Property Claims Examiner II: Settlements & Coverage

California FAIR Plan Association; Los Angeles (CA); Remote; USD 80,000 - 110,000; Full time

Job summary

California FAIR Plan Association seeks a Claims Examiner II role to process and settle insured property claims in compliance with regulations. You will interact with independent adjusters and policyholders to determine coverage and payments, while maintaining adherence to company practices and Fair Claims Settlement regulations.

The position focuses on claims ranging in complexity, with responsibilities including reserving, investigations, and timely settlements, ensuring accurate documentation

Qualifications

• Bachelor's degree or equivalent preferred.
• Excellent oral and written communication.
• MS-Office proficiency required.
• 2+ years property claims experience and excellent customer service.
• Certified in CEA.
• 3 years total claims experience, 2 years handling HO claims up to $300,000.
• 1 year Carrier Experience Required.

Responsibilities

• Investigate, evaluate, and resolve claims to promote fair settlements.
• Adjust reserves and provide reserve recommendations.
• Enter claim transactions clearly and concisely.
• Examine claims by independent adjusters and verify coverage.
• Perform daily diary reviews to ensure status letters are sent per regulations.
• Pay and process claims within designated authority level.
• Supervise independent adjusters to adhere to guidelines.
• Maintain compliance with insurance regulations and company policies.
• Create accurate correspondence for policyholders and secure missing information.
• Negotiate settlements reflecting actual insured losses while protecting insurer.
• Consult with Claims Management and legal counsel on litigation-related claims.

Skills

Communication skills

Customer service

MS Office proficiency

Education

Bachelor's degree or equivalent

CEA certification

Tools

MS Office

Job description

California FAIR Plan Association seeks a Claims Examiner II role to process and settle insured property claims in compliance with regulations. You will interact with independent adjusters and policyholders to determine coverage and payments, while maintaining adherence to company practices and Fair Claims Settlement regulations.

The position focuses on claims ranging in complexity, with responsibilities including reserving, investigations, and timely settlements, ensuring accurate documentation