Catastrophe Property Claims Examiner II

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🕒 May 20

🏄 California – Remote

🏄 California – Remote

💵 $80k - $90k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

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California FAIR Plan Association

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1968

🛡️ Insurance

Insurance

California FAIR Plan Association is an insurance organization that provides basic fire insurance coverage for high-risk properties in California when traditional insurance companies will not offer coverage. The FAIR Plan includes dwelling coverage for owner- or tenant-occupied dwellings with up to four family units, as well as commercial coverage for business-owned buildings. They also offer earthquake insurance through the California Earthquake Authority. The organization helps Californians access necessary fire insurance via licensed brokers and is essentially a temporary insurance solution when coverage is unavailable from traditional insurers.

📋 Description

• 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. • Requires up to 25% travel, limited to periods of catastrophic events.

🎯 Requirements

• 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.