California FAIR Plan Association · 4 hours ago
Property Claims Examiner III (Remote)
Los Angeles, CA
Full-time
Remote
Mid, Senior Level
$85K/yr - $90K/yr
5+ years exp
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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
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Required
Minimum bachelor’s degree or equivalent
Excellent oral and written communication skills
Working experience with MS-Office (especially Word and Excel)
2+ years property claims experience and excellent customer service
5 years total claims experience
2 years handling HO claims over $300,000
Preferred
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
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