California FAIR Plan Association · 1 day ago
Claims Examiner II (Remote)
United States
Full-time
Remote
Entry, Mid Level
$80K/yr - $85K/yr
2+ years expCalifornia FAIR Plan Association is seeking a Claims Examiner II to process insurance claims for property losses. The role involves investigating and resolving claims, interacting with adjusters and policyholders, and ensuring compliance with regulations.
FinanceProperty & Casualty InsuranceFinancial ServicesInsuranceProperty Insurance
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
Adhere to Federal and State laws and regulation
Any other duties needed to help fulfill the Associations Mission, abide by the Association’s Values and fulfill the Association’s Strategic Objectives
This role may include handling the entire claim (except inspection), or may be responsible for a specific coverage, such as Personal Property or Fair Rental Value. This role will focus on claims ranging from $100,000 to $300,000 in damages, but the Claims Examiner II may receive larger or smaller claims when necessary
Qualification
Required
Minimum bachelor's degree or equivalent preferred
Excellent oral and written communication skills
Working experience with MS-Office (especially Word and Excel) is required
2 + years property claims experience and excellent customer service
Certified in CEA and Fair Claims Settlement Practices
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
Recent News
2025-09-07
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