Claims Representative/Sr. Claims Representative - Auto Property Damage with Experience

plymouthrock; Uniondale (NY); On-site; USD 50,000 - 80,000; Full time

Benefits offered by this job

4 weeks accrued paid time off + 9 paid

Tuition Reimbursement

Competitive health insurance starting

401(k) employer contribution

Paid family leave

Professional development resources

Job summary

Plymouth Rock in Uniondale, NY seeks a Claims Analyst to interpret policy provisions and determine coverage for auto property claims. You will interview claimants, witnesses, and officers to assess liability and gather records to support proximate cause and damages.

The role requires a Bachelor's degree and at least two years in PD claims, with MS Office proficiency, strong communication, and the ability to manage multiple tasks.

Qualifications

• Bachelor’s degree required with 2+ years of PD claim experience.
• Active license in CT, NH, RI or other states preferred.
• Proficiency in Microsoft Office Suite; strong communication and organizational skills.

Responsibilities

• Policy Analysis: interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims.
• Claim Investigation: interview claimants, witnesses, and officers to assess liability and collect records for proximate cause and damages.
• Claims Management: evaluate reserves, prepare dispatch instructions for field personnel, negotiate settlements within authority, and maintain follow-up on files.
• Subrogation and Legal Handling: investigate subrogation opportunities and respond to civil matters related to auto property damage.
• Administrative Duties: manage calls, emails, mail, and other duties as assigned.

Skills

Communication

Organizational skills

Customer service

Prioritization & multitasking

Education

Bachelor’s degree

License in CT/NH/RI (preferred)

Tools

Microsoft Office Suite

Job description

Essential Functions and Responsibilities:

• Policy Analysis:




• Investigate and interpret policy provisions, endorsements, and conditions to determine coverage for automobile property claims.


• Identify and investigate contested coverage claims that may require a roundtable discussion.




• Claim Investigation:




• Investigate auto accidents to assess liability by interviewing first- and third-party claimants, witnesses, investigating officers, and other relevant parties.


• Secure and analyze pertinent records, documentation, and loss scene information to determine proximate cause, negligence, and damages.




• Claims Management:




• Evaluate and adjust reserves as necessary.


• Prepare dispatch instructions for field personnel to inspect vehicles.


• Negotiate and settle claims within individual authority limits and seek supervisor approval for claims exceeding authority or requiring additional guidance.


• Maintain effective follow-up systems on pending files, advising insureds, claimants, and brokers on claim status.


• Act as an intermediary between the company, preferred vendors, and customers to resolve disputes.


• Ensure adherence to privacy guidelines, laws, and regulations in claims handling.


• Backup to Commercial Claims handling.




• Subrogation and Legal Handling:




• Investigate and initiate subrogation processes when applicable.


• Handle and respond to special civil part lawsuits or intercompany arbitrations related to auto property damage claims.




• Administrative Duties:




• Manage a customer-focused phone environment by answering calls, returning voicemails, and responding to emails and text correspondence promptly.


• Process incoming and outgoing mail timely and in accordance with state guidelines.


• Complete other duties as assigned.

Qualifications and Education:

• Bachelor’s degree required.


• A minimum of 2 year of related PD claim experience is required.


• Licensed in CT, NH, RI and other foreign states is preferred.


• Proficiency in personal computer skills, including Microsoft Office Suite.


• Ability to prioritize and manage multiple tasks effectively.


• Excellent communication, organizational, and customer service skills.

Perks and Benefits:

• 4 weeks accrued paid time off + 9 paid national holidays per year


• Tuition Reimbursement


• Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)


• Robust health and wellness program and fitness reimbursements


• Auto and home insurance discounts


• Matching gift opportunities


• Annual 401(k) Employer Contribution (up to 7.5% of your base salary)


• Various Paid Family leave options including Paid Parental Leave


• Resources to promote Professional Development (LinkedIn Learning and licensure assistance

Salary Range: $50,000-$80,000 a year. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.

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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