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California FAIR Plan Association · 4 weeks ago

Property Claims Examiner II (Remote)

United States

Full-time

Remote

Mid Level

$80K/yr - $90K/yr

3+ years exp

California FAIR Plan Association is seeking a Property Claims Examiner II to process insurance claims for property losses. The role involves interacting with adjusters and policyholders, reviewing claims, making payment recommendations, and ensuring compliance with regulations.

Financial ServicesInsuranceProperty Insurance

Comp. & Benefits

Responsibilities

Investigate, evaluate, and resolve claims, applying technical knowledge and human relations skills to promote fair and prompt settlement of claims

Adjust reserves and provide reserve recommendations to ensure reserving activities are consistent with company policies

Enter claim transactions, in a clear and concise manner

Examine claims inspected by independent adjusters, including further investigation of questionable claims, verification of coverage, and timely issuance of payments to policyholders

Conduct daily diary reviews on claim files to ensure status letters are sent to policyholders in accordance with Department of Insurance regulations

Pay and process claims within designated authority level

Supervise independent adjusters to ensure adherence to CFP IA Guidelines

Maintain compliance with the Department of Insurance and Company policy and procedures

Create correspondence to policyholders that is accurate and complete. Communicate with insureds and/or others involved to secure missing information

Promptly negotiate settlements, making sure that the settlement reflects the actual insured losses while ensuring that the insurer is protected from invalid claims

Confer with Claims Management and legal counsel on claims involving litigation