PL Claims Examiner

Jewelers Mutual • Neenah, WI

8d • Onsite

About The Position

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. Since 1913, Jewelers Mutual has been committed to supporting the Jewelry industry and putting customers at the center of everything they do. With over a century of trusted expertise, they are financially strong, forward-thinking, and driven by curiosity. Guided by their core values of Agility, Accountability, and Relevancy, they lead through innovation. As a technology-focused organization, they embrace cutting-edge tools and data-driven insights to continuously improve their products, services, and customer experience. Their mission is to be the industry’s most trusted advisor by investing in their people, adopting new technologies, and striving for excellence. At Jewelers Mutual, employees are encouraged to move fast and embrace change, always look for better ways, and grow, thrive, and help shape what’s next. Joining them means being part of a culture where you can make an impact while building your future.

Requirements

• High School Diploma or GED
• Proficiency in Microsoft suite applications including Word, Excel, Outlook, and PowerPoint
• Ability to obtain/maintain an adjuster’s license

Nice To Haves

• Bachelor’s 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

Responsibilities

• Provides exceptional service to internal and external customers.
• Investigates and reviews coverage in conjunction with legal precedence.
• Examine investigator’s 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.

Benefits

• Competitive Compensation & Benefits
• performance bonuses
• generous paid time off
• a top-tier retirement program with 401(k) matching and additional company contributions
• Collaborative Culture
• 50% charitable gift matching
• paid volunteer time to support nonprofit causes

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED