Senior Claims Representative, Liability

Company: Plymouth Rock Assurance
Location: Boston
Posted on: November 15, 2024

Job Description:

Overview:

Is this your next job Read the full description below to find out, and do not hesitate to make an application.

If you are a seasoned claims professional with a passion for delivering exceptional results and have a proven track record in homeowner liability claims, we invite you to apply and join our dynamic team at Plymouth Rock Home Assurance. Together, let's make a difference in the lives of our policyholders and uphold our commitment to excellence.

Here is what you will do:

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.
Ability to read medical records and properly evaluate values in multiple jurisdictions to ensure proper reserve practices.
Ability to recognize potential subrogation opportunities.
Review insurance policies to determine coverage and assess the applicability of policy terms and conditions to the claims being investigated.
Provide clear and accurate coverage opinions to internal stakeholders and insured parties.
Engage in negotiation with claimants, legal representatives, and other involved parties to reach fair and timely settlements of both 1st and 3rd party claims.
Maintain detailed and organized claim files, documenting all relevant information, communications, and decisions.
Ensure compliance with industry standards and best practices in claims handling.
Demonstrate a commitment to delivering exceptional customer service by responding to inquiries, addressing concerns, and keeping all parties informed throughout the claims process.
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.

Here is what you will bring to the table:

Bachelor's degree from an accredited four year college or university.
Must have experience handling Litigated files.
Capable of working independently without close supervision and ability to effectively manage workload while maintaining diary and focus on claim quality
Minimum of 5 years of experience in liability claims adjusting.
Strong knowledge of insurance policies, coverage issues, and relevant legal principles.
Excellent negotiation and communication skills.
Proficient in claims management software and Microsoft Office Suite.
Ability to handle complex and high-exposure claims with a focus on resolution and customer satisfaction.

Why work for us:

4 weeks accrued paid time off + 9 paid national holidays per year
Tuition Reimbursement
Low cost and excellent coverage health insurance options (medical, dental, vision)
Gym membership reimbursement
Robust health and wellness program and fitness reimbursements
Auto and home insurance discounts
Matching gift opportunities
Annual 401(k) Employer Contribution (up to 7.5% of your base salary)
Various Paid Family leave options including Paid Parental Leave
$3,000 one-time bonus payment on health insurance waiver

About the Company

The Plymouth Rock Company and its affiliated group of companies write and manage over $2 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".

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Keywords: Plymouth Rock Assurance, Portland , Senior Claims Representative, Liability, Other , Boston, Maine