California FAIR Plan Association · 6 hours ago
Commercial Property Claims Examiner III (Remote)
Los Angeles, CA
Full-time
Remote
Mid, Senior Level
$85K/yr - $95K/yr
5+ years exp
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Responsibilities
Manage a caseload of commercial property claims from assignment through resolution.
Examine commercial claims investigated by independent adjusters to determine the extent of insurance coverage and validity of the claims.
Review and adjust commercial loss reserves, correspondence, reports, verify coverage and authorize payments submitted by independent adjusters.
Collaborate with internal personnel and/or legal counsel on claims involving litigation.
Investigate, evaluate, and adjust claims, applying technical knowledge and human relations skills to promote fair and prompt settlement of claims.
Oversee independent adjuster files to ensure they have followed CFP IA Guidelines.
Verify and analyze data used in settling claims to ensure validity and that settlement is in accordance with company practices and procedures.
Maintain compliance with the Department of Insurance and Company procedures.
Identify fraud or illegal activity indicators and follow internal processes to refer the claims to the appropriate personnel for follow up.
Promptly negotiates settlements ensuring the settlement reflects the insured losses while confirming the insurer is protected from invalid claims.
Qualification
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Required
Bachelor’s degree or equivalent.
5+ years of property claims adjusting experience, including 2+ years commercial property claims preferred.
Excellent oral and written communication skills.
Working experience with MS-Office (especially Word and Excel).
Comprehensive understanding of policy contract/statutes and claims processes.
4 years Commercial Experience, 2 years claims over $500k
Preferred
2+ years commercial property claims preferred.
Certified in CEA and Fair Claims Settlement Practices preferred.
Company
California FAIR Plan Association
California FAIR Plan Association provides property insurance.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Michael Schalk
Senior Vice President / COO
Elise Klein
Chief Legal Officer and General Counsel
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