Claims Representative, PIP Litigation
Plymouth Rock Assurance

Job Info

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Plymouth Rock has been awarded the #1 Large Employer in New Jersey in 2021. We would love for you to join our award winning team!

In this vital role, the Medical Claims Litigation Representative is responsible for the management of arbitrations and lawsuits resulting from the processing of Personal Injury Protection and Extended Medical Expense Claims. These cases are handled in accordance to state compliance requirements and guidelines.

Essential Functions and Responsibilities

The ideal candidate for this position must have functional knowledge of medical terminology and anatomy with a thorough understanding of NY/NJ Personal Injury and Protection claim handling regulatory requirements as well as a functional knowledge of the NY/NJ Arbitration and Court Systems.

• Must be able to investigate, perform analysis and negotiate Personal Injury related settlements with attorneys.
• Ability to identify litigation trends and suggest alternative defenses.
• The candidate must have the ability to outline mitigating points to prepare cases for a defense and manage the litigation process with both House Counsel and Outside Counsel.
• Ability to participate and organize settlement conferences and projects utilizing the PIP Evaluator Data Base and mining data within Excel.
• Excellent verbal and written communication skills are essential.
• Strong organizational, computer and interpersonal skills are required.
• The selected candidate must be able to manage multiple tasks including time sensitive issues.

Qualifications and Education

• A Bachelor's Degree (B.A.) from a four year college or university; or three (3) to four (4) years related experience and/or training; or an equivalent combination of education and experience.
• Proficient working knowledge of Microsoft Office suite products.
• Familiarity with Tableau is a plus.

About the Company

The Plymouth Rock Company and its affiliated group of companies write and manage over $1.6 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of "A-/Excellent".

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