Nurse Case Representative

In this vital role the Nurse Case Representative medically manages the treatment of our customers injured in an automobile accident in accordance with state and company guidelines.

Essential Functions and ResponsibilitiesMedically manage individual injuries by obtaining and assessing medical information related to the injuryDocument case activities and action plansRespond to incoming phone calls and faxes on a timely basis to ensure statutory timeframes are met and excellent customer service is provided Work closely with Medical Directors and the treating providers to assess, implement, and evaluate medical treatment provided to the injured person Schedule independent medical examinationsAddress all aspects of medically managing the claimCandidate must have the ability to multitask in time sensitive situationsCandidate must have strong organization, verbal and written communication skills and have the ability to work in a team environment May be required to perform field visits where necessary

Qualifications and EducationCurrent New Jersey / New York RN or LPN licenseOrganized, motivated, self-starter Excellent medical assessment skillsMinimum of 2 years clinical experienceProficient in navigating through multiple system applicationsPrior utilization review experience from a NJ/NY Automobile, Workers Comp, or Managed Care company is a plus.

About the CompanyThe 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”.