California FAIR Plan Association
California FAIR Plan Association
51 – 200 कर्मचारी
बीमा
California FAIR Plan Association एक बीमा संगठन है, जो कैलिफ़ोर्निया के उन संपत्ति मालिकों और निवासियों की सेवा करता है जिन्हें पारंपरिक बाज़ार से अग्नि बीमा कवरेज नहीं मिल पाता। इसका FAIR Plan पात्र मालिक या किरायेदार के कब्ज़े वाले अधिकतम चार पारिवारिक इकाइयों वाले घरों के लिए बुनियादी सुरक्षा उपलब्ध कराता है, साथ ही पात्र वाणिज्यिक इमारतों के लिए कवरेज भी प्रदान करता है। यह संगठन California Earthquake Authority के माध्यम से उपलब्ध भूकंप बीमा से ग्राहकों को जोड़ता है। पॉलिसियाँ लाइसेंस प्राप्त बीमा दलालों के माध्यम से ली जाती हैं और इन्हें उस समय अस्थायी विकल्प के रूप में बनाया गया है जब सामान्य कवरेज उपलब्ध न हो।

Property Claims Examiner III – California Remote

Manage high-value property insurance claims remotely from California, including coverage review, reserves, payments, and settlement negotiations. The role focuses on losses exceeding $300,000.

विवरण

  • Investigate, assess, and resolve property insurance claims.
  • Review reserves and recommend appropriate adjustments.
  • Record claim transactions with clarity and precision.
  • Evaluate claims inspected by independent adjusters, investigate potential issues, confirm coverage, and authorize payments.
  • Review daily claim diaries to verify that status letters meet Department of Insurance requirements.
  • Process and pay claims within assigned authority limits.
  • Oversee independent adjusters’ compliance with CFP IA Guidelines.
  • Follow Department of Insurance requirements and company policies and procedures.
  • Prepare complete, accurate correspondence and secure outstanding information from policyholders and other parties.
  • Negotiate settlements that reflect covered losses while limiting payment on invalid claims.
  • Coordinate with Claims Management and legal counsel on litigated matters.
  • Manage claims from start to finish, excluding inspections and specific coverages such as Personal Property or Fair Rental Value.
  • Prioritize claims involving more than $300,000 in damages while handling lower-value claims as needed.

आवश्यकताएँ

  • A bachelor’s degree or equivalent is preferred.
  • Strong verbal and written communication skills.
  • Professional experience using Microsoft Office, particularly Word and Excel.
  • At least two years of property claims experience with a strong customer service background.
  • CEA certification and Fair Claims Settlement Practices certification.
  • Five years of overall claims experience.
  • Two years of experience handling homeowners claims exceeding $300,000.
  • At least two years of insurance carrier experience.

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