Job Description

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.

RESPONSIBILITIES

The ideal candidate for this position must have functional knowledge of medical terminology and anatomy with a thorough understanding of NJ Personal Injury and Protection claim handling regulatory requirements as well as a functional knowledge of the 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 in and organize settlement conferences and projects utilizing the our internal data sources and Microsoft 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

• 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.

SALARY RANGE

The pay range for this position is $55,000 to $75,000 annually. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity.

PERKS & BENEFITS

• 4 weeks accrued paid time off, 2 floating holidays, and 8 paid national holidays per year
• Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
• Annual 401(k) Employer Contribution
• Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
• Robust health and wellness program and fitness reimbursements
• Various Paid Family leave options including Paid Parental Leave
• Tuition Reimbursement

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 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.

#LI-DNI

Job Tags

Similar Jobs