Senior Complex Homeowners Claims Specialist

Plymouth Rock Company; Boston (MA); Hybrid; USD 79,000 - 103,000; Full time

Benefits offered by this job

4 weeks accrued PTO + 9 holidays

Tuition reimbursement

Health insurance (Day 1)

Auto and home insurance discounts

401(k) employer contribution

Paid family leave

Licensure assistance

LinkedIn Learning access

Job summary

The Plymouth Rock Company is seeking an experienced Senior Claims Representative to manage complex homeowners property claims across the Metro West Boston area. You will handle end‑to‑end adjustments, including on‑site inspections, vendor oversight, and reserve management, with a focus on nuanced coverage issues and high severity exposures.

Ideal candidates have 5+ years in homeowners claims, strong skills in coverage interpretation and settlement strategy, and the ability to work independently

Qualifications

• 5+ years of homeowners property claims experience, including higher severity or complex losses.
• Strong proficiency in coverage interpretation, investigation, and settlement strategy.
• Excellent written and verbal communication skills.
• Proven ability to work independently across a geographically diverse territory.
• Strong organizational and decision-making skills.
• Proficient in Microsoft Office and claims systems.
• Ability to obtain and maintain required adjuster licensure and continuing education.
• Physical ability to carry up to 25 lbs and conduct roof inspections on homes fewer than two stories.
• Valid driver’s license with a satisfactory driving record.

Responsibilities

• Independently investigate, evaluate, and resolve complex and high severity homeowners property claims from assignment through settlement
• Apply advanced coverage analysis and judgment in claim resolution, including disputed coverage or large‑loss scenarios
• Conduct on‑site inspections to assess damages, determine scope, causation, and coverage
• Prepare detailed Xactimate estimates and clearly communicate scope of loss and settlement rationale
• Proactively manage customer expectations, particularly on complex or extended‑duration claims
• Assign, direct, and oversee vendors, mitigation providers, and inspections
• Establish and adjust appropriate claim reserves based on exposure and severity
• Adjust homeowners property claims in all states where Plymouth Rock conducts business
• Serve as a resource to less experienced adjusters and contribute to continuous improvement efforts
• Represent the company with professionalism and a strong customer focus

Skills

Coverage interpretation

Investigation

Settlement strategy

Communication

Independent work

Organizational skills

Decision making

Microsoft Office

Claims systems

Licensure knowledge

Education

Bachelor’s Degree or equivalent professional experience

Tools

Xactimate

Microsoft Office

Claims systems

Job description

The Plymouth Rock Company is seeking an experienced Senior Claims Representative to manage complex homeowners property claims across the Metro West Boston area. You will handle end‑to‑end adjustments, including on‑site inspections, vendor oversight, and reserve management, with a focus on nuanced coverage issues and high severity exposures.

Ideal candidates have 5+ years in homeowners claims, strong skills in coverage interpretation and settlement strategy, and the ability to work independently