Senior Bodily Injury Claims Specialist

Plymouth Rock Assurance; Parsippany-Troy Hills (NJ); On-site; USD 88,000 - 112,000; Full time

Benefits offered by this job

4 weeks PTO + 9 paid holidays

Low-cost health insurance (Day 1)

401(k) employer contribution

Free onsite gym

Professional development support

Tuition reimbursement

Job summary

Plymouth Rock Assurance is seeking a Casualty Claim Representative to handle First- and Third-Party Bodily Injury claims in a Personal Lines/Commercial setting. You will initiate contact, review policies, conduct field investigations, and manage outside vendors to bring claims to conclusion.

The role requires strong knowledge of litigation, subrogation, and negotiations, with a focus on timely reserve management and adherence to state regulatory guidelines.

Qualifications

• Bachelor's degree in a four-year college or university.
• 5-10 years’ experience handling liability commercial, homeowners, UM/UIM, Excess/Umbrella.
• In-depth knowledge of litigation, arbitration and trial process, handle out of state claims, and/or Personal Injury Protection claims.
• Currently holds and/or can readily obtain an out of State License(s). Professional designation such as CPCU or related preferred.
• High level of self-motivation and strong communication, organizational, and time management skills.
• Knowledge of state laws and regulatory claim handling guidelines and statutory regulations.

Responsibilities

• Initiate prompt contact of insureds/claimants/witnesses on all new claim assignments and conduct thorough investigations.
• Analyze, review and interpret policies to assess coverage and liability and provide advice on excess and primary coverage issues.
• Conduct field investigations and interviews with insureds, witnesses and claimants.
• Manage outside vendors to determine necessary investigations and guide them to resolution.
• Investigate cases timely to establish and adjust reserves as developments occur.
• Investigate bodily injury claims for potential fraud and refer to SIU as needed.
• Handle complex claims including coverage issues, UM/UIM, TNC, Commercial, Umbrella, etc., with prior litigation experience.
• Negotiate 1st and 3rd party claims directly with injured parties or attorneys.
• Attend litigation proceedings and participate in arbitrations, depositions, settlements, and trials.

Skills

Claims investigations

Litigation knowledge

Negotiation

Medical terminology

Subrogation

Communication skills

Time management

Regulatory compliance

Education

Bachelor's degree

Tools

Excel

Word

Social media

Job description

Plymouth Rock Assurance is seeking a Casualty Claim Representative to handle First- and Third-Party Bodily Injury claims in a Personal Lines/Commercial setting. You will initiate contact, review policies, conduct field investigations, and manage outside vendors to bring claims to conclusion.

The role requires strong knowledge of litigation, subrogation, and negotiations, with a focus on timely reserve management and adherence to state regulatory guidelines.