California FAIR Plan Association

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

Property Claims Examiner I

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

Location

California

Posted

30 days ago

Salary

$70.0K - $72K / year

Bachelor Degree2 yrs expEnglish

Job Description

• Process insurance claims for property losses based on coverage, appraisal, and verifiable damage. • Interact with independent adjusters and policy holders, review claim forms and other records to determine insurance coverage. • Make payment recommendations and settlements in accordance with company practices, procedures, and Fair Claims Settlement Practices regulations. • 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.

Job 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.
  • 2 years handling Homeowners claims.
  • Carrier experience preferred.

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