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Jewelers Mutual Group · 2 days ago

Senior Claims Manager

Neenah, WI

Full-time

Onsite

Senior Level, Lead/Staff

15+ years exp

Jewelers Mutual Group is a company dedicated to supporting the jewelry industry since 1913, prioritizing customer experience through innovation. The Senior Claims Manager will lead the Claims Team, focusing on coaching and developing team members while enhancing claims processes and metrics.

Financial ServicesInsuranceJewelryManufacturing

Comp. & Benefits

Responsibilities

Ensure department claims quality and service, along with other key claims metrics, are meeting or exceeding expectations

Lead initiatives that create efficiencies, aid external partners, and/or improve results

Accountable for Claims file quality, adjudication efficiency, expense control, and vendor management

In collaboration with the Director of Claims, lead projects and key performance indicators in Claims

Optimize processes and expense control measures. This could include Product Owner, SME, or UAT responsibilities for larger process changes or System initiatives

Report on key claim metrics, trends, and project status

Maintain ongoing relationships with external and internal claim partner and stakeholders, such as jewelers, agents, attorneys, SIU, independent adjusters, and strategic partners. Foster a strong relationship with PL Underwriting, Sales/Marketing and Product Management

Provide analysis and communication of claim performance to stakeholders

Investigate and review coverages in conjunction with legal precedence

Examine claim reports or similar claims/precedents to determine extent of coverage and liability

Coordinate claims personnel activity during litigation and assists counsel in claims

Qualification

Claims processes knowledgeGuidewire proficiencyLeadership experiencePower BI proficiencyAIC/SCLA/CPCU certificationMS Office proficiencyJewelry industry experienceSIU/fraud claims handling