Pl Claims Examiner

Description:

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.

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.

What You’ll Do
 

• 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.
   

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.

What You’ll Bring

Minimum Qualifications
 

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

Preferred Qualifications
 

• 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