California FAIR Plan Association · 1 day ago

Property Claims Examiner I (Remote)

Los Angeles, CA

Full-time

Remote

Entry Level

$57K/yr - $120K/yr

2+ years exp

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Financial ServicesInsurance

Comp. & Benefits

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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.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Claims ProcessingProperty Claims ExperienceMS OfficeHomeowners' Claims ExperienceCEA CertificationFair Claims Settlement Practices