Claims Representative

6 days ago


Parsippany, New Jersey, United States Plymouth Rock Assurance Full time
Job Summary

Plymouth Rock Assurance is seeking a highly skilled Claims Representative to join our team. As a Claims Representative, you will be responsible for handling First and Third Party Bodily Injury claims in a Personal Lines/Commercial environment.

Key Responsibilities
  • Claim Handling
    • 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 investigation and bring claims to conclusion.
    • Investigate cases timely to establish and maintain proper reserves, revising reserves based on claim developments.
  • Complex Claims
    • Handle complex claims, including coverage issues, UM/UIM, TNC, Commercial, and Umbrella.
    • Negotiate claims directly with injured parties and/or their attorneys.
    • Exercise proper judgment and decision-making to analyze exposure, determine the proper course of action, and make recommendations for final resolution.
  • Litigation and Training
    • Attend litigation proceedings to represent the company or participate in arbitrations, depositions, settlement conferences, mediations, and trials.
    • Attend internal and external training events as required.
  • Team Collaboration
    • Participate in proactive team activities to achieve departmental and company objectives.
    • May be asked to participate in special projects, committees, or assignments from management.
Requirements
  • A 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) (e.g., CT, Delaware, Florida, etc.). Professional designations such as IIA, AEI, Senior Claim Law Associate (SCLA), or Chartered Property Casualty Underwriting (CPCU) or be actively working towards a designation, preferred.
  • 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.


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