Senior Claims Manager

Summary

The Senior Claims Manager is a strategic leadership position within the Claims Team, focused on coaching, training, and developing assigned claims team members, along with the creation and deployment of strategic initiatives that enhance the Claims customer experience.

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.

• 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.

• 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.

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.

Carries out leadership responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, developing and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

• Bachelor’s degree preferred
• 15 years of related experience in Claims required, including 5+ years of leadership experience.
• (An equivalent combination of education and/or experience may be considered)
• Must be proficient in the MS Office Suite including Word, Excel, Outlook, and PowerPoint.
• Must have strong knowledge of Claims processes, practices, and coverages.
• Completion of the AIC, SCLA, or CPCU program is desired.
• Knowledge of jewelry terminology, jewelry repairs, and jewelry industry experience is preferred.
• 3-5 years of relevant SIU/fraud claims handling experience
• Proficiency in Guidewire and Power BI is preferred.

A valid adjusters license in all applicable states is required or to be obtained within 6 months of employment.

• 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.

• Competitive Compensation & Benefits: Includes performance bonuses,…