Claims Examiner
Neenah, WI - USA
Job Summary
Summary:
The Personal Lines (PL) Claims Examiner is responsible for handling claims inclusive of jewelry and other products from our personal lines customers located in the United States and Canada.
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.
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:
- Provides exceptional service to internal and external customers.
- Investigates and reviews coverage in conjunction with legal precedence. Examine investigators reports or similar claims precedents to determine extent of coverage and liability.
- Evaluates exposure(s) based upon an office or field investigation. Directs the efforts of external claim professionals such as adjusters SIU investigators and attorneys during the investigation.
- Collaborates with jewelers underwriters loss prevention and sales staff.
- Aggressively fights fraud and works with our SIU in compliance with local and state regulations.
- Establishes and maintains accurate reserves based upon company guidelines.
- Pays claimant/insured amount due according to settlement agreement and company procedures.
- Maintains excellent written and verbal correspondence with all parties involved on the claim.
- Identifies and assists with recovery activities.
- May be required to provide testimony under oath on claims in litigation.
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:
- High School Diploma or GED
- Proficiency in Microsoft suite applications including Word Excel Outlook and PowerPoint
- Ability to obtain/maintain an adjusters license
- Bachelors degree from four-year college or university or an equivalent combination of education and experience
- At least 2 years of claims adjusting experience
- Property/casualty insurance background
- Jewelry industry experience
- 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
About Company
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