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Jewelers Mutual Group · 3 days ago

Claims Specialist

Neenah, WI

Full-time

Onsite

New Grad, Entry Level

Jewelers Mutual Group is a technology-focused organization committed to supporting the jewelry industry. The Claims Specialist is responsible for adjudicating various types of claims and assisting with administrative duties, ensuring timely and effective resolution of claims in accordance with established procedures.

Financial ServicesInsuranceJewelryManufacturing

Comp. & Benefits

Responsibilities

Investigates, evaluates, and resolves multi-line claims in accordance with established procedures, good faith practices, and in accordance with the policy

Examines claim adjustors’ reports or similar claims/precedents to determine extent of coverage and liability

Pays claimant/insured amount due according to our contractual obligation and in alignment with our company procedures

Identifies and refers questionable claims to the special investigation unit in accordance with established fraud reporting procedures

Maintains excellent written and verbal correspondence with all parties involved on the claim

Evaluates and obtains damage documentation to accurately set reserves and effectively resolve claims

Maintains current status on claims and reviews claims on diary system

May be required to provide testimony under oath on claims in litigation

Provides quality customer service along with accurate and timely claim investigations and payments

Qualification

Property/casualty insurance adjustingJewelry expertiseGuidewire softwareMicrosoft SuiteCustomer service

Required

Responsible for adjudicating PL, CL, Shipping, and CarePlan claims as assigned

Assists with administrative duties for the department, helping the team effectively negotiate and resolve claims in a timely manner and in accordance with established good faith handling procedures

Investigates, evaluates, and resolves multi-line claims in accordance with established procedures, good faith practices, and in accordance with the policy

Examines claim adjustors' reports or similar claims/precedents to determine extent of coverage and liability

Pays claimant/insured amount due according to our contractual obligation and in alignment with our company procedures

Identifies and refers questionable claims to the special investigation unit in accordance with established fraud reporting procedures

Maintains excellent written and verbal correspondence with all parties involved on the claim

Evaluates and obtains damage documentation to accurately set reserves and effectively resolve claims

Maintains current status on claims and reviews claims on diary system

May be required to provide testimony under oath on claims in litigation

Provides quality customer service along with accurate and timely claim investigations and payments

Proficient in Microsoft suite applications including Word, Excel, Outlook, and PowerPoint

Preferred

Property/casualty insurance adjusting experience is desired

Jewelry expertise, including experience working in the jewelry trade, is desired

Proficiency in Guidewire software desired

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.