Claims Associate, Property Damage
Plymouth Rock Assurance
About the Role
This role involves the handling of Auto Property Claims in accordance with the NJ Unfair Practices Act. The environment is fast-paced with heavy phone work, requiring patience and the ability to function professionally in adversarial situations.
Key Responsibilities
- Investigate and interpret policy provisions, endorsements, and conditions to make a coverage determination.
- Identify and investigate Contested Coverage Claims with recommendations prepared for the coverage committee.
- Investigate auto accidents to make a liability assessment, including interviewing claimants, witnesses, investigating officers, and other relevant parties, along with securing pertinent records, documentation, and loss scene information.
- Analyze investigations to determine proximate cause, negligence, and damages.
- Evaluate and adjust reserves as necessary.
- Prepare dispatch instructions for field personnel to inspect vehicles.
- Negotiate and settle claims within individual authority.
- Submit claims for approval to a supervisor when over authority or for guidance, review, and/or referral.
- Maintain an effective follow-up system on pending files.
- Prioritize and handle multiple tasks simultaneously.
- Adjust to fluctuating workload.
- Advise insureds, claimants, and brokers on claim status.
- Act as an intermediary between the Company, preferred vendors, and customers.
- Resolve all disputes that may arise.
- Ensure service, loss, and expense control are maintained.
- Adhere to privacy guidelines, laws, and regulations pertaining to claims handling.
- Investigate and initiate subrogation when applicable.
- Handle and respond to arbitration and special civil part lawsuits pertaining to property damage.
- Participate in catastrophic claim handling as requested/needed, which may include traveling to other locations and extended hours.
- Other duties as assigned.
Requirements & Tech Stack
- Strong customer service, organizational, verbal, and written skills.
- Basic personal computer skills, including working knowledge of Microsoft Office Suite products.
Qualifications
- Bachelor’s Degree from a four-year college or university required and/or 2-4 years of relevant work experience.
- No prior claims experience is required.
- Recent college graduates are encouraged to apply.