Property Claims Examiner III

Job not on LinkedIn

🔥 12 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $90k - $100k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 5%

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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 property insurance claims. • Adjust reserves and provide reserve recommendations. • Enter claim transactions clearly and concisely. • Examine claims inspected by independent adjusters, investigate questionable claims, verify coverage, and issue payments. • Conduct daily diary reviews to ensure status letters are sent in accordance with Department of Insurance regulations. • Pay and process claims within designated authority levels. • Supervise independent adjusters for adherence to CFP IA Guidelines. • Maintain compliance with Department of Insurance and company policies and procedures. • Create accurate, complete correspondence and obtain missing information from policyholders and others. • Negotiate settlements reflecting insured losses while protecting the insurer from invalid claims. • Confer with Claims Management and legal counsel on litigated claims. • Handle entire claims except inspection or specific coverages such as Personal Property or Fair Rental Value. • Focus on claims over $300,000 in damages, while handling smaller claims when necessary.

🎯 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. • 5 years total claims experience. • 2 years handling HO claims over $300,000. • 2 years carrier experience required.