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Senior Claims Representative

2 months ago


Parsippany, New Jersey, United States Plymouth Rock Assurance Full time
{"About the Role": "We are seeking a highly skilled Senior Claims Representative to join our team at Plymouth Rock Assurance. As a key member of our claims department, you will be responsible for handling First and Third Party Bodily Injury claims in a Personal Lines/Commercial environment.

Responsibilities:

* Initiate prompt contact with insureds, claimants, and witnesses to conduct thorough coverage and liability investigations.
* Analyze and review policies to assess coverage and liability, providing advice on Excess and Primary coverage issues.
* Conduct field investigations, interviews, and manage outside vendors to determine necessary work and bring claims to conclusion.
* Investigate cases timely to establish and maintain proper reserves, revising them as necessary.
* Identify potential fraudulent claims and refer them to SIU for investigation.
* Handle complex claims, including coverage issues, UM/UIM, TNC, Commercial, and Umbrella.
* Recognize and investigate subrogation potential.
* Negotiate claims directly with injured parties and/or their attorneys.
* Exercise proper judgment and decision-making to analyze exposure and determine the proper course of action.
* Attend litigation proceedings, arbitrations, depositions, settlement conferences, mediations, and trials.
* Participate in proactive team activities to achieve departmental and company objectives.

Requirements:

* Bachelor's degree from an accredited 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, handling out-of-state claims and/or Personal Injury Protection claims.
* Currently holds or can readily obtain an out-of-state license(s).
* Professional designation such as IIA, AEI, SCLA, or CPCU, or actively working towards a designation.
* High level of self-motivation.
* Advanced skills in coverage, investigation, litigation/legal issues, negotiations, evaluations, medical terminology, and subrogation.
* Strong communication, organizational, customer service, and time management skills.
* Excellent problem-solving skills.

What We Offer:

* Competitive salary and benefits package.
* Opportunities for professional growth and development.
* Collaborative and dynamic work environment.
* Recognition and rewards for outstanding performance.

If you are a motivated and experienced claims professional looking for a new challenge, we encourage you to apply for this exciting opportunity.

Please submit your resume and a cover letter outlining your qualifications and experience.

We thank all applicants for their interest; however, only those selected for an interview will be contacted.

Plymouth Rock Assurance is an equal opportunity employer and welcomes applications from diverse candidates.

Note: The above job description is a summary of the main responsibilities and requirements of the position. It is not an exhaustive list of all duties, tasks, and skills required.