Plymouth Rock Assurance

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Job Locations US-NY-Uniondale
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 fast-paced role, the Personal Injury Protection Representatives adjusts first party personal injury claims according to state compliance requirements and guidelines.  Essential Functions and Responsibilities - This position will handle Personal Injury Protection claims in multiple states. - The Personal Injury Protection Claim Representative will receive between 3 to 5 first reports a day with a priority on patient contact, service, and claim disposition. - Daily duties include first reports, Image Right tasks, medical bill review, treatment monitoring, reserve assessment and Nursing interaction. - Maintains an effective follow-up system on pending files, prioritize and handle multiple tasks simultaneously, adjust to fluctuating workload, advises injured parties as to the status of the claim. - Investigates and interprets policy provisions and conditions to make a coverage determination. - Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements is preferred but not necessary. - The Personal Injury Protection Claim Representative must have the ability to multitask in time sensitive situations. - Ensures that service, loss and expense control are maintained at all times. - Adheres to privacy guidelines, law and regulations pertaining to claims handling. - Candidates must have strong customer service, organization, verbal and written skills and have the ability to work in a small team environment.   Qualifications and Education - 3-5 years of Personal Injury Protection claims handling experience is required.  - A Bachelor’s degree from an accredited four-year college or university is a plus. - Basic personal computer skills including working knowledge of Microsoft Office Suite products. 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”.     We believe that every person is entitled to equal employment opportunities. We do not discriminate against any employee or qualified applicant for employment on the basis of age, race, color, religion, national origin, ancestry, disability, gender, sexual orientation, gender identity or expression or genetic information. In addition, the state in which you work may protect certain other characteristics. We are committed to treating employees fairly and with dignity and respect, and we unconditionally prohibit discrimination in hiring, terminating, promoting, or compensating any employee on the basis of a qualified individual’s membership in any of these protected classes
Category
Claims
ID
2023-3732
Job Locations US-NY-Uniondale
    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!    This position is responsible for applying knowledge and experience to our claim processes, data analytics and investigations.  The specialist will be responsible for in-depth investigation of New York No Fault claims with a focus on treatment patterns, practices, and assessment of damages.  This position will be based out of the Woodbridge, New Jersey office.   Essential Functions and Responsibilities: - Daily duties include first reports, mail tasks, medical bill review, treatment monitoring, and reserve assessment. - Thoroughly screen all injured parties, investigate new losses in compliance with defined procedures and establish appropriate claims. - Conduct thorough and prompt investigations of accidents recognizing SIU Fraud Indicators and Subrogation potential. - Maintains an effective follow-up system on pending files, prioritize and handle multiple tasks simultaneously, adjust to fluctuating workload, advises injured parties as to the status of the claim. Assure that voice mail is properly utilized and telephone messages are promptly returned. - Investigates and interprets policy provisions and conditions to make a coverage determination. - Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements is preferred. - Analytical and problem solving skills to use and interpret information and facts as well as apply critical techniques to investigative process. - Complete investigations addressing all medical related services and provide recommendation for claim handling based upon findings. - Proven ability to acquire, analyze and interpret information from various data sources and formulate theories regarding trends and patterns required. - The ability to identify trends and common indicators within particular claims and territories and determine if further investigation is warranted. - Collaborate with others in developing visual analytics to support complex investigation data involving multiple claims and multiple entities. - Ability to interface with outside defense counsel on a frequent basis to develop and execute upon action plans   Education and Experience: - A Bachelor’s degree from an accredited four-year college or university is a plus. - 2-5 years of Personal Injury Protection claims handling / No Fault claims handling experience - Strong Computer skills including Microsoft Office suit, (Word, PowerPoint, Excel, Outlook) - Strong verbal and writing skills. - The ability to manage and analyze large volumes of data from various internal and external sources and develop recommendations. - The ability to read and interpret complex information and explain it to others; listen actively, stay focused, identify hidden messages and draw out underlying issues. - Organizational skills with the ability to organize data in manageable subsets and the ability to get requests completed timely and accurately. - Advanced proficiency with Microsoft: Excel, Access and Visio. Tableau and SQL knowledge would also be preferred. - Ability to analyze information secured during routine claims investigation and present information with recommended outcome. - Ability to multi-task to ensure compliance with State compliance standards. - Able to prioritize and handle multiple tasks while adjusting to fluctuating workload.   We believe that every person is entitled to equal employment opportunities. We do not discriminate against any employee or qualified applicant for employment on the basis of age, race, color, religion, national origin, ancestry, disability, gender, sexual orientation, gender identity or expression or genetic information. In addition, the state in which you work may protect certain other characteristics. We are committed to treating employees fairly and with dignity and respect, and we unconditionally prohibit discrimination in hiring, terminating, promoting, or compensating any employee on the basis of a qualified individual’s membership in any of these protected classes.
Category
Claims
ID
2023-3727
Job Locations US-NY-Uniondale
                         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! The Casualty Claim Representative will be responsible for the handling of First and Third Party Bodily Injury and Physical Damage claims in a Personal Lines /Commercial environment for the Plymouth Rock Operation. The candidate must have the skills listed below and be able to perform the following duties: Essential Functions and Responsibilities - Initiate prompt contact of all insureds/claimants/witnesses on all new claim assignments to conduct thorough coverage and liability/injury investigations.  These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims. - Analyze, review and interpret policies to assess coverage and liability. Provide advice to Excess and Primary coverage issues. - Willing to conduct field investigations, interviews with insureds, witnesses and claimants while maintaining a pending of represented claimant cases. - Manage and direct outside vendors (Field/Counsel/Surveillance, Etc..) to determine what investigation is necessary and give them direction to bring a claim to conclusion. Ensure only necessary work is completed. - Investigate cases timely so that reserves are established and maintained at proper levels.  Revise reserves timely based on developments in the course of the claim.      - Investigate the validity of bodily injury claims being presented by individual insureds/claimants or attorneys representing insureds/claimants. Be aware of certain “Red Flags” to identify potential fraudulent claims. Refer to SIU for investigation timely. - Have advanced skills in coverage, investigation, litigation/ legal issues, negotiations, evaluations, medical terminology, and subrogation.  Handle more complex claims to include coverage issues, UM/UIM, etc..  Also, must have prior litigation handling. - Recognize and investigate subrogation potential. - Negotiate both 1st and 3rd party claims directly with injured parties or their attorneys. - Exercises proper judgment and decision making to analyze exposure, determine the proper course of action and make recommendations for final resolution. - Attend litigation proceedings to either represent the company or participate in arbitrations/depositions/settlement conferences/ mediations/ trials. - Attend all internal and external training events as required.  - Participate in proactive team activities to achieve departmental and company objectives. May be asked to participate in special projects, committees or assignments from management. - Possess strong organizational skills, able to demonstrate time management, has the ability to prioritize multiple tasks/duties, and be proficient in the utilization of all claims systems, Excel, Word and social media search engines. - Have strong communication skills both verbal and written. Provide strong customer service. Prepare case summary for significant reserve increase and/or trial alerts. Participate in roundtables. - Capable of working independently without close supervision, high level of self-motivation, effectively manage workload while maintaining diary and focus on claims quality.  - Ability to handle multiple responsibilities and be adept at conflict resolution while working in a team environment.  Work well under pressure.  Able to think strategically, solve problems, set priorities, make the necessary decisions to resolve complex/regular issues/claims. - Possess knowledge of and adherence to State(s) laws and regulatory claim handling guidelines and statutory regulations. - Adhere to departmental internal control requirements. Comply with Plymouth Rock’s standards, best practices and ethical guidelines, adhere to Plymouth Rock’s culture. Qualifications and Education - A bachelor's degree (B.A.) from an accredited four year college or university. - 3 - 5 years’ experience handling liability and/or Personal Injury Protection claims.  - Some litigation experience and knowledge of the New Jersey court system is preferred. - Knowledge of PA, CT or NY claims handling would be beneficial. - Currently holds and/or can readily obtain an out of State License(s) (i.e. - CT, Delaware, Florida, etc.) is preferred. 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”. We believe that every person is entitled to equal employment opportunities. We do not discriminate against any employee or qualified applicant for employment on the basis of age, race, color, religion, national origin, ancestry, disability, gender, sexual orientation, gender identity or expression or genetic information. In addition, the state in which you work may protect certain other characteristics. We are committed to treating employees fairly and with dignity and respect, and we unconditionally prohibit discrimination in hiring, terminating, promoting, or compensating any employee on the basis of a qualified individual’s membership in any of these protected classes.
Category
Claims
ID
2023-3722
Job Locations US-NY-Uniondale
  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! This position is responsible for applying knowledge and experience to our claim processes, data analytics and SIU investigations to support the development and implementation of technical and analytical solutions to address SIU business and analytical needs.  This individual will implement operational, fraud and analytical models, and organize data input and output to develop and communicate recommendations.  The successful candidate will have the abilities necessary to create business intelligence reports, social media assessments, link analysis (Net-Map) and other sophisticated data mining activities. Essential Functions and Responsibilities - Analytical and problem solving skills to use and interpret information and facts as well as apply critical techniques to investigative process. - Identify patterns and trends using our internal claim, medical and policy data tables. - The ability to receive investigative requests from the field staff, internal claim associates and underwriting to discover developing patterns, trends and changes in suspicious activity. - Proven ability to acquire, analyze and interpret information from various data sources and formulate theories regarding trends and patterns required. - The ability to identify trends and common indicators within particular claims and territories and determine if further investigation is warranted. - The ability to present to management in a clear and concise manner the approach to address potential suspicious/fraud activity that could impact the company. - Proactively monitor industry information bulletins and NICB alerts to determine potential exposure to the company. - Conduct data mining activities and data analysis using available tools and internal databases.The ability to work with our product department on predictive analytics and pattern analysis initiatives. - Collaborate with others in developing visual analytics to support complex investigation data involving multiple claims and multiple entities participating in the fraudulent schemes. - Utilize data visualization tools and/or other analytics software to create reports for the team and/or management on the territory specific SIU operational performance. - Develop metrics to measure various characteristics of the SIU business to replicate and improve current measures and create new metrics and ways to view and analyze results. Qualifications and Education - Knowledge of information technology and data analysis methodologies, including understanding how technology can leveraged to proactively impact suspicious/fraud activity. - The ability to manage and analyze large volumes of data from various internal and external sources and develop recommendations. - The ability to read and interpret complex information and explain it to others; listen actively, stay focused, identify hidden messages and draw out underlying issues. - Organizational skills with the ability to organize data in manageable subsets and the ability to get requests completed timely and accurately. - Proven excellence in critical thinking and conceptual skills’ creative use of varied research methods. - Advanced proficiency with Microsoft: Excel, Access and Visio. Tableau and SQL knowledge would also be preferred. - Competencies: Analytical, interpersonal skills, communication skills, focus on customers, ability to prioritize - A minimum of a four year college degree in a related field with a concentration on information technology, mathematics, economics, statistics and/or engineering and criminal justice. - Insurance related designations (SCLA, CPCU, and AEI) are a plus. - Three or more years of claims and/or insurance experience preferred. - Prior Property and Casualty experience preferred            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”.   #LI-DNI   
Category
Claims
ID
2023-3672
Job Locations US-MA-Boston | US-CT-Farmington | US-NH-Concord | US-NY-Uniondale | US-NJ-Woodbridge | US-NJ-Parsippany
This is a desk position responsible for supervising and managing large losses from assignment to conclusion.  The individual will be handle highly sensitive and complex claims. You will be part of a fast-moving team, expected to provide excellent customer service and help enhance our process and culture with your insight and experience.      Responsabilities:  - Receive assignment, send out appropriate acknowledgements. - Contact insured or their representative to discuss the loss and advise of coverage and handling procedures. - Secure recorded statements. - Assign as needed: independent adjuster; building consultant; Cause and Origin investigator; contents specialist; temporary housing provider; experts as required (engineers, etc.); etc. - Identify subrogation potential and liability exposure. - Place insured in temporary housing and issue drafts for related expenses. - Secure, review and approve building estimates, invoices, personal property evaluations, etc. - Provide evaluations to insureds or their representative. - The skills to effectively negotiate with Public Adjusters, General Contractors, mitigation/restoration vendors and attorneys - Discuss coverage and loss with insureds or their representatives and issue payments accordingly. - Meet targets for service, accuracy, productivity and expense management. - Maintain professionalism and provide excellent customer service - Adhere to state requirements. Requirements and skills: - Bachelor’s degree preferred - Seven years of homeowners adjusting experience or equivalent - Experience handling large losses/fire losses on a regular basis - Ability to obtain licensure in applicable states and complete CE credit/classes where necessary - Mastery of Xactimate X1 preferred - Proficiency in the Microsoft Office suite of software - Comprehensive understanding of: State specific claims handling compliance regulations; property homeowner policy; and claims processes; - Familiarity with water mitigation auditing programs preferred - Must have strong interpersonal skills and the ability to effectively communicate with policyholders and outside vendors to ensure that results are meeting our standards and objectives - Must possess excellent writing skills - Valid Driver’s License and proficient driving record About the Company The Plymouth Rock Company and its affiliated group of companies write and manage over $1.7 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 2,000 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.   We believe that every person is entitled to equal employment opportunities. We do not discriminate against any employee or qualified applicant for employment on the basis of age, race, color, religion, national origin, ancestry, disability, gender, sexual orientation, gender identity or expression or genetic information. In addition, the state in which you work may protect certain other characteristics. We are committed to treating employees fairly and with dignity and respect, and we unconditionally prohibit discrimination in hiring, terminating, promoting, or compensating any employee on the basis of a qualified individual’s membership in any of these protected classes   #LI-SM1
Category
Claims
ID
2023-3666
Job Locations US-NY-Uniondale
In this fast-paced role, the PIP Representatives adjusts first party personal injury claims according to state compliance requirements and guidelines.  Essential Functions and Responsibilities - This position will handle Personal Injury Protection claims in multiple states. - The PIP Claim Representative will receive between 2 to 3 first reports a day with a priority on patient contact, service, and claim disposition. - Daily duties include first reports, mail tasks, medical bill review, treatment monitoring, and reserve assessment. - Thoroughly screen all injured parties, investigate new losses in compliance with defined procedures and establish appropriate claims. - Conduct thorough and prompt investigations of accidents recognizing SIU and Subrogation potential. - Maintains an effective follow-up system on pending files, prioritize and handle multiple tasks simultaneously, adjust to fluctuating workload, advises injured parties as to the status of the claim. Assure that voice mail is properly utilized and telephone messages are promptly returned. - Investigates and interprets policy provisions and conditions to make a coverage determination. - Functional knowledge of medical terminology and anatomy with a thorough understanding of Personal Injury Protection claim handling regulatory requirements is preferred. - The PIP Claim Representative must have the ability to multitask in time sensitive situations. - Ensures that service, loss and expense control are maintained at all times. - Adheres to privacy guidelines, law and regulations pertaining to claims handling. - Candidates must have strong customer service, organization, verbal and written skills and have the ability to work in a small team environment.   Qualifications and Education - 5+ years of PIP claims handling experience.  - A Bachelor’s degree from an accredited four-year college or university is a plus. - Strong telephone customer service skills and the ability to empathize is needed. - Basic personal computer skills including working knowledge of Microsoft Office Suite products. About the Company The Plymouth Rock Company and its affiliated group of companies write and manage over $1.7 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 2,000 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.   We believe that every person is entitled to equal employment opportunities. We do not discriminate against any employee or qualified applicant for employment on the basis of age, race, color, religion, national origin, ancestry, disability, gender, sexual orientation, gender identity or expression or genetic information. In addition, the state in which you work may protect certain other characteristics. We are committed to treating employees fairly and with dignity and respect, and we unconditionally prohibit discrimination in hiring, terminating, promoting, or compensating any employee on the basis of a qualified individual’s membership in any of these protected classes   #LI-SM1
Category
Claims
ID
2022-3606
Job Locations US-NY-Uniondale
Plymouth Rock Assurance Company of New York seeks a full time attorney with three to five years of experience with an insurance defense background. The Attorney would be responsible for representing civil defendants in all sixty two counties in New York State with primary venues being the five boroughs of New York City and Nassau and Suffolk Counties in Long Island. The position would require the Attorney to analyze lawsuits, prepare pleadings, conduct depositions and attend arbitrations, conferences, motions, and trials. The candidate must be organized, a team player and able to handle a high volume of court appearances, virtual or/and in person while handling a large caseload.   Responsibilities: - Analyze lawsuits referred from Claims and prepares necessary answers and responsive pleadings. - Interface and develop a rapport with our clients, claim customers and our office team. - Conduct depositions and attend court conferences, arbitrations, motions and trials. - Participate as trial attorney in matters, some of significant exposure and complexity. - Possess knowledge of rules of evidence and civil procedure. - Have understanding of all aspects of Automobile Litigation (commercial and personal lines),UM/SUM, subrogation, property damage. - Provide legal research, advice and direction to Claims. - Work independently in making decisions in file handling, communicating those decisions appropriately and keeping the Legal Management Team apprised. - Adept at working in a paperless environment, video conferencing skilled and proficient in computer legal case management systems.   Qualifications: - Possess three to five years of relevant litigation and trial experience, preferably encompassing liability and damages verdicts. - Fully licensed to practice law in New York State and admitted or willing to become admitted to Federal Court in the Eastern and Southern Districts. - Must be able to handle a large caseload of matters including reporting requirements, roundtables and trial experience commensurate with experience. - Have knowledge of motor vehicle, UM/SUM, property damage and subrogation claims.  - Excellent written and Oral Communication Skills. - Willingness to work within the established system while also looking to improve processes and procedures and able to be flexible in all work assignments. - Proficiency with computer software including current Windows Operating System, MS Word, MS Teams, MS Outlook and ability to adapt to new programs. - Legal Case Management Program experience a plus, LexisNexis/TM.  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 2,000 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.   #LI-PC1
Category
House Counsel
ID
2022-3519