Property Claims Examiner II: Prompt, Fair Settlements

California FAIR Plan Association; Oregon; Hybrid; USD 70,000 - 90,000; Full time

Job summary

California FAIR Plan Association is seeking a Claims Examiner II to manage property claims from intake through settlement. You will interact with policyholders and independent adjusters, review records for coverage, and advise on settlements in line with regulations and company practices.

The role requires a bachelor’s degree, strong communication skills, and 2+ years of property claims experience, including HO claims up to $300,000.

Qualifications

• Bachelor's degree or equivalent preferred.
• Excellent oral and written communication skills.
• MS-Office (Word/Excel) experience required.
• 2+ years property claims experience and strong customer service.
• CEA certification and Fair Claims Settlement Practices knowledge.
• 3 years total claims experience; 2 years HO claims up to $300,000.
• 1 year carrier experience required.

Responsibilities

• Investigate, evaluate, and resolve claims for fair settlements.
• Adjust reserves and provide reserve recommendations per policy.
• Enter claim transactions clearly and accurately.
• Review claims with independent adjusters and verify coverage.
• Conduct daily diary reviews and issue timely status letters.
• Pay and process claims within designated authority.
• Supervise independent adjusters per CFP IA guidelines.
• Ensure compliance with insurance regulations and policy.
• Prepare accurate correspondence to policyholders.
• Negotiate settlements reflecting actual losses while protecting insurer.
• Consult with management and legal on litigated claims.

Skills

Communication skills

MS Office proficiency

Education

Bachelor's degree

CEA cert

Fair Claims Practices cert

Tools

MS Office

Job description

California FAIR Plan Association is seeking a Claims Examiner II to manage property claims from intake through settlement. You will interact with policyholders and independent adjusters, review records for coverage, and advise on settlements in line with regulations and company practices.

The role requires a bachelor’s degree, strong communication skills, and 2+ years of property claims experience, including HO claims up to $300,000.