Claims Representative, PIP

Plymouth Rock Assurance•Boston, MA

1d•$68,000 - $95,000•Onsite

About The Position

In this fast-paced role, the Senior PIP Claim Representative adjusts first-party Personal Injury Protection claims in accordance with state compliance requirements, regulations, and company guidelines.

Requirements

Prior claims experience preferred; Personal Injury Protection (PIP) experience strongly preferred
Bachelor’s degree from an accredited four-year college or university is a plus
Recent college graduates with relevant coursework or internship experience are encouraged to apply
Basic computer skills, including working knowledge of Microsoft Office Suite

Responsibilities

Handle lower- to moderate-severity Personal Injury Protection claims across multiple states
Receive approximately 3–5 first reports per day, with a focus on timely patient contact, customer service, and accurate claim disposition
Perform daily duties including first reports, ImageRight tasks, medical bill review, treatment monitoring, reserve analysis, and coordination with nursing staff
Maintain an effective follow-up system on pending files while prioritizing and managing multiple tasks in a high-volume, time-sensitive environment
Provide timely updates to injured parties regarding claim status and disposition
Investigate and interpret policy provisions and conditions to make appropriate coverage determinations
Apply functional knowledge of medical terminology and anatomy, along with a thorough understanding of Personal Injury Protection claim handling and regulatory requirements
Demonstrate strong multitasking and decision-making skills in time-sensitive situations
Ensure service quality, loss control, and expense management standards are consistently met
Adhere to all privacy guidelines, laws, and regulations related to claims handling
Collaborate effectively within a small team environment while maintaining strong customer service standards

Benefits

4 weeks accrued paid time off + 9 paid national holidays per year
Free onsite gym at our Boston Location
Tuition Reimbursement
Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision)
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
Resources to promote Professional Development (LinkedIn Learning and licensure assistance)
Convenient location directly across from South Station and Pre-Tax Commuter Benefits