Summary:
The Senior Claims Manager is a strategic leadership position within the Claims Team focused on coaching training and developing assigned claims team members along with the creation and deployment of strategic initiatives that enhance the Claims customer experience.
Why Jewelers Mutual:
Since 1913 weve been committed to supporting the Jewelry industry and putting customers at the center of everything we do. With over a century of trusted expertise were financially strong forward-thinking and driven by curiosity. Guided by our core values of Agility Accountability and Relevancy we lead through innovation.
As a technology focused organization we embrace cutting-edge tools and data-driven insights to continuously improve our products services and customer experience. Our mission is to be the industrys most trusted advisor by investing in our people adopting new technologies and striving for excellence.
Were dedicated to fostering growth through collaboration powered by bold thinking teamwork and the passion of our people.
Here youll:
- Move fast and embrace change
- Always look for better ways
- Grow thrive and help shape whats next
Join us and be part of a culture where you can make an impact while building your future.
What Youll Do:
Ensure department claims quality and service along with other key claims metrics are meeting or exceeding expectations.
Lead initiatives that create efficiencies aid external partners and/or improve results.
Accountable for Claims file quality adjudication efficiency expense control and vendor management.
In collaboration with the Director of Claims lead projects and key performance indicators in Claims.
Optimize processes and expense control measures. This could include Product Owner SME or UAT responsibilities for larger process changes or System initiatives.
Report on key claim metrics trends and project status.
Maintain ongoing relationships with external and internal claim partner and stakeholders such as jewelers agents attorneys SIU independent adjusters and strategic partners. Foster a strong relationship with PL Underwriting Sales/Marketing and Product Management.
Provide analysis and communication of claim performance to stakeholders.
Investigate and review coverages in conjunction with legal precedence.
Examine claim reports or similar claims/precedents to determine extent of coverage and liability.
Coordinate claims personnel activity during litigation and assists counsel in claims.
To perform this job successfully an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
What Youll Bring:
LEADERSHIP RESPONSIBILITIES
Carries out leadership responsibilities in accordance with the organizations policies and applicable laws. Responsibilities include interviewing hiring developing and training employees; planning assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
QUALIFICATIONS
Bachelors degree preferred
15 years of related experience in Claims required including 5 years of leadership experience.
o (An equivalent combination of education and/or experience may be considered)
Must be proficient in the MS Office Suite including Word Excel Outlook and PowerPoint.
Must have strong knowledge of Claims processes practices and coverages.
Completion of the AIC SCLA or CPCU program is desired.
Knowledge of jewelry terminology jewelry repairs and jewelry industry experience is preferred.
3-5 years of relevant SIU/fraud claims handling experience
Proficiency in Guidewire and Power BI is preferred.
CERTIFICATES LICENSES REGISTRATIONS
A valid adjusters license in all applicable states is required or to be obtained within 6 months of employment.
PHYSICAL REQUIREMENTS
Prolonged periods sitting at a desk and working on a computer.
Occasionally required to stand; walk; use hands to finger handle or touch objects or controls; and talk or hear.
What We Offer You:
- Competitive Compensation & Benefits: Includes performance bonuses generous paid time off and a top-tier retirement program with 401(k) matching and additional company contributions.
- Collaborative Culture: Work alongside talented passionate peers who value ownership and continuous learning.
- Community & Giving: Benefit from 50% charitable gift matching and paid volunteer time to support nonprofit causes
- Great Place to Work Certified: Join a team recognized for an environment of innovation and growth.
Accessibility and Accommodations
We are committed to providing an inclusive and accessible recruitment process. If you require accommodation at any stage of the application or interview process please let us know by contacting
Required Experience:
Manager
Summary:The Senior Claims Manager is a strategic leadership position within the Claims Team focused on coaching training and developing assigned claims team members along with the creation and deployment of strategic initiatives that enhance the Claims customer experience.Why Jewelers Mutual:Since 1...
Summary:
The Senior Claims Manager is a strategic leadership position within the Claims Team focused on coaching training and developing assigned claims team members along with the creation and deployment of strategic initiatives that enhance the Claims customer experience.
Why Jewelers Mutual:
Since 1913 weve been committed to supporting the Jewelry industry and putting customers at the center of everything we do. With over a century of trusted expertise were financially strong forward-thinking and driven by curiosity. Guided by our core values of Agility Accountability and Relevancy we lead through innovation.
As a technology focused organization we embrace cutting-edge tools and data-driven insights to continuously improve our products services and customer experience. Our mission is to be the industrys most trusted advisor by investing in our people adopting new technologies and striving for excellence.
Were dedicated to fostering growth through collaboration powered by bold thinking teamwork and the passion of our people.
Here youll:
- Move fast and embrace change
- Always look for better ways
- Grow thrive and help shape whats next
Join us and be part of a culture where you can make an impact while building your future.
What Youll Do:
Ensure department claims quality and service along with other key claims metrics are meeting or exceeding expectations.
Lead initiatives that create efficiencies aid external partners and/or improve results.
Accountable for Claims file quality adjudication efficiency expense control and vendor management.
In collaboration with the Director of Claims lead projects and key performance indicators in Claims.
Optimize processes and expense control measures. This could include Product Owner SME or UAT responsibilities for larger process changes or System initiatives.
Report on key claim metrics trends and project status.
Maintain ongoing relationships with external and internal claim partner and stakeholders such as jewelers agents attorneys SIU independent adjusters and strategic partners. Foster a strong relationship with PL Underwriting Sales/Marketing and Product Management.
Provide analysis and communication of claim performance to stakeholders.
Investigate and review coverages in conjunction with legal precedence.
Examine claim reports or similar claims/precedents to determine extent of coverage and liability.
Coordinate claims personnel activity during litigation and assists counsel in claims.
To perform this job successfully an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
What Youll Bring:
LEADERSHIP RESPONSIBILITIES
Carries out leadership responsibilities in accordance with the organizations policies and applicable laws. Responsibilities include interviewing hiring developing and training employees; planning assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
QUALIFICATIONS
Bachelors degree preferred
15 years of related experience in Claims required including 5 years of leadership experience.
o (An equivalent combination of education and/or experience may be considered)
Must be proficient in the MS Office Suite including Word Excel Outlook and PowerPoint.
Must have strong knowledge of Claims processes practices and coverages.
Completion of the AIC SCLA or CPCU program is desired.
Knowledge of jewelry terminology jewelry repairs and jewelry industry experience is preferred.
3-5 years of relevant SIU/fraud claims handling experience
Proficiency in Guidewire and Power BI is preferred.
CERTIFICATES LICENSES REGISTRATIONS
A valid adjusters license in all applicable states is required or to be obtained within 6 months of employment.
PHYSICAL REQUIREMENTS
Prolonged periods sitting at a desk and working on a computer.
Occasionally required to stand; walk; use hands to finger handle or touch objects or controls; and talk or hear.
What We Offer You:
- Competitive Compensation & Benefits: Includes performance bonuses generous paid time off and a top-tier retirement program with 401(k) matching and additional company contributions.
- Collaborative Culture: Work alongside talented passionate peers who value ownership and continuous learning.
- Community & Giving: Benefit from 50% charitable gift matching and paid volunteer time to support nonprofit causes
- Great Place to Work Certified: Join a team recognized for an environment of innovation and growth.
Accessibility and Accommodations
We are committed to providing an inclusive and accessible recruitment process. If you require accommodation at any stage of the application or interview process please let us know by contacting
Required Experience:
Manager
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