Claims Representative I, PIP (IA Channel)

Plymouth Rock Assurance; Port Reading (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 from Day 1

Annual 401(k) employer contribution

Free onsite gym and health center

Professional development support (Lic.

Wellness program and fitness reimburse

Paid family leave

Job summary

Plymouth Rock Assurance in New Jersey is seeking a PIP Representative to adjust first party personal injury claims in line with state guidelines. The role focuses on timely service, accurate claim disposition, and clear communication with injured parties.

The position handles PIP and Extended Medical Expense claims across states, processing 3–5 reports daily, reviewing medical bills, and ensuring regulatory compliance while maintaining privacy standards.

Qualifications

• Bachelor’s degree required.
• 1–3 years related claims experience or training.
• Basic PC skills including Microsoft Office Suite.

Responsibilities

• Handle Personal Injury Protection and Extended Medical Expense Benefit claims in multiple states.
• Receive 3 to 5 first reports per day with emphasis on service, patient contact and claim disposition.
• Perform daily duties including first reports, image rights tasks, medical bill review and treatment monitoring.
• Maintain an effective follow-up system on pending files and manage multiple tasks in a fast-paced environment.
• Investigate and interpret policy provisions to determine coverage.
• Possess or learn medical terminology and understand PIP regulatory requirements.

Skills

Customer service

Organization

Verbal & 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