefit claims.
• Receive 3–5 first reports daily 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 advise injured parties on claim status.

Skills

Customer service

Multitasking

Verbal & written communication

Team player

Education

Bachelor’s Degree

Tools

Microsoft Office

Job description

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

Location(s)

581 Main Street, Woodbridge , New Jersey 07095 , United States

Plymouth Rock is committed to a policy ofnon-discrimination and equal opportunity for all qualified applicants and employees without regard to race, color, religion, gender, sexual orientation,age, national origin, ancestry or disability.