California FAIR Plan Association

Accounting Manager

• Assist with daily accounting operations including accounts payable and receivable.
• Assist in the reconciliation of premium received from online and Lockbox sources.
• Premium Accounting for Policy Billing Accounts.
• Assist in validation of Policy Premium and Disbursement processes.
• Support invoice processing and expense report auditing.
• Maintain organized financial files and documentation.
• Collaborate with team members on ad hoc projects as needed.

Accounting Intern

Underwriter

• Assist underwriters in reviewing property insurance applications and supporting documentation
• Perform risk analysis using internal tools, guidelines, and third-party data sources
• Participate in file audits, underwriting meetings, and training sessions
• Support team with data entry, document management, and administrative tasks
• Collaborate on special projects or presentations related to underwriting strategies

Underwriting Intern

QA Engineer

• Drive research, needs assessment, and vendor selection for claims file review software solution.
• Act as liaison between Claim Quality and other California Fair Plan departments.
• Conduct interviews and workshops with internal departments to gather requirements.
• Conduct market research to identify claims insurance file review software vendors.
• Analyze and benchmark potential software vendors against specifications.
• Manage communication with prospective vendors regarding RFP.
• Provide updates to leadership on RFP project progress and risks.
• Adhere to Federal and State laws and regulations.
• Other duties to fulfill the Association’s Mission and Values.

Property Claims Quality Assurance Intern

• The Claims Quality Assurance Supervisor leads a team of Quality Assurance Representatives or Quality Analysts.
• Responsible for reviewing claim files for accuracy, compliance with policies and procedures, as well as CA Department of Insurance guidelines.
• Managing communications with the Department of Insurance.
• Assisting with coverage analysis for Claims Examiners.
• Collaborating with and support Claims Quality Analysts and QA Representative teams to maintain the daily workflow across the Quality Assurance Department.
• Hire, train, and coach Quality Assurance Representatives and Claims Quality Analysts.
• Provide file data for file reviews and maintain the audit platform.
• Direct and oversee file reviews and Department of Insurance complaint responses.
• Provide feedback/results/trends to Claims Examiners based on review results and findings.
• Review, analyze, and provide suggestions for claim handling practices.
• Compile estimate revision requests and coordinate with network contractors to obtain estimate corrections.
• Verify file documentation is included for completion of the review process.
• Create and maintain workbooks, questionnaires, processes, and training materials to promote accuracy and consistency.
• Take lead on various projects, including but not limited to QA software and report implementation.
• Manage CEA Liaisons and support CEA training and reporting.
• Adhere to Federal and State laws and regulation.
• Any other duties needed to help fulfill the Associations Mission, abide by the Association’s Values, and fulfill the Association’s Strategic Objectives.

Property Claims Quality Assurance Supervisor

Strategy

• Propose high-impact projects that drive the Association’s long-term goals
• Lead the development and publishing of business requirements, value propositions and measurement development during the pre-project submission and proposal development phases
• Provide follow-through and due diligence during the project submission, evaluation and development project phases, supporting the project manager and associated business and IT stakeholders.
• Foster cross functional collaborations and ensure stakeholders are held accountable.
• Define and manage proposal scope and boundaries, proactively identifying and resolving conflicts/ risks.
• Ensure alignment to Association’s goals within the compliance framework
• Advise and support project, business, and IT owners throughout the proposal life cycle.
• Supervise analysts as assigned.

Property Strategic Initiatives Lead

Product Analyst

• Develop reports (and product dashboards) necessary to monitor the FAIR Plan’s profitability, efficiency, growth of new products/enhancements.
• Collaborate with actuarial staff to prepare state rate filings and respond to state insurance department inquiries.
• Support research, analysis, and testing of product changes, roll outs, and channel enhancements, including maintenance of Rate and Rule manuals.
• Query databases to conduct ad-hoc analysis on specified or varied metrics.
• Analyze metrics regarding Underwriting practices and recommend efficiencies in work processes and vendor/internal tools.
• Identify trends and recommend product enhancements. Use data to identify efficient investigation of risk practices.
• Prepare presentations in support of rate changes and other strategic decisions.
• Use knowledge of state regulatory guidelines and constraints to assure product compliance.
• Lead project efforts, collaborating with other departments, to explore business problems, resulting in improvements to underwriting processes and performance results.
• Generate insights that equip decision makers with knowledge to optimize business performance.
• Perform additional duties and/or special projects as required.

Property Product Analyst

Technical Project Manager

• The Technical Project Manager (TPM) leads technological initiatives that support core insurance operations, regulatory compliance, and digital transformation.
• Manages technical projects across policy administration, claims, billing, underwriting, data, and integration platforms while ensuring adherence to insurance regulations, data privacy requirements, and enterprise architecture standards.
• Serves as a key liaison between business units and technical delivery teams.
• Plans and builds complex technical project plans, designates project resources, prepares budgets when needed, monitors and drives progress, and keeps stakeholders informed throughout the project lifecycle.
• Defines project technical scope and objectives for medium- to large-sized projects.
• Identifies and manages internal and external resources needed to reach objectives.
• Identifies and coordinates dependencies across underwriting, claims, finance/billing, legal/compliance, IT teams, and vendor partners.
• Coordinates/directs multiple vendor partner resources to ensure clear communication, development coordination, and delivery excellence.
• Develops and manages detailed technical project schedules and work breakdown structures for medium- to large-sized projects.
• Facilitates change requests to ensure that all parties are informed of the impacts on schedule and budget.
• Measures project performance to identify areas for improvement through retrospectives.
• Leads, coaches, and mentors a team of technical project managers.
• Aligns projects with enterprise architecture, data and security standards, and insurance technology roadmaps.
• Assists Program Manager/Director with Project Management continuous improvement/governance initiatives.

IT Technical Project Manager

Business Analyst

• Evaluate operations business processes and identify opportunities to enhance efficiency, accuracy, and customer satisfaction.
• Identify operational gaps, data inconsistencies, and process bottlenecks.
• Document workflows using process mapping and related methodologies.
• Collaborate with business stakeholders, to design improved end-to-end processes.
• Translate business needs into functional process requirements for automation, system enhancement, and workflow redesign.
• Develop, standardize, and maintain operations-related business processes, procedures, and performance metrics.
• Collaborate with other departments to ensure process coherence, data alignment, and to enhance system capabilities. Support Single Source of Truth initiatives ensuring consistent data usage, definitions, and reporting across systems.
• Define and track key performance indicators (KPIs) to measure process effectiveness and turnaround times.
• Prepare and present insights, findings, and process improvement recommendations to leadership.
• Support internal and external audits with accurate process documentation and data integrity assurance.
• Lead or participate in business process reengineering (BPR) and operational efficiency initiatives.
• Create feedback loops, metrics-driven decision making, and proactive issue resolution.
• Perform any other tasks required to support the Association’s Mission, Values, and Strategic Objectives.

Property Operations Business Analyst

Claims Specialist

• 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.

Commercial Property Claims Examiner III

Manager

• Develop and implement Train-the-Trainer programs for management to deliver to their staff.
• Collaborate with internal business partners to create and deliver industry-specific course content.
• Conduct needs assessment and identify performance gaps and implement training best practices to ensure alignment with company goals.
• Identify and recommend company-wide training best practices for training programs and ongoing training needs.
• Implement training effectiveness measures to develop a system of continued process improvement to meet ongoing training needs.
• Administer training for designated business groups with the ability to deliver and motivate trainees through effective training methodologies both in group and individual meetings.
• Develop presentations, training materials for virtual and in-person sessions.
• Utilize a variety of techniques, concepts and delivery of training programs and strategies.
• Evaluate success of training implementation by assessing achievement of learning objectives and transfer of knowledge to continuously improve training solutions and identify future learning needs.
• Manage the learning experience consistent with company philosophy and company-wide strategies.
• Perform other related duties as assigned or requested.

Train-the-Trainer Manager

Recruitment

• Establish and maintain relationships with hiring managers across diverse departments to understand their hiring needs, develop recruitment strategies and provide regular updates on recruitment progress.
• Manage the full-cycle recruitment process, including job postings, candidate engagement, offer negotiation, and onboarding.
• Source, screen, and interview candidates using a variety of channels, including online job boards, social media, and employee referrals.
• Maintain and update applicant tracking systems (ATS) to ensure accurate and timely tracking of candidate pipelines.
• Track recruitment metrics, including time-to-fill, and stay up-to-date with industry trends and best practices in recruitment and talent acquisition.
• Develop and maintain relationships with universities, professional organizations, and recruitment agencies to build a strong talent pipeline.
• Provide guidance and support to hiring managers throughout the recruitment process.

Recruiter

• 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.