Claims Representative I, PIP

Plymouth Rock Assurance Corporation; Woodbridge Township (NJ); On-site; USD 57,000 - 76,000; Full time

Benefits offered by this job

4 weeks accrued paid time off + 9 paid

Health insurance options starting Day

Annual 401(k) Employer Contribution

Free onsite gym and health center

LinkedIn Learning and licensure

Health and wellness program

Paid Family leave options

Tuition Reimbursement

Job summary

Plymouth Rock Assurance Corporation in Woodbridge, NJ is seeking a PIP Representative to adjust first-party personal injury claims in accordance with state regulations. You will process PIP and Extended Medical Expense Benefit claims across multiple states, handle 3–5 new reports daily, perform medical bill reviews and reserve assessments, and coordinate with medical providers.

The role requires strong customer service, organization, and communication skills, with a focus on privacy, compliance,

Qualifications

• A Bachelor’s Degree (B.A.) from a four-year college or university.
• One (1) to three (3) years related claims experience and/or training.
• Basic personal computer skills including working knowledge of Microsoft Office Suite products.

Responsibilities

• Handle Personal Injury Protection and Extended Medical Expense Benefit claims in multiple states.
• Receive 3–5 first reports per day with priority on service, patient contact and claim disposition.
• Daily duties include first reports, Image Right tasks, medical bill review and reserve assessment.
• Maintain an effective follow-up system on pending files and manage multiple tasks.
• Investigate and interpret policy provisions to determine coverage and compliance.

Skills

Customer service

Organization

Verbal communication

Written communication

Education

Bachelor's Degree

Tools

Microsoft Office

Job description

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

RESPONSIBILITIES

• This position will handle Personal Injury Protection and Extended Medical Expense Benefit claims in multiple states.
• The PIP Claim Representative 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 Representative must have the ability to multitask in time sensitive situations.
• Ensures that service, loss and expense control are maintained at all times.
• 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.
• One (1) to three (3) years related claims experience and/or training.
• Basic personal computer skills including working knowledge of Microsoft Office Suite products.

SALARY RANGE

The pay range for this position is $57,000 to $76,000 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 + 9 paid national holidays per year
• 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".

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 andemployees without regard to race, color, religion, gender, sexual orientation,age, national origin, ancestry or disability.

EEO is the Law