California FAIR Plan Association

The CA FAIR Plan provides a safety net for consumers who cannot obtain property insurance in the standard market.

Commercial Property Claims Examiner III

Claims SpecialistClaims SpecialistFull TimeRemoteTeam 51-200Since 1968H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

5 days ago

Salary

$95K - $100K / year

Bachelor Degree5 yrs expEnglish

Job Description

• Manage a caseload of commercial property claims from assignment through resolution. • Examine commercial claims investigated by independent adjusters to determine the extent of insurance coverage and validity of the claims. • Review and adjust commercial loss reserves, correspondence, reports, verify coverage and authorize payments submitted by independent adjusters. • Collaborate with internal personnel and/or legal counsel on claims involving litigation. • Investigate, evaluate, and adjust claims, applying technical knowledge and human relations skills to promote fair and prompt settlement of claims. • Oversee independent adjuster files to ensure they have followed CFP IA Guidelines. • Verify and analyze data used in settling claims to ensure validity and that settlement is in accordance with company practices and procedures. • Maintain compliance with the Department of Insurance and Company procedures. • Identify fraud or illegal activity indicators and follow internal processes to refer the claims to the appropriate personnel for follow up. • Promptly negotiates settlements ensuring the settlement reflects the insured losses while confirming the insurer is protected from invalid claims.

Job Requirements

  • Bachelor’s degree or equivalent
  • 5+ years of property claims adjusting experience, including 2+ years commercial property claims preferred.
  • Excellent oral and written communication skills.
  • Working experience with MS-Office (especially Word and Excel).
  • Comprehensive understanding of policy contract/statutes and claims processes.
  • Certified in CEA and Fair Claims Settlement Practices.

Related Categories

Related Job Pages

More Claims Specialist Jobs

Authorization Appeal Specialist

Össur

We improve people's mobility so they can live a Life Without Limitations

Claims Specialist5 days ago
Full TimeRemoteTeam 1,001-5,000Since 1971H1B No Sponsor

The specialist manages the end-to-end workflow for appealing denied prior authorizations for orthotic and prosthetic devices by collaborating with various stakeholders to gather documentation and submit comprehensive appeal packages. This includes researching payer policies, developing case-specific strategies, coordinating Peer to Peer reviews, and communicating status updates until final determination.

ClaimsMedical BillingHIPAAEMRICD-10MedicareMedicaidMedical TerminologyAppealsDocumentation
United States
$29 - $31 / hour

Claims Coordinator

Dent Wizard International

The leaders in automotive reconditioning🛠️

Claims Specialist5 days ago
Full TimeRemoteTeam 1,001-5,000Since 1983H1B No Sponsor

Claims Coordinator managing vehicle claims for Dent Wizard

United States
$21 - $26 / hour

Senior Workers’ Compensation Claims Adjuster

The Jonus Group

The Jonus Group is a leading insurance staffing firm specializing in providing top-tier talent for the insurance industry. We are currently seeking a dedicated and experienced Workers Compensation Claims Adjuster to join a reputable insurance client's Workers Compensation Claims Department.

Claims Specialist5 days ago
Full TimeRemote

A well-established Third-Party Administrator (TPA) is seeking an experienced Senior Workers’ Compensation Claims Adjuster to join their team supporting New England accounts. This role is fully remote and requires a seasoned claims professional who can independently manage a compl...

Workers CompensationClaims AdjustingInvestigationReserve SettingLitigation ManagementRegulatory ComplianceMedical ManagementNegotiationDocumentation
United States

Property Liability Claims Adjuster

Assurant

Helping people thrive in a connected world.

Claims Specialist5 days ago
Full TimeRemoteTeam 10,001+Since 1892H1B Sponsor

The adjuster manages a caseload of low to moderate Homeowners Liability claims, specifically Renters and Condo, up to $20,000 exposure, handling everything from investigation to resolution. This involves making decisions on liability and negotiating settlements within policy limits while interacting with various internal and external parties.

United States
$56.2K - $94.1K / year