Claims Examiner

Jewelers Mutual Group; Neenah (WI); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Competitive benefits

Collaborative culture

Volunteer time

Great place to work

Job summary

Jewelers Mutual Group—a dedicated insurance partner for the jewelry industry—seeks a Personal Lines Claims Examiner to handle claims for U.S. and Canadian clients. The role emphasizes exceptional service, coverage analysis, and coordination with counsel, SIU, and external adjusters.

The position supports a team focused on accuracy, collaboration, and growth, with opportunities in a technology-forward environment and a strong commitment to ethics and compliance.

Qualifications

• Minimum: High School Diploma or GED.

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 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.

Skills

Customer service

Claims handling

Attention to detail

Education

High School Diploma or GED

Bachelor’s degree

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

PowerPoint

Job description

Summary

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.

Summary

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

Physical 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.

What We Offer You

• 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.

Accessibility and Accommodations

We are committed to providing an inclusive and accessible recruitment process. If you require accommodation at any stage of the application or interview process, please let us know by contacting [e-mail].