Property Claims Examiner I
California FAIR Plan Association
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $70,005 - $72,000 per year
About the role
- 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.
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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance claims processingproperty claims experiencepayment recommendationsclaims investigationclaims evaluationreserve recommendationsclaims negotiationsettlement practicescustomer service
Soft Skills
communication skillsinterpersonal skillsleadership skills
Certifications
CEAFair Claims Settlement Practices