Bodily Injury Claims Representative

Plymouth Rock Assurance • Boston, MA

4d • $65,000 - $90,000

About The Position

The Bodily Injury Claims Representative investigates, evaluates, and resolves first- and third-party bodily injury claims across personal lines and commercial insurance. The role involves working with policyholders, injured parties, attorneys, and internal partners to achieve fair, timely, and effective claim resolutions. The position primarily handles Massachusetts losses, with claims in other states as business needs require.

Requirements

• Understanding of liability investigations, coverage analysis, claim evaluation, and settlement negotiation.
• Strong attention to detail and sound judgment.
• Ability to manage multiple claims and priorities effectively.
• Effective written, verbal, negotiation, and interpersonal skills.
• Ability to learn and apply state laws, regulatory guidelines, and statutory requirements.

Nice To Haves

• Bachelor’s degree from an accredited institution.
• 1–3 years of insurance claims handling experience, with bodily injury claims experience a plus.
• Familiarity with litigation, arbitration, and working with defense counsel.
• Experience handling claims in Massachusetts.

Responsibilities

• Investigate coverage, liability, and injuries, including obtaining statements and reviewing supporting documentation.
• Review insurance policies to determine applicable coverage, including primary and excess coverage when appropriate.
• Coordinate field investigations and work with vendors, defense counsel, and other partners to gather information and support claim resolution.
• Establish and maintain accurate claim reserves based on loss facts and developments.
• Collaborate with defense counsel on litigated claims and identify potential fraud indicators for referral to the Special Investigations Unit.
• Evaluate claims and negotiate settlements with injured parties and attorneys.
• Identify potential recovery opportunities and pursue subrogation when applicable.
• Maintain accurate claim files, document decisions, and comply with company guidelines and regulatory requirements.
• Participate in training, stay current on industry practices, and contribute to team goals and initiatives.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level