POSITION SUMMARY
The Commercial Property Examiner reviews, evaluates and processes complex commercial insurance claims and makes recommendations for resolution. Additionally, this role will examine and authorize commercial insurance claims investigated by independent adjusters. Lastly, the commercial property examiner will review claim forms and other records to determine insurance coverage, ensuring payment recommendations and settlements have been made correctly.
PRINCIPAL DUTIES AND RESPONSIBILITIES
• 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.
ADDITIONAL DUTIES AND RESPONSIBILITIES
The Commercial Claims Examiner III role will focus on Claims over $500,000 but may receive smaller claims as needed.
KNOWLEDGE AND SKILL REQUIREMENTS
• Bachelor’s degree or equivalent.
• 5+ years of property claims adjusting experience, including 2+ years commercial property claims preferred.
• Excellent oral and written communication skills.
• Working experience with MS-Office (especially Word and Excel).
• Comprehensive understanding of policy contract/statutes and claims processes.
• Certified in CEA and Fair Claims Settlement Practices.
• 4 years Commercial Experience, 2 years claims over $500k
Skills Required
- Bachelor's degree or equivalent
- 5+ years of property claims adjusting experience
- 2+ years of commercial property claims experience
- Excellent oral and written communication skills
- Working experience with Microsoft Office, especially Word and Excel
- Comprehensive understanding of insurance policy contracts, statutes, and claims processes
- Certification in CEA and Fair Claims Settlement Practices
- 4 years of commercial claims experience
- 2 years handling claims over $500,000
What We Do
The California FAIR Plan is a private association comprised of all insurers authorized to write property insurance in California. The FAIR Plan was established in July 1968 following the 1960s brush fires and riots as the state’s insurer of last resort, created to ensure access to basic property insurance for California homeowners who have been unable to obtain homeowners insurance from the voluntary market for reasons outside of their control. The FAIR Plan will write fire insurance coverage for these homeowners, regardless of a property’s wildfire risk. The FAIR Plan is committed to strengthening consumer choices in the voluntary insurance market, while ensuring that all homeowners, including those who live in areas threatened by wildfires, can obtain basic property coverage and the peace of mind they deserve
.png)
