Claims Assistant

SUMMARY

This role serves to assist Claim Examiners and Claim Specialists with various administrative claim processing tasks.

WHY Jewelers Mutual:

We are a financially secure, exceptionally positioned, and intellectually curious company driven by our core values of Agility, Accountability and Relevancy! We continue to raise the tide of the jewelry industry we’ve served since 1913 through our innovative people, our unyielding customer commitment, and evolution of our products and services to be the most trusted advisor to all we serve.

With a generous benefits package, office locations throughout the United States, and a mantra of “making your mark today”, consider evolving your career and shining bright with Jewelers Mutual Group!

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Claim file setup.
• W9 collection and processing.
• Claim file document organization and updates.
• Claim task and activity creation.
• Completion of various investigation tool searches.
• Notification of information updates to claim handlers.
• Responding to generic inquiries from internal and external customers.
• Issuance of indemnity and expense payments as directed.
• Processing of CarePlan claims.
• Ensures a level of customer service that meets and exceeds customer expectations over the phone and through written communication.
• Delivers on commitments to internal and external customers by providing follow-up and follow-through.
• Ability to learn various software applications integral to claim processing.
• Embraces change, maintains a positive work environment, and actively engages in an ongoing learning culture.
• Excels in accuracy and quality and views these skills as critical to the success of ongoing relationships with our customers and coworkers.

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.

QUALIFICATIONS

• High school diploma or general education degree (GED) required. Some college or college degree preferred.
• Three to six months related experience and/or training; or equivalent combination of education and experience.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.
• General insurance and jewelry industry knowledge gained through courses and continuing education are helpful.

CERTIFICATES, LICENSES, REGISTRATIONS

None

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.