Demo

PL Claims Examiner

Jewelers Mutual
Neenah, WI Full Time
POSTED ON 1/7/2025
AVAILABLE BEFORE 3/6/2025

The Personal Lines (PL) Claims Examiner is responsible for handling jewelry losses from our personal lines customers located in the United States and Canada. The causes of loss include, among others, damage, theft, and mysterious disappearance.

WHY Jewelers Mutual:

We are a financially secure, exceptionally positioned, and intellectually curious company driven by our core values of Agility, Accountability and Relevancy!  We continue to raise the tide of the jewelry industry we’ve served since 1913 through our innovative people, our unyielding customer commitment, and evolution of our products and services to be the most trusted advisor to all we serve. 

With a generous benefits package, office locations throughout the United States, and a mantra of “making your mark today”, consider evolving your career and shining bright with Jewelers Mutual Group! 

Essential Duties and Responsibilities include the following. Other duties may be assigned. 
  • Provides exceptional service to internal and external customers.
  • Investigates and reviews coverage in conjunction with legal precedence.
  • 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.

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. 

Leadership Responsibilities   

None 

Qualifications 
  • Bachelor’s degree from four-year college or university.
  • At least two years of claims adjusting experience preferred.
  • Insurance related education including, but not limited to the completion of at least (2) AIC courses or relevant insurance designations such as CPCU or SCLA is desired.
  • Proficiency in Microsoft suite applications including Word, Excel, Outlook, and PowerPoint desired.
  • Property/casualty insurance background and jewelry industry experience are helpful.

Certificates, Licenses, Registrations

Maintain all adjuster licensing and continuing education requirements.

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.

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