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Auto Claims Specialist
2 months ago
At Plymouth Rock, we believe in empowering our employees to thrive in a dynamic and supportive environment. We invest in the latest tools and technologies to help our team members succeed and provide the best possible service to our customers.
As a Claims Representative, you will play a critical role in delivering on our promise of exceptional service and value. You will be responsible for handling Auto Property Claims in accordance with the NJ Unfair Practices Act, working closely with our Complex PD Claim Unit to provide a high level of customer service and exercise patience throughout the process.
Key Responsibilities:
* Investigate and interpret policy provisions, endorsements, and conditions to determine coverage in the automobile property claim.
* Identify and investigate Contested Coverage Claims with recommendation 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, as well as securing pertinent records, documentation, and loss scene information.
* Analyze the investigation to determine proximate cause, negligence, and damages, evaluating and adjusting reserves as necessary.
* Prepare dispatch instructions for field personnel to inspect vehicles.
* Negotiate and settle claims within individual authority, submitting claims for approval to supervisor when over 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, 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 3 years 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.
If you are a motivated and detail-oriented individual with a passion for delivering exceptional customer service, we encourage you to apply for this exciting opportunity to join our team as a Claims Representative."
