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Claims Specialist

Job in Neenah, Winnebago County, Wisconsin, 54956, USA
Listing for: Jewelers Mutual Group
Full Time position
Listed on 2026-01-01
Job specializations:
  • Insurance
    Insurance Claims, Insurance Analyst
Job Description & How to Apply Below

Claims Specialist – Jewelers Mutual Group

Join to apply for the Claims Specialist role at Jewelers Mutual Group.

Summary

Responsible for adjudicating PL, CL, Shipping, and Care Plan claims as assigned. The claims specialist also 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. A secondary responsibility within this role is to provide support to the Jewelry Recovery Specialist with salvage-related documentation, including salvage-related invoices, payments, and recoveries.

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
What You’ll Do
  • Investigate, evaluate, and resolve multi-line claims in accordance with established procedures and good-faith practices.
  • Examine 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.
  • Identify and refer questionable claims to the special investigation unit in accordance with established fraud reporting procedures.
  • Maintain excellent written and verbal correspondence with all parties involved on the claim.
  • Evaluate and obtain damage documentation to accurately set reserves and effectively resolve claims.
  • Maintain current status on claims and review claims on diary system.
  • May be required to provide testimony under oath on claims in litigation.
  • Provide quality customer service along with accurate and timely claim investigations and payments.

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
  • Property/casualty insurance adjusting experience is desired.
  • Jewelry expertise, including experience working in the jewelry trade, is desired.
  • Proficient in Microsoft Suite applications including Word, Excel, Outlook, and PowerPoint.
  • Proficiency in Guidewire software is desired.
Physical Requirements
  • Prolonged periods of 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 an accommodation at any stage of the application or interview process, please let us know by contacting

Seniority level
  • Entry level
Employment type
  • Full-time
Job function
  • Finance and Sales
Industries
  • Insurance
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