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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