Claims Adjuster

4 weeks ago


Uniondale, New York, United States Plymouth Rock Assurance Full time
Job Title: Claims Representative

We are seeking a highly skilled Claims Representative to join our team at Plymouth Rock Assurance. As a Claims Representative, you will be responsible for handling Auto Property Claims, providing exceptional customer service, and exercising patience throughout the process.

Key Responsibilities:
  • Investigate and interpret policy provisions, endorsements, and conditions to determine coverage in automobile property claims.
  • Identify and investigate Contested Coverage Claims with recommendations prepared for coverage committee.
  • Responsible for investigating auto accidents to make a liability assessment, including interviewing first and third-party claimants, witnesses, investigating officers, and other relevant parties.
  • Analyze the investigation to determine proximate cause, negligence, and damages, and evaluate and adjust reserves as necessary.
  • Prepare dispatch instructions for field personnel to inspect vehicles and negotiate and settle claims within individual authority.
  • Submit claims for approval to supervisor when over individual authority or for guidance, review, and/or referral when appropriate.
  • Maintain an effective follow-up system on pending files by advising insureds, claimants, and brokers on the status of the claim.
  • Act as an intermediary between the company, preferred vendors, and customers, resolving any disputes that may arise.
  • Ensure that service, loss, and expense control are maintained at all times.
  • Adhere to privacy guidelines, law, and regulations pertaining to claims handling.
  • Investigate and initiate subrogation when applicable, and may handle and respond to special civil part lawsuits pertaining to property damage.
  • Participate in catastrophic claim handling as requested/needed, including traveling to other locations, extended hours, and up to a three-week stay.
  • Handle customer-focused phone environment.
Requirements:
  • Bachelor's degree and a minimum of 1 year related PD claim experience, specifically including comparative negligence auto loss claims.
  • Basic personal computer skills, including working knowledge of Microsoft Office Suite products.
  • Able to prioritize and handle multiple tasks.
  • Excellent communication, organizational, and customer service skills.
Why Work for Us:
  • 4 weeks accrued paid time off + 9 paid national holidays per year.
  • Tuition Reimbursement.
  • Low-cost and excellent coverage health insurance options (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).
  • Company-sponsored social events.
  • Various Paid Family leave options, including Paid Parental Leave.
  • $3,000 one-time bonus payment on health insurance waiver.
Compensation Range:

$50,000 - $67,000 (Based on experience)


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