Property Claims Examiner II
California FAIR Plan Association
full-time
Posted on:
Location Type: Remote
Location: Remote • California • 🇺🇸 United States
Visit company websiteSalary
💰 $80,000 - $90,000 per year
Job Level
JuniorMid-Level
About the role
- 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.
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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims investigationclaims evaluationclaims resolutionreserve recommendationsclaim transactionscoverage verificationsettlement negotiationlitigation managementcompliance maintenancecustomer service
Soft skills
communication skillshuman relations skillsorganizational skillssupervisory skillsnegotiation skills
Certifications
CEAFair Claims Settlement Practices