PL Claims Examiner

Jewelers MutualNeenah, WI
6d

About The Position

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: Since 1913 we’ve been committed to supporting the Jewelry industry and putting customers at the center of everything we do. With over a century of trusted expertise, we’re 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 industry’s most trusted advisor by investing in our people, adopting new technologies, and striving for excellence. We’re dedicated to fostering growth through collaboration, powered by bold thinking, teamwork, and the passion of our people. Here, you’ll: Move fast and embrace change Always look for better ways Grow, thrive, and help shape what’s next Join us and be part of a culture where you can make an impact while building your future.

Requirements

  • 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.
  • Maintain all adjuster licensing and continuing education 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.

Nice To Haves

  • Property/casualty insurance background and jewelry industry experience are helpful.

Responsibilities

  • 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.

Benefits

  • 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.
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